%0 Journal Article
%T Epidemiological, Clinical, Bacteriological Profile of Urinary Tract Infection in the Internal Medicine Unit of the Fousseyni Daou Hospital in Kayes
%A Sangar¨¦ Drissa
%A Ciss¨¦ S¨¦kou Mamadou
%A Guindo Youssouf
%A Abdoulaye Diawara
%A Diakit¨¦ Niagal¨¦
%A Boly Berth¨¦ Br¨¦hima
%A Keita Kaly
%A Issa Diallo
%A Traore Djenebou
%A Soucko Kaya Assetou
%J Open Journal of Internal Medicine
%P 62-75
%@ 2162-5980
%D 2023
%I Scientific Research Publishing
%R 10.4236/ojim.2023.131007
%X <strong>Introduction:</strong> Urinary tract infection is one of the most frequent public health problems in the world and concerns all ages. <strong>Objective:</strong> To describe the epidemiological, clinical and biological profile of urinary tract infection in the internal medicine unit of the Fousseyni Daou hospital in Kayes. <strong>Methodology:</strong> It was a descriptive and cross-sectional study with retrospective data collection which took place from January 1 to December 31, 2020 at the Internal Medicine Unit of the Fousseyni Daou Hospital in Kayes. It covered all outpatients and hospitalized patients presenting with a urinary tract infection during the study period. <strong>Results:</strong> We identified 79 cases of urinary tract infection out of 145 requests for ECBU, that is a positivity rate of 53.10% and out of a total of 1883 admissions that is a hospital prevalence of 4.19%. The age groups of 36 to 45 years and 46 to 55 years were more represented in 28 cases (35.44%) and 25 cases (31.64%) with an average age of 45 years ˇŔ 10. The female sex was predominant, 42 cases (53.16%) with a sex ratio of 0.88. Housewives were more represented 28 cases (34.44%). The majority of patients resided in rural areas 49 cases (62.03%). The history was dominated by the following pathologies: hypertension 48.10%, diabetes 36.70% and gastropathy 30.37%. The main clinical manifestations were: Urinary burning 67 cases (84.81%), Dysuria 65 cases (82.27%), Pelvic pain 59 cases (74.68%), Fever 57 cases (72.15%). The epidemiological profile of the isolated strains was dominated by enterobacteriaceae, followed by gram-positive cocci and gram-negative bacilli. The main bacteria responsible for urinary tract infections in order of frequency: <i>Escherichia coli</i> (45.56%), <i>Klebsiella pneumoniae</i> (11.39%), <i>Pseudomonas aeruginosa</i> (8.86%), <i>Staphylococcus aureus</i> (7.59%), <i>Streptococcus sp</i> (6.33%), <i>Enterobacter cloacae</i> (3.79%), <i>Acinetobacter sp</i> (3.79%). The study of the susceptibility and resistance profiles of the isolated strains showed significant sensitivity of enterobacteriaceae to colistin and resistance to amoxicillin and to the amoxicillin + clavulanic acid combination. <strong>Conclusion:</strong> Urinary tract infections are a major public health problem since they are responsible for significant morbidity and mortality and a high cost of care. Knowledge of the epidemiological-clinical and bacteriological profile of these infections is essential for efficient management.
%K Urinary Tract Infection
%K Epidemiology
%K Clinic
%K Bacteriology
%K Internal Medicine
%K Fousseyni Daou Hospital
%K Kayes
%K Mali
%U http://www.scirp.org/journal/PaperInformation.aspx?PaperID=123846