Evidence map›Paper›PMID 39604934›Full record

ArticleBMC infectious diseases2024

Characteristics and antibiotic resistance patterns of urinary tract isolates in hospitalized and non-hospitalized patients: a cross-sectional study in Khartoum, Sudan.

Samah El-Arifi, Eltayeb AbdAlla, El Sheikh Mahgoub, Bothyna Fadol, Rashida Elmubarak

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Article in BMC infectious diseases, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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3 · Its place in the literature

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2 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Samah El-ArifiAl Neelain University, Khartoum, Sudan.
Eltayeb AbdAllaUniversity of Khartoum, Khartoum, Sudan. eltayebge88@gmail.com.
El Sheikh MahgoubUniversity of Khartoum, Khartoum, Sudan.
Bothyna FadolDepartment of Microbiology, Public National Health Laboratory, Khartoum, Sudan.
Rashida ElmubarakIbin Sina University, Khartoum, Sudan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundUrinary tract infections (UTIs) are widespread worldwide impacting society, economics, and healthcare systems. The rise of antibiotic resistance in both hospital and community settings has further complicated UTI management. This study aims to assess the epidemiologic distribution and microbiologic classification of UTI-causing microorganisms, as well as their resistance patterns.

methodsThis cross-sectional descriptive study was conducted at the National Public Health Laboratories in Khartoum, Sudan. Urine samples were collected from three hospitals from September to December 2021, and 65 bacterial isolates were recovered from patients with clinical symptoms of UTI. Bacterial identification and antimicrobial susceptibility testing were performed using standard bacteriological methods and Kirby-Bauer's disc diffusion method. Genotyping for Extended Spectrum Beta-Lactamase (EsβL) production was conducted using multiplex PCR.

resultsOf the 65 bacterial isolates, 27 (41.5%) were community-acquired UTI patients (C-UTIs), and 38 (58.5%) were hospital acquired UTI patients (H-UTIs). Males were more commonly affected by H-UTIs (68.4%), while females represented the majority among C-UTIs (85.2%). Gram-negative bacteria were predominant in urinary isolates (81.54%), with Escherichia coli being the most common organism (49.1%). Gram-positive organisms accounted for 18.46% of isolates, with Enterococcus spp. being the most prevalent. In-vitro susceptibility analysis revealed that meropenem was the most effective antibiotic in Gram-negative isolates (77.4%), while nitrofurantoin was the most effective in Gram-positive isolates (91.67%). EsβL production was detected in 11/23 (47.8%) of the tested isolates with Escherichia coli being the most common ESβL producer.

conclusionThis study highlights the pattern of antibiotic-resistant bacteria in UTIs and their significance. Continuous monitoring, development of local antibiograms, and implementation of surveillance programs are essential for guiding empirical antibiotic use and managing UTIs effectively, especially in resource-limited settings like Sudan.

Indexed as

Anti-Bacterial AgentsMicrobial Sensitivity TestsUrinary Tract InfectionsAdolescentAdultBacteriabeta-LactamasesCommunity-Acquired InfectionsCross InfectionCross-Sectional StudiesDrug Resistance, BacterialFemaleHospitalizationHumansMaleMiddle AgedAnti-Bacterial Agentsbeta-LactamasesAntibiotic resistanceEscherichia coliExtended Spectrum Beta-LactamaseMeropenemUrinary tract infections

Identifiers

PMID39604934
PMCPMC11603875

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.