Abstract: Background: Urinary infections are important microbial diseases common worldwide. Besides, the growth of antibiotic resistance is an ongoing concern for community health, especially in low-income countries. Therefore, this study aimed to identify common urinary pathogens and antibiotic sensitivity pattern in some cases of urinary tract infection (UTI) in Baghdad, the capital of Iraq.
Methods: A total of 289 participants with urinary symptoms (dysuria, frequency, and urgency) underwent general urine examination procedures in the laboratories of the government general hospitals and urine samples were cultured followed by sensitivity tests of the isolates against different types of antibiotics, from the beginning of January 2020 until the end of the month July 2021.
Results: The highest proportion of patients was females (78%), and E. coli was the most isolate organisms (45.7%), followed by mirabilis protein (16.3%). Different bacterial pathogens showed a high sensitivity especially to imipenem (99%), PTZ (97%), and amikacin (91%). The resistance of E. coli isolates was higher to imipenem and PTZ versus lower to amoxicillin. Pseudomonas aeruginosa isolates were not resistant to some antibiotics such as nitrofurantoin, ceftriaxone, cephalexin, and amoxicillin.
Conclusion: The widespread use of antibiotics has led to the emergence of resistance development among the most commonly used drugs in acquired UTI. Therefore, clinical diagnosis should be followed by sensitivity testing, to avoid the failure of direct empirical treatment. Therefore, it is recommended that specialists closely monitor the resistance of the urinary tract infection drugs used on the local level.
