Anti-microbial Resistance Pattern of Uropathogens Isolated from Hospitalized Patients in Imam Khomeini hospital, Tehran, Iran

Abstract

Background: Urinary tract infection (UTI) is one of the most common type of bacterial infectious diseases which occurs in all age groups. The aim of this study was to determine anti-microbial resistance pattern of bacterial pathogens causing UTIs in hospitalized patients at the Imam Khomeini Hospital, Tehran, Iran. Material and Methods: Urine samples were collected from 11157 hospitalized patients at different wards of Imam Khomeini Hospital in Tehran, between January 2015 and December 2015.The cultured plates were assessed for significant bacterial growth. Anti-microbial susceptibility test was performed using standard disk diffusion method. Results: Out of the 11157 collected urine samples, significant bacterial growth of 25.38% was observed. The most common cause of UTI was gram-negative bacteria (82.2%). More than 50% of the gram-negative bacteria were resistant to ceftriaxone, ceftazidime and trimethoprim-sulfamethoxazole. Enterococcus spp. (10.1%) was found as the third causative agent of UTIs and the most common gram-positive bacteria. Conclusion: we conclude that the examination of the most common etiological agent of UTIs and their antimicrobial resistance patterns is advantageous and necessary in order to design a guideline for empirical therapy.