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African Health Sciences
Makerere University Medical School
ISSN: 1680-6905
EISSN: 1680-6905
Vol. 21, No. 1, 2021, pp. 214-219
Bioline Code: hs21040
Full paper language: English
Document type: Research Article
Document available free of charge

African Health Sciences, Vol. 21, No. 1, 2021, pp. 214-219

 en Risk factors of multidrug-resistant bacteria in community-acquired urinary tract infections
Guclu, Ertugrul; Halis, Fikret; Kose, Elif; Ogutlu, Aziz & Karabay, Oğuz

Abstract

Background: Urinary tract infections (UTIs) are one of the most seen infection among community.
Objectives: In this cross-sectional study we aimed to investigate the risk factors of multidrug-resistant (MDR) bacteria that caused community-acquired UTI (CA-UTI).
Methods: Consecutive patients admitted to the Urology and Infectious Diseases policlinics with the diagnosis of CA-UTI were included in the study. A standard form including possible predisposing factors for MDR bacteria was applied.
Results: In total, 240 patients (51.3% females) were enrolled in the study. The mean age of participants were 59.8 ± 18.3 years old. Escherichia coli check for this species in other resources (n =166; 69.2%)was the most frequently isolated bacteria and its incidence was higher in females than in males (p=0.01). In total, 129 (53.8%) of the identified pathogens were MDR bacteria. According to multivariate analysis, the use of antibiotics three or more times increased the risk of infection with MDR bacteria by 4.6 times, the history of urinary tract infection in the last 6 months by 2 times, being male and over 65 years old by 3 times.
Conclusion: Doctors should consider prescribing broad-spectrum antibiotics in patients with severe UTIs with a history of UTI, advanced age, male gender, and multiple antibiotic usage, even if they have a CA-UTI.

Keywords
Urinary tract infection; community acquired; multidrug-resistant; male; multiple antibiotic usage; advanced age.

 
© Copyright 2021 - Guclu E et al.

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