title: Antimicrobial susceptibility of community-acquired uropathogens in general practice.
abstract: Antibiotic resistance of urinary tract pathogens has increased worldwide. The purpose of this study is to provide information regarding local resistance pattern of urinary pathogens to the commonly used antibiotics. One hundred and seventeen cases of community-acquired urinary tract infections were studied. The most common group of patients was the uncomplicated acute cystitis in women. E. coli was the most common isolate. Overall, antimicrobial susceptibility test on the organisms isolated showed a resistance of 63.0% to ampicillin, 40.1% to sulfamethoxazole-trimethoprim (S-T), 14.3% to pipemidic acid, 8.6% to norfloxacin, 3.8% to cephalexin, 3.7% to amoxicillin-clavulanate, 1.0% to cefuroxime, and 1.0% to fosfomycin. Three out of five patients on ampicillin as well as two out of five patients on S-T were likely to be inadequately treated.
authors.affiliation: Keah Say Hien ,FRACGP, AM, Family Physician, Elizabeth Medical Centre Sdn Bhd, 1-14, Jalan Arab, 84000 Muar, Johor, Malaysia Tel: 06-9535335, Email: drkeah@hotmail.com (corresponding author).
authors.forename: Sh
authors.initials: Sh
authors.lastname: Keah
authors.affiliation: Wee Eng Chye ,FRACGP, Family Physician, Woo Dispensary, 4, Jalan Gambir 1, Bandar Baru Bukit Gambir, 84800 Muar, Johor. Tel: 06-9761041. Email: drecwee@yahoo.com.
authors.forename: Ec
authors.initials: E
authors.lastname: Wee
authors.affiliation: Chng Kooi Seng ,FRACGP, AM, Family physician, Klinik Chng, 11, Jalan Bayu 2, Taman Perindustrian Tampoi Jaya, 81200 Johor Bahru, Johor, Malaysia. Tel: 07-2364600. Email: chngkooiseng@yahoo.com.
authors.forename: Ks
authors.initials: K
authors.lastname: Chng
authors.affiliation: Keah Kwee Chu, MSc, Dip.Med.Microbiology, BSc(Hons)(Microbiology), Ministry of Health, Level 4, Block E6, Parcel E, Precinct 1, Federal Government Administrative Centre, 62590 Putrajaya, Malaysia. Email: keahkc@hotmail.com.
authors.forename: Kc
authors.initials: K
authors.lastname: Keah
keywords: Urinary tract infection; antibiotic therapy; family practice