A Clinical Audit Study On The Management Of Urinary Tract Infection In A Tertiary Care Hospital

Abstract

This study aimed to clinically audit the antibiotic utilization pattern and the management of urinary tract infection (UTI) in a tertiary care hospital. This prospective observational study was conducted for four months in the General medicine ward of a tertiary care hospital management in patients diagnosed with UTI. Urine examination and urine culture sensitivity tests were used as the diagnostic tools. Of 120 patients, more women patients were affected with UTI with 62.5% compared to male patients (37.5%). One of the most prevalent microorganisms involved in UTI was Escherichia coli (31.7%). The most commonly used antibiotic for empirical therapy was found to be Injection Ceftriaxone (36.7%) and Nitrofurantoin (22.5%). Nitrofurantoin (7.5%) and Cefoperazone/Sulbactam (6.7%) were most commonly given as changes in the antibiotics after culture sensitivity reports. The results showed that E. Coli was more sensitive to Injection. Ceftriaxone (22.0%) and resistant to ciprofloxacin (19.0%) drug. The prescribing patterns of antibiotics were observed. The most common type of UTI in our study was found to be acute cystitis and acute pyelonephritis caused by E.coli. The majority of the prescriptions were adhering to the Hospital's Antibiotic prescribing guidelines.