Multidrug Resistant Enteric Bacteria Isolated From Patients With Urinary Tract Infections

Abstract

Background and Objectives: Urinary tract infections (UTIs), among a wide range of microbial infections, are of a double-edged worry with health-care and economic implications. They are serious diseases that can influence various parts of the urinary tract. The aim of this study was characterization of the enteric bacteria isolated from urine of human UTIs and studying their antimicrobial sensitivity. Materials and methods: A total of 50 urine samples were collected from patients with UTIs of both genders. The isolates identification was done using routine diagnostic methods and confirmed by Vitek2. Antimicrobial susceptibility was done against 10 antimicrobials. Results: Both genders of human were found to suffer from urinary tract problems caused by bacteria. Out of 50 patients, 45 (90%) of the cases showed bacterial growth. Approximately, 30.43% of the human infections were found to be caused by members of the Enterobacteriaceae family. The ratio of female patients with UTIs was more than that of males, the most common bacterium isolated from human urine was E. coli, which constituted approximately 85.7% of the enteric bacteria isolated and 26.1% of all bacterial isolates. Other members of Enterobacteriaceae family were also isolated from patients enrolled in this study, such as Citrobacter freundii, which constituted the same incidence rate as K. pneumoniae. Concerning antimicrobial resistance, 11, 10, 9, and 8 out of 12 of E. coli isolates were resistant to Erythromycin, Vancomycin, Tetracycline, and Ceftazidime together, respectively, with a range of resistance from 91.7% to 66.7%. Low percentages of bacteria showed intermediate sensitivity to Imipenem, Gentamicin, Chloramphenicol, Vancomycin, and Erythromycin. However, 12, 11, 10, 10, 9, and 8 out of 12 isolates were susceptible (susceptibility ranged from 100% to 66.7%) to each of Cefotaxime, Chloramphenicol, Imipenem, Amikacin, Ciprofloxacin, and Gentamicin. Conclusions: Escherichia coli was the most common bacteria isolated from human UTIs. All of the isolates were multi-drug resistant toward at least four antimicrobials. Particularly, Erythromycin and Vancomycin had no effect on the enteric bacteria at all. Imipenem might be the most effective drug against a large number of the human isolates.