INTRODUCTION: Uncomplicated but symptomatic @entity293 ( @entity293 ) are a common problem seen in practice. The study was undertaken to assess the most common pathogens responsible for uncomplicated symptomatic @entity293 and the antimicrobial resistance pattern in a hospital in Bangalore. The study also explores the issue of antibiotic usage for these @entity1 . MATERIALS AND METHODS: The study was conducted in the Medicine department of a tertiary hospital in Bangalore. In all, 196 @entity1 presented with symptoms of UTI. Bacterial growth was determined by standard microbiology techniques on freshly voided mid-steam urine samples collected from recruited @entity1 . @entity1 ' demographic data, urine culture results, resistance rates to antimicrobial agents and prescribed empiric antimicrobial therapy were analyzed. RESULTS: The prevalence of UTI was 32.1%; majority (67.9%) of the symptomatic did not have UTI based on culture report. Gram-negative bacteria constituted the largest group with a prevalence of 84.1% (53/63), with @entity526 being the most common (70%) uropathogen. Gram-negative isolates showed high level of sensitivity to @entity4509 (90.6%) and @entity6616 (77.4%). Most of the gram-positive organisms were susceptible to @entity6616 (70%) and @entity801 (50%). Uropathogens isolated demonstrated high resistance to @entity799 , @entity2887 , and @entity8545 antibiotics. It was found out that 30.1% of the @entity1 were wrongly managed of which 14.7% were over treated. CONCLUSION: UTI can be over diagnosed and over treated on the basis of clinical signs, symptoms and urine microscopy. In the era of emerging anti-microbial resistance, effective counseling and delay in antibiotic initiation or empirical therapy with a short course of @entity6616 is highly recommended. Empirical therapy guidelines should be updated periodically to reflect changes in antimicrobial resistance of uropathogens.

Treatment of uncomplicated symptomatic XXXX : Resistance patterns and misuse of antibiotics.

@entity1 :: ('9606', 'Species') :: ['Patients', 'patients'] @entity801 :: ('MESH:D005839', 'Chemical') :: ['gentamicin'] @entity6616 :: ('MESH:D009582', 'Chemical') :: ['nitrofurantoin'] @entity799 :: ('MESH:D015662', 'Chemical') :: ['cotrimoxazole'] @entity8545 :: ('D047090', 'Chemical') :: ['beta-lactam'] @entity4509 :: ('MESH:D000583', 'Chemical') :: ['amikacin'] @entity2887 :: ('MESH:D024841', 'Chemical') :: ['fluoroquinolones'] @entity293 :: ('MESH:D014552', 'Disease') :: ['urinary tract infections', 'UTIs'] @entity526 :: ('562', 'Species') :: ['Escherichia coli']
@entity293 :: (MESH:D014552,Disease) :: ['urinary tract infections']
