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Recommended: High incidence of urinary catheter infections

Catheter-associated urinary tract infection (CAUTI) is the common type of nosocomial infection. This study was designed to recognize and identify the bacterial pathogen(s) of CAUTI in patients, the sensitivity pattern of bacterial pathogens to commonly used Antibiotics and the synergistic effect of Antibiotics with Ascorbic acid to improve the efficacy of Antibiotics. The prospective, observational study was conducted in a Tertiary care teaching hospital of Lahore. The urine samples from 100 catheterized patients were collected and analyzed for their causative /pathogenic organism. Out of 100 patients, 58 patients carried E.coli (27%), Citrobacter (22%), Enterobacter (5%) and Staphylococcus aureus (4%) and these patients were included in study, other 42 patients carried Candida species and Mixed growth of bacteria. Sensitivity patterns of bacteria against Ampicillin, Co-amoxiclav, Ceftriaxone, Amikacin and Ciprofloxacin alone and their combination with Ascorbic acid were analysed by Kirby-Bauer disk diffusion method. Bacteria appeared to be highly resistant against Ceftriaxone (84%), followed by Co-amoxiclave (83%) and Ampicillin (76%). Bacteria appeared to be sensitive against Amikacin and Ciprofloxacin with sensitivities 74% and 71% respectively. Ceftriaxone resistance was reversed with Ascorbic acid and the effectiveness of Ciprofloxacin was improved with Ascorbic acid. In Citrobacter, Ascorbic acid antagonized the effects of Amikacin. Tinnitus was observed with Amikacin, headache and dizziness with Ciprofloxacin.
It was concluded that there was high incidence of infection with resistant bacteria. Ascorbic acid should be prescribed prophylactically to improve the effectiveness of antibiotics, except with Amikacin when Citrobact...

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...nergistic effects when used with antibiotics. Life threatening bacterial infections can be treated by administering large doses of ascorbic acid along with antibiotics. High potency vitamin supplementation can prevent deaths and speed recovery.Several reports have stated that antibacterial effect of levofloxacin is enhanced by ascorbic acid [7]. The use of ascorbic acid (VIT-C) provided a degree of protection against adhesion by some uropathogens and colonization of biomaterials utilized within the urinary tract. Therefore, it is probable that an antibiofilm or antimicrobial agent combination is synergistic [8].Combination of both levofloxacin and ascorbic acid cause inhibition of biofilm production on catheter and this represents a promising approach for prevention and treatment of biofilm associated infections such as catheter related urinary tract infections [9].

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