Urinary Tract Infection: Antibiotic Resistance Profiles of Bacterial Etiologies and Associated Risk Factors in Diabetic Patients Attending Debre Tabor Hospital, Northwest Ethiopia

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Abstract Background: Urinary tract infection is a major health problem especially in developing countries. Information about bacterial pathogens isolated from urinary tract infection in diabetic patients and their antimicrobial susceptibility patterns are limited in Ethiopia. Therefore, this study aimed at to isolate bacterial pathogens and their antimicrobial susceptibility patterns.Methods: A hospital based cross sectional study was conducted at Debre Tabor. Urine sample was inoculated on to cysteine lysine electrolyte deficient (CLED) medium. Bacterial pathogens were identified using standard bacteriological methods. The data were cleaned and entered in to SPSS version 20. P- Value less than 0.05 is considered statistically significant. Result: A total of 250 study participants were included in the study. Of them, 28 (11.2%) bacterial pathogens were isolated. Gram positive bacteria were commonly isolated 19 (67.8%) than Gram negatives 9 (32.1%). The commonly isolated bacterial species were Staphylococcus aureus8 (28.6%),Escherichia coli5 (19.1%), Coagulase negative Staphylococci 8 (28.6%),Kelebsllapneumoniae4(14.3%), and Entrococcus(9.5%).Gram positive isolates were resistant to cotrimoxazole 10 (58.8%).Conclusion: Bacteriuria was significantly associated with sex and type of diabetes. Multidrug resistance to two or more antibiotics was observed in 56.7% of bacterial isolates. Rational use of antimicrobial agent should be thought to prevent the emergency of multidrug resistance.

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