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Decoding urinary tract infection trends: A 5-year snapshot from Central Portugal

2025Research article Open access
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dc.contributor.authorRodrigues, Francisco
dc.contributor.authorCoelho, Patrícia
dc.contributor.authorPatricia Coelho
dc.contributor.authorMateus, Sónia
dc.contributor.authorCaseiro, Armando
dc.contributor.authorEideh, Hatem
dc.contributor.authorGonçalves, Teresa
dc.contributor.authorCastelo Branco, Miguel
dc.date.accessioned2025-09-18T16:33:20Z
dc.date.available2025-09-18T16:33:20Z
dc.date.issued2025
dc.date.updated2025-09-16T08:59:16Z
dc.description.abstractIntroduction: This study analyzes urinary tract infections (UTIs) in a hospital in Central Portugal over a five-year period, focusing on bacterial prevalence, patient demographics, and antibiotic resistance patterns. This investigation aims to provide insights that can guide improved infection control and treatment strategies. Methods: A total of 6161 positive urine cultures collected over five years were examined, with particular emphasis on 2019 due to a peak in infection rates. The analysis explored bacterial prevalence, demographic factors such as sex and clinical service origin, and antibiotic resistance. Special attention was given to hospitalized patients, especially those undergoing invasive procedures, due to their increased vulnerability to infection. Results: This study found that UTIs were more prevalent in female patients, reflecting anatomical susceptibilities. Hospitalized individuals, particularly those requiring invasive procedures, were at greater risk. The predominant bacteria were Escherichia coli, Klebsiella pneumoniae, and Enterococcus faecalis, with differences in prevalence by patient sex and service origin. Resistance to Imipenem in E. coli increased, raising concerns about last-resort treatments. However, resistance to other antibiotics declined, suggesting improvements due to recent stewardship measures. During the COVID-19 pandemic, overall antibiotic consumption decreased due to changes in clinical practices. Conclusion: The findings highlight the importance of strict infection control, targeted prevention measures, and rational antibiotic use to combat resistance. Ongoing surveillance and personalized treatment approaches are essential to improve UTI management and outcomes.por
dc.description.versionN/A
dc.identifier.citationRODRIGUES, F. [et al.] (2025) - Decoding urinary tract infection trends: A 5-year snapshot from Central Portugal. Clin. Pract. Vol. 15, 14. DOI: 10.3390/ clinpract15010014
dc.identifier.doi10.3390/clinpract15010014en_US
dc.identifier.slugcv-prod-4564159
dc.identifier.urihttp://hdl.handle.net/10400.11/10299
dc.language.isoeng
dc.peerreviewedyes
dc.publisherMDPI
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/
dc.subjectUrinary tract infections (UTIs)
dc.subjectAntibiotic resistance
dc.subjectAntibiotic stewardship
dc.subjectEpidemiology of UTIs
dc.subjectAntimicrobial consumption
dc.subjectPortugal
dc.titleDecoding urinary tract infection trends: A 5-year snapshot from Central Portugaleng
dc.typeresearch articleen_US
dspace.entity.typePublication
oaire.citation.titleClinics and Practiceen_US
oaire.versionhttp://purl.org/coar/version/c_970fb48d4fbd8a85
person.familyNameRodrigues
person.familyNameCoelho
person.givenNameFrancisco
person.givenNamePatricia Margarida dos Santos Carvalheiro
person.identifier2982790
person.identifier.ciencia-id7A18-045E-330C
person.identifier.ciencia-idFC1B-BB26-3206
person.identifier.orcid0000-0001-8405-4249
person.identifier.orcid0000-0002-9862-0691
person.identifier.ridJTV-3288-2023
person.identifier.scopus-author-id57214122402
rcaap.cv.cienciaid7A18-045E-330C | Francisco José Barbas Rodrigues
rcaap.rightsopenAccessen_US
relation.isAuthorOfPublicationd496c83f-3a6b-424e-ba10-452ce609d597
relation.isAuthorOfPublicationaf807030-f5b4-4634-a7c5-77749716e4f8
relation.isAuthorOfPublication.latestForDiscoveryd496c83f-3a6b-424e-ba10-452ce609d597

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