Objectives: This study was carried out to determine the pattern of catheter-associated bacteriuria and to investigate the antimicrobial susceptibility profile. Methods: A cross sectional study was conducted at National Obstetric and fistula center Ningi, Bauchi state. A total of 305 urine samples were collected from three stages (Pre analytical, analytical and post analytical) of sample collection and investigated using standard microbiological technique. All the urine samples were cultured on CLED agar and blood agar. Antibiotics susceptibility test was performed using standard disc diffusion method to determine susceptibility of bacterial agents to antibiotics. Sociodemographic and risk factors were obtained using structured questionnaire. Results:The prevalence of catheter associated bacteriuria was 71.1% and significant bacteriuria was found among age range of 16-25years 85(81.0%). The bacteria isolated were E coli 85(39.1%), Proteus spp 38(17.5%), klebsiella spp 29(13.4), Staphylococcus aureus 14(6.5%), Serriatiaspp 3(1.4%), Citrobacter spp 4(1.8%), Enterobacter spp5(2.3%), Coagulase Negative Stapylococcus 21(9.7%). All the bacterial isolates showed complete resistant to Ampiclox (100%) and Gentamicin (100%).Some isolates showered multiple drug resistant to Sparfloxacin (79%), Septrin (77%), Amoxillin (68%) and Ciprofloxacin (55%). The isolates were sensitive to Streptomycin (74%), Rocephin (74%) and Oflaxacin (60%). This study suggests that for better management of VVF clients, urine culture should be part of routine diagnosis and use of antibiotic should be after antimicrobial susceptibility screening. Conclusion: There was a significant difference in isolates from the three stages of sample collection with p value < 0.05, while ciprofloxacin was sensitive to bacteria isolated from fistula patients who were undergoing the surgery for the first time compare to those their fistula repair was more than two time.
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Author Name: Uzuegbunam NV, Yusuf MA, Umar FA, Bassey BE
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Keywords: Catheter-associated Bacteriuria, Obstetric fistula, Antimicrobial susceptibility
ISSN: 1116-1043
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