Prevalence, antibiotic resistance pattern for bacteriuria from patients with urinary tract infections

Abstract

Background and AimsAntibiotic resistance presents a significant global public health challenge, particularly for urinary tract infections (UTIs), and is notably severe in developing countries. Surveillance of the antimicrobial susceptibility patterns of UTI‐causing bacteria is crucial for effective treatment selection. This study aimed to analyze these patterns in bacteria isolated from the urine samples of patients at Mughda Medical College Hospital, Dhaka, Bangladesh.MethodsA retrospective study (January 2019 to December 2020) at Mugdha Medical College and Hospital, Dhaka, examined clinical and laboratory data from patients with positive urine cultures (≥105 CFU/mL). The study classified patients into four age groups: children (1–<18 years), young adults (18–<33 years), middle‐aged adults (33–50 years), and old adults (>50 years). The standard Kirby‐Bauer method was used to assess antibiotic sensitivity to 28 common antibiotics.ResultsAmong 243 positive urine cultures in both community‐ and hospital‐acquired UTIs, Escherichia coli was the most common uropathogen (65.84%), followed by Klebsiella spp. (12.34%), Enterococcus spp. (8.23%), and other types of bacteria.ConclusionOld adults are particularly vulnerable to UTIs, with E. coli being the predominant causative agent in the study region. The observed antimicrobial resistance patterns underscore the necessity of judicious antibiotic selection to effectively treat UTIs across different age groups.

Prevalence and Antimicrobial Sensitivity Patterns of Uropathogens in Wad Medani, Sudan: A Three Years, Cross-Sectional Study

“…30 In addition, a study conducted in Bangladesh revealed that the prevalence of E. coli was 63.6% in women and 36.4% in men. 31 Moreover, this result was in agreement with a study conducted in Peshawar, Pakistan, which reported that the prevalence of E. coli in female patients was 72.7%. 16 The high prevalence of E. coli in females might be linked to the fact that E. coli lives in the periurethral area and the shorter distance between the anal opening, the vaginal cavity and the urethra.…”