Citrobacter: An emerging health care associated urinary pathogen

The emergence of this usually rare organism as the third most common urinary pathogen, which is resistant to commonly available antibiotics is alarming. The indiscriminate use of antimicrobial agents and frequent genitourinary instrumentation are possibly responsible for this situation. Many such infections could be prevented by selective judicious use of urinary catheters as well as careful attention to underlying abnormalities in the urinary tract and by continuously evaluating susceptibility pattern of uropathogens to traditional as well as new antimicrobials in well‐defined populations and limiting inappropriate and injudicious use of antibiotics so as to prevent further emergence of drug resistance.