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ORIGINAL ARTICLE
Year : 2013  |  Volume : 27  |  Issue : 2  |  Page : 106-109

Urine culture and sensitivity profile in patients with traumatic spinal cord injury


Department of Physical Medicine and Rehabilitation, Regional Institute of Medical Sciences, Imphal, Manipur, India

Correspondence Address:
Nongmaithem Romi Singh
Department of Physical Medicine and Rehabilitation, Regional Institute of Medical Sciences, Imphal - 795 004, Manipur
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0972-4958.121576

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Objectives: To determine the urine culture and sensitivity profile in traumatic spinal cord injury (SCI) patients during admission in Physical Medicine and Rehabilitation setting in a tertiary care hospital. Study Design: A retrospective descriptive study. Setting: Department of Physical Medicine and Rehabilitation, Regional Institute of Medical Sciences, Imphal. Study Duration: January 1, 2012 to December 31, 2012. Materials and Methods: All the traumatic SCI patients admitted in the department and whose urine samples were sent for culture and sensitivity were included in the study. There were a total of 18 patients. Urine culture revealing a bacterial colony count of 10 5 colony forming units (cfu)/ml was taken as significant bacteriuria. Results: Of all 18 patients, 15 (83.3%) patients had significant bacteriuria showing only gram-negative bacteria and three (16.6%) patients had sterile urine. All the positive urine samples showed growth of only single bacteria except in one (5.5%) patient. The most common organism isolated was Escherichia coli which was found in ten (55.5%) urine samples This was followed by one (5.5%) each for Klebsiella, Pseudomonas, Providencia, Enterobacter and one with combination of Klebsiella with Pseudomonas. Amikacin and nitrofurantoin were the most sentitive antibiotics encountered in majority of the gram-negative isolates. All the organisms were sensitive to imipenem. Conclusion: Only gram-negative bacteria were isolated from the urine samples of traumatic SCI inpatients with E. coli as the most common organism. Amikacin and nitrofurantoin were the most common sensitive antibiotics.


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