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Stroke, Urinary Tract Infection, Antibiotic Resistance, Microorganisms
Background: Stroke is the world's second leading cause of mortality and morbidity. Stroke survivors usually have UTIs along with other infections as they weaken the immune system. UTIs are common after a stroke and usually result in death or disability.
Objective: The main objective of this study is to discover and characterise the pattern of antibiotic resistance in UTIs among 80 stroke patients.
Study Design: Descriptive cross-sectional study
Place and Duration: This Study was conducted at the Department of Medicine, Lady Reading Hospital, and Peshawar between September 2022 and February 2023
Material and Methods: The study included 80 patients over the Age of 18 of both genders. Urine cultures were collected before antibiotics were administered to UTI-symptomatic stroke patients. Relevant data was entered in a pre-designed proforma to adjust for confounders and bias.
Results: The study had 80 patients, 45 (56.25%) male and 35 (43.75%) female. Patients had a mean age of 62.4±10.3 years. 70% of patients had ischemic strokes, while 30% had hemorrhagic strokes. The average NIHSS score was 9.7±3.6. Many patients (35%) had recurrent strokes and 95% needed bladder catheterisation. Most patients (72.5%) had diabetes. E. coli caused 45 (56.25%) UTIs. (90%) were sensitive to Carbapenems, nitrofurantoin, and fosfomycin only.
Conclusion: This study, focusing on urinary tract infections (UTIs) in stroke patients, has disclosed essential elements of patient demographics, clinical profiles, causative microorganisms, and treatment resistance trends.
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