Open AccessOriginal Article Rising Incidence of Streptococcal Urinary Tract Infections: A Retrospective Clinical and Microbiological Assessment

Farhan Rasheed; Ahmad Yar; Raja Kamran Afzal; Muhammad Bilal; Iqra Jamil; Asma Ejaz

doi:10.51253/pafmj.v76iSUPPL-7.11048

Authors

Farhan Rasheed Department of Pathology, Allama Iqbal Medical College, Lahore, Pakistan
Ahmad Yar Department of Pathology, Combined Military Hospital Sialkot/National University of Medical Sciences (NUMS) Pakistan
Raja Kamran Afzal Department of Pathology, Armed Forces Institute of Cardiology/National Institute of Heart Diseases, Rawalpindi/National University of Medical Sciences (NUMS) Pakistan
Muhammad Bilal Department of Pathology, Nawaz Sharif Medical College, University of Gujrat, Gujrat Pakistan
Iqra Jamil Department of Microbiology, University of Central Punjab, Lahore Pakistan
Asma Ejaz Department of Pathology, Allama Iqbal Medical College, Lahore, Pakistan

DOI:

https://doi.org/10.51253/pafmj.v76iSUPPL-7.11048

Keywords:

Antimicrobial susceptibility testing, Clinical Laboratory and Standards Institute, Urinary tract infections

Abstract

Objective: To determine distinct species of Streptococci along with their antimicrobial susceptibility pattern in urine samples.

Study Design: Retrospective Analytical Study.

Place and Duration of Study: Department of Pathology, Allama Iqbal Medical College, Lahore, Pakistan, from Jan 21 to Mar 2023.

Methodology: Urine samples of included subjects were processed according to standard microbiological procedures. Microscopy and culturing of urine were done. Organisms’ identification was done by different biochemical tests. AST was performed by the disc diffusion method according to CLSI guidelines.

Results: Out of 7346 urine samples, 2377(32.4%) yielded growth. E. coli was most prevalent and yielded 957 (63.5%) positive results. Among 829 Streptococci spp., Enterococcus faecalis 492(59.3%) yields the highest number. The most effective antibiotics were found to be Vancomycin, Teicoplanin, and Nitrofurantoin.

Conclusion: Unusual urinary isolates, including distinct streptococcal species, should be carefully monitored. Nitrofurantoin and Ceftriaxone showed high susceptibility rates and may be suitable for empirical UTI treatment.

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