Clinical and microbiological profile of patients with urinary tract infections at Mangusada Hospital, Badung
Abstract
Introduction: Urinary tract infections (UTIs) remain among the most common infectious diseases in healthcare settings and are increasingly complicated by antimicrobial resistance. This study aimed to describe the demographic characteristics, comorbidities, catheterisation history, and microbiological profile of UTI patients at Mangusada Regional Hospital. Methods: A descriptive cross-sectional study was conducted among 379 patients diagnosed with UTI from 2022 to 2024. Data were collected from medical records and microbiology laboratory reports. Variables included age, sex, comorbidities, urinary catheter use, and urine culture results. Data were analysed descriptively. Results: Urine culture samples consisted of 64 cases in 2022, 172 in 2023, and 143 in 2024. The highest average proportion of patients was found in the 0–5-year age group (28%), followed by those aged >65 years (11.6%). Sex distribution was nearly equal between males (50.1%) and females (49.9%). Benign prostatic enlargement was the most common comorbidity (13.4%), and most patients had no history of urinary catheter use (85.5%). Gram-negative bacteria predominated among culture-positive isolates (86%). Escherichia coli was the most frequently identified pathogen, with ESBL-producing strains accounting for approximately 50% of all E. coli isolates annually, followed by ESBL-producing Klebsiella pneumoniae. Conclusion: UTIs at Mangusada Regional Hospital were mainly associated with Gram-negative bacteria,…
How strong is the evidence?
Evidence Hub reads this as a cross-sectional, done in people. Its evidence level is 4 of 5 (Low · observational). Observational designs can show an association but not prove cause. Reported size: 379 participants or records.
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