Treatment of Urinary Tract Infection

1233 Words3 Pages

Urinary tract infection is one of the most common infections as cited by the National Hospital Ambulatory Medical Care Survey that can affect both pediatrics and adults [4,6]. Locally, this type of infection was ranked as fourth leading cause of Morbidity in Iloilo City [15]. Such infections can be acquired either as health care associated or in the community. The cause of such infection also includes the following but not limited to poor hygiene, sex, instrumentation, anatomic structure, etc. [6]and Out of the several causative agents, Escherichia coli and other coliforms played as major causative agents[7,10].

Urinary tract Infections are commonly treated with sulfamethoxazole - trimethoprim and fluoroquinolones[7,10,12]. However, due to the frequency of antibiotic use, recurrent or chronic UTI and inappropriate use of antibiotics leads to the resistance of the common uropathogens specifically Enterobacteriaceae[13]. Other factors that lead to the acquisition resistance such as adaptation, transduction, conjugation, transformation, transposons, and efflux are also one of the reasons that render the commonly used antibiotic less effective. According to the WHO[14], antimicrobial resistance is of global concerns because of the following reasons: it hampers the control of infectious diseases, threatens a return to the pre-antibiotic era, increases costs of health care, jeopardizes health-care gains to society and threatens health security, damages trade and economy.

Although this study acknowledges the availability of data provided the DOH and other international agencies, such data is not always readily available especially within our local area. To address these issues, this study used the laboratory data base of a tertiary ...

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... Clinical Microbiology and Antimicrobials 2007, 6:4.
12. Ladhani, S. and Gransden, W. (2003). Increasing Antibiotic Resistance among Urinary Tract Isolates. Arch Dis Child 2003; 88:444-445.
13. Okeke, I. and Edelman, R, (2001). Dissemination of Antibiotic - Resistant Bacteria across Geographic Borders. Clinical Infectious Diseases 2001; 33:364-9.
14. Taur, Y. and Smith M. (2007). Adherence to the Infectious Disease Society of America Guidelines in the Tretment of Uncomplicated Urinary Tract Infection. Clinical Infectious Disease 2007; 44:769-74.
15. Villavert, V (2012). UTI, 4th Leading Cause of Morbidity in Iloilo. Philippine Information Agency. Retrieved from: www.pia.gov.ph/news/index.php?article=921348033564onon June 17, 2013
16. WHO Fact Sheet (2013). Antimicrobial Resistance. Retrieved from: http://www.who.int/mediacenter/factsheets/fs194/en/ on June 17, 2013.

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