Pattern of antibacterial resistance in urinary tract infections: A systematic review and meta-analysis

• Published in: International journal of preventive medicine 2019-01, Vol.10 (1), p.169-169
• Main Authors: Reza Mortazavi-Tabatabaei, Seyed, Ghaderkhani, Jalal, Nazari, Ali, Sayehmiri, Kourosh, Sayehmiri, Fatemeh, Pakzad, Iraj
• Format: Article
• Language: English
• Subjects: Amikacin; Amoxicillin; Ampicillin; Analysis; Antibacterial agents; Antibiotic resistance; Antibiotics; antimicrobial resistance; Bacteria; Bacterial infections; Binomial distribution; Cephalexin; Cephalosporins; Cephalothin; Chloramphenicol; Chloromycetin; Ciprofloxacin; Communicable diseases; Cotrimoxazole; Drug resistance; Drug therapy; E coli; Gentamicin; gram-negative bacteria; Gram-positive bacteria; Imipenem; Infection; Infections; Meta-analysis; Microbial drug resistance; Morbidity; Mortality; Nalidixic acid; Nitrofurantoin; Online databases; Pathogens; Patient outcomes; Respiratory tract; Respiratory tract diseases; Review; Studies; Sulfamethoxazole; Systematic review; Tetracyclines; Trimethoprim; Trimethoprim-sulfamethoxazole; Urinary tract; Urinary tract diseases; Urinary tract infections; Urogenital system; Women
• ISSN: 2008-7802; 2008-8213
• DOI: 10.4103/ijpvm.IJPVM_419_17

Background: Urinary tract infection (UTI) is one of the most common infectious diseases ranking next to upper respiratory tract infections. UTIs are often significantly associated with morbidity and mortality. The inappropriate administration of antibiotics to treat these infections increased infection resistance to antibiotics. The aim of this study is to determine the frequency of antibiotic resistance pattern in UTIs. Methods: We searched several databases including PubMed, Web of Science, Scopus, Google Scholar, Iran Medex, Magiran, IranDoc, MedLib, and Scientific Information Database to identify the studies addressing antibacterial resistance patterns of the most common uropathogenic bacteria in UTIs in Iran. A total of 90 reports published from different regions of Iran from 1992 to May 2015 were involved in this study. Results: It is shown that the most common pathogen causing UTIs is Escherichia coli with 62%. The resistance among the isolates of E. coli was as follows: ampicillin (86%), amoxicillin (76%), tetracycline (71%), trimethoprim-sulfamethoxazole (64%), cephalexin (61%), and cefalothin (60%). The highest sensitivity among isolates of E. coli was as follows: imipenem (86%), nitrofurantoin (82%), amikacin (79%), chloramphenicol (72%), and ciprofloxacin (72%). Conclusions: The results of this study showed that the most common resistance are antibiotics that are commonly used. The most effective antibiotics for E. coli were imipenem, nitrofurantoin, amikacin, chloramphenicol, and ciprofloxacin. Considering this study, it had better, use less gentamicin, second-generation cephalosporins, and nalidixic acid in the initial treatment of infections caused by E. coli, and no use penicillins, tetracyclines, cotrimoxazole, and first-generation cephalosporins.