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Abstract

Background: Multidrug-resistant E. coli and K. pneumoniae isolates are the most common causes of acquired urinary tract infections (UTIs). Objective: Conclude the prevalence of multidrug-resistant E. coli and K. pneumoniae isolates in urine samples from immunocompromised patients with UTIs. Methods: A total of 543 urine samples were collected from patients with supposed UTIs. MacConkey, chromogenic agar, and blood culture were used to cultivate the samples. Disk diffusion on Mueller-Hinton agar was used to select cultures that were positive for testing for antibiotic susceptibility. Excel and SPSS software were used to gather and analyze the data. Results: Of the 387 culture-positive samples, 410 isolates were identified. E. coli isolates were identified in 39.3% (45.3% from diabetic patients, 33.5% from cancer patients, 19.2% from renal failure patients, and 1.8% from kidney transplant patients). In comparison, K. pneumoniae was identified in 11.9% (44.9% from diabetic patients, 30.6% from cancer patients, and 24.5% from renal failure patients and was not detected in kidney transplant patients). The MDR pattern was identified in 83.5%, 87%, 83.5%, and 100% of E. coli isolates and in 81.8%, 80%, 66%, and 0% of K. pneumoniae isolates from diabetic, cancer, renal failure, and kidney transplant patients, respectively. Conclusion: The high prevalence of resistance patterns indicates that immunocompromised patients are more vulnerable to contagion with multidrug-resistant isolates.

Article Type

Article

First Page

39

Last Page

45

Creative Commons License

Creative Commons Attribution 4.0 International License
This work is licensed under a Creative Commons Attribution 4.0 International License.

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