Role of Urine Bacteriology Assessment in Patients with Benign Prostatic Hyperplasia
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2018, Vol 17, Issue 3
Abstract
Background:Benign prostatic hyperplasia is very common in old ages. In India,few only present with symptoms . Few were detected to have the benign enlargement when they were screened prior to surgery for inquinal hernia or so. Bacteriuria and urinary tract infections are common sequelae of benign prostatic hyperplasia(BPH). Thus, the knowledge of urine bacteriology in men with symptomatic BPH in our environment may play acomplementary role in management. Objectives: To determine the incidence of bacteriuria and the antibioticsensitivity pattern of bacterial isolates in cultured urine samples of men with symptomatic and asymptomatic BPH. Material andMethods: This was a prospective study conducted over one year in our institute . All patients who presented with lower urinary tract symptoms dueto BPH and who met the inclusion criteria were studied.and also all the old patients admitted for direct inquinal hernia surgery without clinical symptoms of BHP but whose ultrasound examination showed prostate enlargement with significant residual urine volume were included. Urine samples were obtained from the patients for microscopy, culture, and sensitivity following standard protocol. Results: Sixty two patients were studied.out of which 38 patients had symptoms of BPH and24 patients were belonging to the asymptomatic group. The age range was 53-80 years with a mean of 65.5 . Bacterial isolates were noted in 28 (45.1%) patients. Escherichia coli noted in 20 out of this 28 patients(71.4%).klebsiella and other organisms were isolated in the rest.27 out of 38 symptomatic patients(71%) and one out of 24 asymptomatic patients(4%) had bactriuria . The bacterial isolates were mostly sensitive to imipenem, meropenem, and nitrofurantoin, but showed greater resistance to cefuroxime, gentamicin, and ofloxacin. There was no significant difference between the means for age (, duration of symptoms , and prostate size in the patients with andthose withoutbactriuria. Conclusion: In patientswith BPH ,71% of them have urinary infection with bactriuria in our setting . The bacterial isolates showed high level of resistance to oralcephalosporins and fluoroquinolones. There is a need to update guidelines in empiric use of antibiotics in this group of patients.
Authors and Affiliations
Dr s r krishnamurthy, Dr. Ragul chinnasamy
Keywords
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- EP ID EP369063
- DOI 10.9790/0853-1703045558.
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