The Rates Incidence of Urinary Tract Infection in the Community and Development Uropathogens Resistance to Antibiotics
Keywords:Urinary tract infections (UTIs), Uropathogens (UPs), Antibiotics resistance, Gram-negative rods.
Urinary tract infections (UTIs) are common bacterial infections, it considers the second diseases that are frequent in the general population. This study aimed to resolve data of bacterial isolates among 3687 UTI patients at Sabratha Teaching Hospital during the years 1999, 2014 and 2015. Including results of urine culture test, biochemical test and antimicrobial susceptibility test. Results reveal that 398 (15.4%) uropathogens were isolated in 1999, 187(22.6%) in 2014 and 61(22.4%) in 2015. There was an increase in rates of isolation of uropathogens in 2014 and 2015 compared to 1999. Escherichia coli was the most common isolated uropathogen represented 69.6%, 18.7% and 19.7% of organisms isolated in 1999, 2014 and 2015 respectively. Other gram-negative represented 25.6%, 65.8% and 52.4%, in 1999, 2014 and 2015 respectively. Gram-positive cocci represented 4.8%, 15.5% and 21.3%, in 1999, 2014 and 2015 respectively. Rates of infections in females were higher (58%, 67% and 65%) compared to males (42%, 33% and 35%) in the three years. In this study high resistance was found of E. coli and other gram-negative rods (47%, 44.1%) to ceftriaxone in 1999 year compared to 2014 and 2015 years (19.1%, 28.4%). Also found high resistance of E. coli and other gram-negative rods (29.8%, 28.4%) to nalidixic acid in 2014 and 2015 years compared to 1999 year (11.5%, 15.6%). Urinary tract infections UTIs are the most common infections in the community. Also, showed increased uropathogens resistance to most antibiotics. So, this leads to a significant financial burden on the health system.
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