Background: Residence at a Long term care faci l i ty (LTCF) and older age are both recognized as signi ficant risk factors for harboring mul tidrug resistant Gram-negative bacteria (MDRGNB) Aim: The objective of this descriptive study is to detect the commonest mul tidrug resistant bacteria and i ts antibiotic sensi tivi ty in urine of elderly residents at LTCF wi th urinary t ract infection (UTI ) . Methods: Eighty one LTCF elderly residents wi th UTI. Cul ture and sensi tivi ty was done for urine samples documenting mul tidrug resistant organisms wi th antibiotic susceptibi l i ty to a range of di f ferent antibiotic groups. Demographic data was col lected and comorbidi ties were establ ished. Al l samples were processed as per standard techniques and bacteria identi fied by standard biochemical tests. IBM SPSS statistics (version 24, IBM corp., USA, 2016) was used for data analysis. Results: The age ranges f rom 60 to 90 years wi th mean 69.86 +/ - 9.68 years Males are 74.1% whi le females are 25.9 %. The predominant resistant detected organism in these samples was Proteus (58.0%) then E col i (19.8 %), Klebsiela (18.5 %) then Pseudomonas (3.7 %). Proteus is found to be highly statistical ly signi ficant sensi tive to Cefepime (CPM), Ciprofloxacin (CP), and Imipenam ( IMP) and to be highly statistical ly signi ficant resistant to Col istin (CT), Gentamycin (GM) , Tobramycin (Tobra. ), Ni trofurantoin (FD) , and Trimethoprim/Sul famethoxazole (TS). E Col i is found to be highly statistical ly signi ficant sensi tive to Col istin (CT), Trimethoprim/ Sul famethoxazole (TS), Gentamycin (GM), Tobramycin(Tobra. ) and Ni trofurantoin (FD) and resistant to Cefepime (CPM) . Further studies are recommended on larger numbers of elderly patients to confi rm or not confi rm signi ficant findings in this study, t ry to explain these findings, and make use of i t in cl inical practice. Conclusion: Proteus is the commonest mul ti resistant uropathogen in those under 70 years whi le psuedomonas is the most prevalent one in elderly between71 -90 years of age
RMS, E. B. (2017). Antibiotic Resistance Patterns of Uropathogens in Long Term Care Facilities. The Egyptian Journal of Geriatrics and Gerontology, 4(2), 1-5. doi: 10.21608/ejgg.2017.5052
MLA
EL Bedewy RMS. "Antibiotic Resistance Patterns of Uropathogens in Long Term Care Facilities". The Egyptian Journal of Geriatrics and Gerontology, 4, 2, 2017, 1-5. doi: 10.21608/ejgg.2017.5052
HARVARD
RMS, E. B. (2017). 'Antibiotic Resistance Patterns of Uropathogens in Long Term Care Facilities', The Egyptian Journal of Geriatrics and Gerontology, 4(2), pp. 1-5. doi: 10.21608/ejgg.2017.5052
VANCOUVER
RMS, E. B. Antibiotic Resistance Patterns of Uropathogens in Long Term Care Facilities. The Egyptian Journal of Geriatrics and Gerontology, 2017; 4(2): 1-5. doi: 10.21608/ejgg.2017.5052