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  <front>
    <journal-meta>
      <journal-id journal-id-type="publisher-id">JPSIM</journal-id>
      <journal-title-group>
        <journal-title>Journal of Pakistan Society of Internal Medicine</journal-title>
        <abbrev-title>J Pak Soc Intern Med</abbrev-title>
      </journal-title-group>
      <issn publication-format="print">2709-8729</issn>
      <issn publication-format="electronic">2710-0804</issn>
      <publisher>
        <publisher-name>Pakistan Society of Internal Medicine</publisher-name>
      </publisher>
    </journal-meta>
    <article-meta>
      <article-id pub-id-type="doi">10.70302/jpsim.v5i2.2429</article-id>
      <article-id pub-id-type="publisher-id">jpsim.v5i2.2429</article-id>
      <article-categories>
        <subj-group subj-group-type="heading">
          <subject>Original Research</subject>
        </subj-group>
      </article-categories>
      <title-group>
        <article-title>Incidence of Culture Proven UTI and Antimicrobial Sensitivity Pattern among the Adult Population in the Local Area</article-title>
      </title-group>
      <contrib-group>
        <contrib contrib-type="author">
          <name>
            <surname>Asim</surname>
            <given-names>Ammara</given-names>
          </name>
          <xref ref-type="aff" rid="aff1"/>
        </contrib>
        <contrib contrib-type="author">
          <name>
            <surname>Javed</surname>
            <given-names>Rehman</given-names>
          </name>
          <xref ref-type="aff" rid="aff1"/>
        </contrib>
        <contrib contrib-type="author">
          <name>
            <surname>Aziz</surname>
            <given-names>Aisha</given-names>
          </name>
          <xref ref-type="aff" rid="aff1"/>
        </contrib>
        <contrib contrib-type="author" corresp="yes">
          <name>
            <surname>Kazi</surname>
            <given-names>Asma</given-names>
          </name>
          <email>docasmakazi@gmail.com</email>
          <xref ref-type="aff" rid="aff1"/>
          <xref ref-type="corresp" rid="cor1">*</xref>
        </contrib>
        <contrib contrib-type="author">
          <name>
            <surname>Riaz</surname>
            <given-names>Muhammad</given-names>
          </name>
          <xref ref-type="aff" rid="aff1"/>
        </contrib>
        <contrib contrib-type="author">
          <name>
            <surname>Khan</surname>
            <given-names>Murad Ali</given-names>
          </name>
          <xref ref-type="aff" rid="aff1"/>
        </contrib>
        <contrib contrib-type="author">
          <name>
            <surname>Zarar</surname>
            <given-names>Faisal</given-names>
          </name>
          <xref ref-type="aff" rid="aff1"/>
        </contrib>
      </contrib-group>
      <aff id="aff1">
        <institution>Arif Memorial Teaching Hospital, Rashid Latif Medical College, Lahore</institution>
      </aff>
      <author-notes>
        <corresp id="cor1">*Correspondence: Asma Kazi (docasmakazi@gmail.com)</corresp>
      </author-notes>
      <pub-date date-type="pub" publication-format="electronic" iso-8601-date="2024-06-07">
        <day>07</day>
        <month>06</month>
        <year>2024</year>
      </pub-date>
      <pub-date date-type="collection" publication-format="electronic">
        <year>2024</year>
      </pub-date>
      <volume>5</volume>
      <issue>2</issue>
      <fpage>496</fpage>
      <lpage>501</lpage>
      <history>
        <date date-type="received" iso-8601-date="2024-01-28">
          <day>28</day>
          <month>01</month>
          <year>2024</year>
        </date>
        <date date-type="accepted" iso-8601-date="2024-03-16">
          <day>16</day>
          <month>03</month>
          <year>2024</year>
        </date>
      </history>
      <permissions>
        <copyright-statement>Copyright © 2024 The Author(s)</copyright-statement>
        <copyright-year>2024</copyright-year>
        <copyright-holder>The Author(s)</copyright-holder>
        <ali:free_to_read xmlns:ali="http://www.niso.org/schemas/ali/1.0/"/>
        <license license-type="open-access" xlink:href="https://creativecommons.org/licenses/by/4.0/">
          <ali:license_ref xmlns:ali="http://www.niso.org/schemas/ali/1.0/">https://creativecommons.org/licenses/by/4.0/</ali:license_ref>
          <license-p>This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</license-p>
        </license>
      </permissions>
      <self-uri xlink:href="https://psimj.com/article/jpsim.v5i2.2429" content-type="text/html"/>
      <self-uri xlink:href="https://psimj.com/article/jpsim.v5i2.2429.pdf" content-type="application/pdf"/>
      <abstract>
        <sec>
          <title>Objective</title>
          <p>To determine the incidence of culture proven UTI and antimicrobial sensitivity patterns among adult</p>
          <p>population in local area of Lahore.</p>
        </sec>
        <sec>
          <title>Methodology</title>
          <p>In this retrospective study, a total of 287 cases diagnosed with UTI were selected from Arif Memorial Teaching Hospital (AMTH) Lahore. Non probability sampling technique was applied and data was collected through structured questionnaire. Data for the factors associated with UTI was obtained from their respective files from the record room of AMTH. A computer software SPSS version 26.0 was used to analyze the data.</p>
        </sec>
        <sec>
          <title>Results</title>
          <p>Out of 287 sample cultures, 122 samples were positive for different uropathogens. 59.0% showed E. coli strains followed by Staph. Epidermidis (10.7%), Klebsiella (8.2%), Proteus (7.4%), Enterobacter (5.7%), Pseudomonas (4.9%) and Staph Aureus (4.1%). In addition, the isolates showed multi-drug resistance. Among 122 patients, 72.1% were females and 28.7% were 27-35 years old. The risk factors among these patients were pregnancy (38.5%), followed by,</p>
          <p>hypertension (33.6%) and diabetes (27.9%).</p>
        </sec>
        <sec>
          <title>Conclusion</title>
          <p>Study concluded that UTIs were more common amongst females. Frequent use of antimicrobials without culture and sensitivities has led to emerging resistance to multiple antimicrobials to a problematic extent. Hence a urine culture and sensitivity should be advised before the initiation of antimicrobial drugs among patients with UTI.</p>
        </sec>
      </abstract>
      <kwd-group xml:lang="en" kwd-group-type="author-keywords">
        <title>Keywords</title>
        <kwd>Urinary tract infection</kwd>
        <kwd>E. coli</kwd>
        <kwd>drug resistant</kwd>
        <kwd>antimicrobial sensitivity.</kwd>
      </kwd-group>
    </article-meta>
  </front>
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</article>
