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A study of bacterial profile and biofilm production in catheter associated urinary tract infections in a tertiary care hospital

Author: 
Varun, M. S., Sathyanarayan, M. S., Shwetha, J. V., Mythri, K. M. and Ambica, R.
Subject Area: 
Health Sciences
Abstract: 

Hospital acquired infections are a burden to patients as well as health care providers due to enhanced costs. Urinary tract infections are frequently noted in health care settings and are often associated with indwelling catheters. Biofilm producing pathogens are isolated frequently from patients with catheter associated urinary tract infections (CAUTI) and are more difficult to treat due their higher antimicrobial resistance and persistence. The present study was carried out over a period of two months in the Department of Microbiology, BMCRI, Bengaluru to determine the profile of uropathogens among patients with CAUTI and biofilm producing ability of these pathogens. Biofilm producing ability was confirmed by Tissue Culture Plate method using microtitre plates and the biofilm producers were categorized as Weak, Moderate and Strong. Escherichia coli was noted to be the predominant pathogen, followed by Klebsiella oxytoca in cases of CAUTI and a majority of these isolates were noted to be biofilm producers. The biofilm producing strains were noted to have increased antimicrobial resistance compared to non-biofilm producers in the study. Nitrofurantoin was the most effective antimicrobial in vitro among the isolates encountered in the study. Studies related to biofilm production in indwelling medical devices aid us in understanding the mechanisms associated with nosocomial infections and help in devising strategies to prevent infections due to colonization.

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