A Study,of Urinary Tract Infection in Benghazi and an Evaluation of Some Techniques for the Detection of Significant Bacteriuria

Original article

English

Sati Punjabi 1, M. A. Yahya 2, M. Naseer-Uddin 3, Essa M. Abdulla 3

1-Department of Pathology, Faculty of Medicine, University of Garyounis, Benghazi. 2-Department of Medicine, Faculty of Medicine, University of Garyounis, Benghazi 3-Department of Microbiology and Parasitology, Faculty of Medicine, Garyounis, Benghazi.

Garyounis Medical Journal Vol. 1, No.1. January 1978:27-32

Abstract

Midstream urine from 200 adult cases presenting urinary complaints were analyzed by stroke plate culture, quantitative pus cells count, and gram stains of spun and unspun urine. Bacterial quantitation by stained urine films correlated significantly with results of quantitative bacterial culture. A total of 134 strains representing 15 bacterial species were isolated arid identified from cases of significant bacteriuria. Approximately 70% of the patients with confirmed urinary disease had infections with single organisms; gram- negative rods were the most numerous of these isolates and nearly 80.4% of these were accounted for by the enterobacteria. The three most common species in order of prevalence, Esch. coli, Pr. mirabilis and Ent. aerogenes were found to constitute more than 52.3% of the 134 strains encountered; Staph. aureus, Str. faecalis and Micrococcus spp. accounted for about 25.3% and were the most frequent of the gram-positive bacteria associated with infected urine. Gentamicin(92.2%),cephaloridine (83.44%),Kanamycin 79.3%), tetracycline (75.96%), and chloramphenicol (62.55%) were the most effective of the eleven antibacterial agents tested against all isolates. Nitrofurantoin (54.59%) ampicillin (55.48%) and e,ythromycin (57.06%) were ascertained to be drugs of poor choice for the treatment of urinary infection in Benghazi.

Keywords: A Study,of Urinary Tract Infection in Benghazi and an Evaluation of Some Techniques for the Detection of Significant Bacteriuria

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