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Publication Type
Journal Article
UWI Author(s)
Author, Analytic
Bodonaik, Nabin C.
Author Affiliation, Ana.
Department of Microbiology
Article Title
Change in the frequency of occurrence and antimicrobial resistance of urinary pathogens in three decades in a tertiary care teaching hospital
Medium Designator
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Connective Phrase
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Journal Title
Clinical Infectious Diseases
Translated Title
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Reprint Status
Refereed
Date of Publication
2000
Volume ID
3
Issue ID
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Page(s)
244
Language
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Connective Phrase
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Location/URL
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ISSN
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Notes
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Abstract
The incidence and suseptibilty of 1474 urinary pathogens (105 cfu/ml) encountered in 1999 were compared with those obtained in 1972 at the University Hospital, Jamaica. E. coli continued to remain the most common pathogen. However, the incidence of Enterococci had increased dramatically from 4.8% in 1972 to 16% in 1999. Enterococci were the 2nd most common pathogen next only to E. coli in 1999. Overall, Gram positive pathogens accounted for 29.2% in 1999compared to 17.2% in 1972. In 1999 there were 101 isolates (6.9%) of coagulase negative Staphylococci most of which were from women between 18 and 34 years of age. There was a marked increase of antibiotic resistance especially in Gram negative pathogens. However, unlike reports from many other parts of the world, vast majority of Enterococci still remained susceptible to ampicillin. The observation would underline the importance of periodic monitoring of urinary pathogens and change in the institutional policy for empirical therapy of urinary tract infections as and when required.....
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