Prevalence and Antibiotic Resistance Pattern of Bacteria Isolated In Urinary Tract Infections in a Single Laboratory Centre in Kabul
Abstract
Abstract Aim/ Background Urinary tract infections (UTIs), inflammatory responses of the epithelium of the urinary tract to microbial invasions, are a common healthcare problem affecting millions of individuals worldwide. The emergence of antimicrobial resistance among microorganisms responsible for UTIs poses a significant challenge in the effective treatment and management of these infections. Data on this issue is quite scarce in Afghanistan. The aim of this study is to find out the most common bacterial causes of UTI in cultured cases and their antibiotic resistance pattern. Methods In this cross-sectional study, a census sampling method was employed, and data were collected from cultured urine samples of patients referred to the main branch of City Medical Laboratory in Kabul, Afghanistan, between 5/10/2021 – 5/10/2022. Bacterial cultures were performed using blood agar and MacConkey agar, with growth assessed after overnight incubation at 37°C. Identification involved Gram staining and biochemical tests, to identify the bacteria in the urine samples. Data were analysed by SPSS version 21. Results Out of the 151 urine samples included in the study, 101 (66.9%) were from female patients. The median of age was 50. The prevalent microorganisms were E.coli (47%) and Staphylococcus (21.1%). Highest resistance of E.coli was seen in Cefotaxime (90.1%), Augmentin (88.7%), Cotrimoxazole (85.9%), and even fluoroquinolones (Ciprofloxacin and Levofloxacin, 81.7% and 80.3%…
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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.
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