Clinico-Microbiological Profile of Community Acquired Urinary Tract Infection in The Elderly : A Hospital Based Study

Background: Urinary tract infection (UTI) is a serious problem in the geriatric age group. The knowledge of the clinico-microbiological profile and the antibiotic sensitivity pattern is essential for effective management of the problem. Aim: To find the epidemiological data, common presenting symptomatology, risk factors associated with UTI ,distribution of uropathogens isolated and their sensitivity pattern. Methodology: An observational prospective study done in a tertiary care teaching hospital in Bhubaneswar, India. Elderly patients aged 60 years and above admitted to the hospital in whom UTI was confirmed with culture positivity were included in the study. Results: The total number of subjects was 61 with age range of 60-85 yrs and M:F of 1.65:1 . Diabetes (68.8%), HTN (50.8%), BEP (60.5%), UV prolapsed (47.82%), Immobility (13.1%) and malignancy (3.2%) were common co-morbidities observed. Fever(83.6%), Dysuria(62.2%), Increased frequency of urination (68.85%), Hematuria (18.03%), Low abdominal discomfort (30.06%), Acute urinary retention (24.59%) and Urinary incontinence(22.95%) were common symptomatology observed.E coli(52.4%), Klebsiella pneumonie (18.03%) and Enterococoous (14.75%) were common organisms isolated.Colistin, Tigecyclin, Imipenem Teicoplanin Amikacin were common antibiotics to which the common isolates were sensitive. Average duration of hospital stay was 10.53 days. and the death rate was 3.2%. Conclusion: Early recognition of UTI taking into account the symptomatology and the risk factors, is of paramount importance while treating UTI in geriatric age group. The microbiologic profile and the antibiotic sensitivity pattern will be helpful while initiating empiric treatment. More similar studies from other part of the country will be helpfull in managing geriatric urinary tract infections.