Urinary tract infections (UTI) are the most common cause of morbidity and mortality. In the present study, the prevalence and antibiotic susceptibility, Multi Drug Resistance (MDR) pattern of uropathogens among the tribal and tea garden workers in Assam are reported.  A total of 1701 urine samples were collected from out patients and patients of rural community health camps of Burrows memorial Christian hospital, Alipur, Assam, India. Pathogens were isolated, identified and subjected to antibiotic sensitivity and Multi Drug Resistance screening, using standard microbiological methods. Out of 1487 positive samples 43.2 % E.coli, 27.4 % S.aureus, 12.4 % Klebsiella sp, 10.4 % Pseudomonas sp and 6.6 % Proteus sp were isolated. UTI was most common in tea garden workers (59.4 %), followed by (Kashi) tribal (21.7 %), farmers (10.6 %) and others 8.3 %. Females are highly susceptible to uropathogens. It is prevalent in 21-50 age group, especially in females (74.6 %). Almost all clinical isolates are MDR to gentamycin, amikacin, ciprofloxacin, cotrimoxazole cefatazidime, cephotaxime, tetracyclin, chloromphenical, nalidixic acid, penicillin, oxacillin and vancomycin.
The determination of prevalence and antibiotic sensitivity and MDR pattern of uropathogens will help the rural clinicians for first line treatment of malnutrition, unhygienic and unhealthy patients lying below the poverty line.