Urinary Tract Infections in a Sabah General Hospital

Abstract

Urinary tract infections (UTI) are most common bacterial infection in women, girls and men .UTI are also prevalent in Sabah, Malaysia, and there is little information about the size of the problem amongst the local population. The aim of this study is to determine the magnitude of the problem in the hospitalized patients and community acquired infection. Over the last three years there have been 4,458 reported UTI cases. About 1,597 (35.8 %) were Kadazans, 1,158 (26.0 %) Chinese, 319 (7.2 %) Bajau, 220 (5.0 %) Malay/Brunei, 148 (3.3 %) Murut, 104 (2.3%) Bisaya, and 819 (18.4 %) were Indonesians, Filipinos and other racial ethnic groups. There was a preponderance of disease among females (female: male ratio 2.5:1) and those aged 60 years.The majority of the urinary pathogens were Escherichia coli,(38.2%),Klebsiella,(15.0%),and other organisms commonly isolated.The isolates were sensitive to 3 rd generation cephalosporins ,amoxicillin clavulanate,and co-trimoxazole.Management of UTI requires prompt diagnosis treatment and preservation of kidney function.