Drug susceptibility of uropathogens isolated from patients treated at the Mazovian Specialized Hospital in Radom

Zuzanna Trześniewska-Ofiara1, Mariola Mendrycka2, Agnieszka Woźniak-Kosek3

  • 1Department of Laboratory Diagnostics, Mazovian Specialist Hospital Ltd., Radom, Poland.

PubMed

Insights

Urinary tract infections (UTIs) are common, with significant drug resistance observed in common uropathogens like E. coli. Treatment requires susceptibility testing due to rising antimicrobial resistance.

Area of Science:

  • Medical Microbiology
  • Infectious Diseases
  • Antimicrobial Resistance

Background:

  • Urinary tract infections (UTIs) represent a global health challenge.
  • Increasing recurrence, complications, and antimicrobial resistance in uropathogens exacerbate the problem.

Purpose of the Study:

  • To determine the prevalence of antimicrobial resistance among common uropathogens causing UTIs.
  • To analyze drug susceptibility patterns for guiding effective UTI treatment strategies.

Main Methods:

  • Retrospective analysis of urine culture and drug susceptibility data from 3,917 hospitalized patients over two years.
  • Microbiological examination and statistical analysis of isolated uropathogens.

Main Results:

  • Nearly 15% of patients examined had UTIs.
  • High resistance rates to fluoroquinolones and beta-lactams were observed in Escherichia coli and Klebsiella pneumoniae.
  • Proteus mirabilis showed increased resistance to aminoglycosides and fluoroquinolones.
  • Pseudomonas aeruginosa predominantly exhibited fluoroquinolone resistance.
  • Acinetobacter baumannii displayed increasing multidrug-resistant strains, necessitating susceptibility testing.

Conclusions:

  • Antimicrobial resistance is a significant concern in UTIs, impacting common pathogens.
  • Tailoring antibiotic therapy based on antibiograms is crucial for effective UTI management, especially for multidrug-resistant strains like Acinetobacter baumannii.

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