Analysis of Antimicrobial Resistance Patterns and Clinical Outcomes in Geriatric Inpatients with Urinary Tract Infections

Objectives: The primary objective was to analyse the antimicrobial resistance patterns amongst the elderly with UTI.The secondary objectives were to determine the clinical outcomes of such cases and to compare the duration of hospital stay and mortality rates between the drug resistant and sensitive cases.Methods: It was a retrospective record analytical study conducted for a period of three months in geriatric patients admitted with urinary tract infection.Results: E.coli was found to be the most common uropathogen.56.4% of the organisms were resistant to one or more antibiotics.The percentage of multi-drug-resistant cases was 6.1%.The mean duration of hospital stay in patients with antimicrobial resistant infections was 8.83 days and 7.3 days in the non-antimicrobial resistant group.89.10% of the patients in the antimicrobial resistant group succumbed to the infection and 10.9% of the patients survived.Conclusion: Antimicrobial resistance (AMR) is an urgent global public health threat.UTIs (Urinary Tract Infections), being more common in the elderly due to physiological changes and comorbidities, are associated with high rates of drug resistance owing to misuse of drugs and spread of multi-drug-resistant organisms in the hospitals.