Evidence map›Paper›PMID 42032578›Full record

ArticleBMC urology2026

Assessment of aminoglycosides and β-lactam resistance genes among uropathogens; a prospective-cross sectional study.

Jadoon Khan, Nosheen Basharat, Asma Sadiq, Shahid Ali, Hayat Khan, Ijaz Ali, Abebe Bogale, Ahmed Al-Emam, Hesham M Hassan

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Article in BMC urology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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4 · The record

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5 · Who and what money

Authors and funding

9 authors.

Jadoon KhanDepartment of Biosciences, COMSATs University, Islamabad, Pakistan. jadoonkhan@bs.qau.edu.pk.
Nosheen BasharatDepartment of Biosciences, COMSATs University, Islamabad, Pakistan.
Asma SadiqDepartment of Microbiology, University of Jhang, Punjab, Pakistan.
Shahid AliDepartment of Microbiology, Quaid I Azam University, Islamabad, Pakistan.
Hayat KhanUniversity Institute of Medical Laboratory Technology, The University of Lahore, Lahore, Pakistan.
Ijaz AliDepartment of Biosciences, COMSATs University, Islamabad, Pakistan.
Abebe BogaleDepartment of Plant science, College of Agriculture and environmental sciences, BahirDar University, P.O.Box 5501, BahirDar, Ethiopia. abebebogaleeth@gmail.com.
Ahmed Al-EmamDepartment of pathology, college of Medicine, King Khalid University, Abha, Saudi Arabia.
Hesham M HassanDepartment of pathology, college of Medicine, King Khalid University, Abha, Saudi Arabia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Urinary tract infections (UTIs) represent a major public health challenge worldwide, accounting for millions of outpatient consultations and substantial healthcare expenditure annually. In this prospective cross-sectional investigation conducted from February 2019 to January 2020 at a tertiary-care hospital in Islamabad, Pakistan, we examined the etiological agents of UTI, their antimicrobial susceptibility profiles, and the occurrence of the aminoglycoside resistance genes aac(6’)-Ib-cr and the β-lactam resistance genes blaTEM among 503 patients with suspected UTI. Culture-confirmed UTI was established in 127 patients (25.2%; 95% CI 21.5–29.3%), with markedly higher prevalence in females (33.6%) than males (16.8%; P < 0.001). Of these, 16 (12.6%) yielded polymicrobial growth. Gram-negative bacilli predominated (110/127 isolates, 86.6%), led by Escherichia coli (91/127, 71.7%), followed by Klebsiella spp. (9/127, 7.1%), Proteus spp. (6/127, 4.7%), and Pseudomonas spp. (4/127, 3.1%). Among Gram-negative isolates, susceptibility was highest to cefepime (75.8%) and cefoxitin (68.1%), whereas resistance exceeded 65% against gentamicin, ampicillin, ceftriaxone, and ciprofloxacin, with 68.1% classified as multidrug-resistant. Gram-positive isolates retained full susceptibility to imipenem and vancomycin. These findings underscore the urgent requirement for routine culture-guided therapy, enhanced antimicrobial stewardship, and continuous local surveillance to mitigate the emergence of untreatable uropathogens.

Indexed as

Aminoglycosidesbeta-Lactam ResistanceUrinary Tract InfectionsAdultAnti-Bacterial AgentsCross-Sectional StudiesDrug Resistance, BacterialFemaleGenes, BacterialHumansMaleMiddle AgedProspective StudiesThird Generation CephalosporinsAminoglycosidesAnti-Bacterial AgentsThird Generation CephalosporinsAminoglycosides resistance genesCulture SensitivityUrinary Tract InfectionsUropathogensβ-lactam resistance gene

Identifiers

PMID42032578
PMCPMC13251147

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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.