Logo do repositório
 
Publicação

Urinary tract infections in Portugal: A decade of evidence on uropathogens and antimicrobial resistance — A systematic review

2026Artigo de revisão Acesso aberto
Ver registo simples
datacite.subject.fosCiências Médicas::Ciências da Saúde
dc.contributor.authorRodrigues, Francisco
dc.contributor.authorCoelho, Patricia
dc.contributor.authorMateus, Sónia
dc.contributor.authorEideh, Hatem
dc.contributor.authorCastelo-Branco, Miguel
dc.date.accessioned2026-06-09T15:44:21Z
dc.date.available2026-06-09T15:44:21Z
dc.date.issued2026
dc.date.updated2026-06-02T09:18:53Z
dc.description.abstractBackground: Urinary tract infections (UTIs) are among the most common bacterial infections worldwide and represent a significant public health concern due to their high prevalence and increasing antimicrobial resistance. This study aimed to systematically review the epidemiology, uropathogens, and resistance patterns of UTIs in Portugal over the last decade. Methods: A systematic review was conducted in accordance with PRISMA 2020 guidelines. A literature search was performed in April 2026. A total of 425 records were identified. After removal of duplicates and preliminary exclusions, 121 records were screened by title and abstract. Following application of eligibility criteria, 41 full-text articles were assessed, of which 13 met the criteria for detailed eligibility assessment. Six studies met the inclusion criteria and were included in the final qualitative synthesis. Results: The included studies consistently reported a higher prevalence of UTIs in females and, in some cases, in older populations. Escherichia coli was identified as the predominant uropathogen across all studies, followed by Klebsiella pneumoniae, Proteus spp., and Enterococcus spp. A consistently high prevalence of antimicrobial resistance was observed, particularly against commonly used antibiotics such as ampicillin and trimethoprim–sulfamethoxazole. The presence of extended-spectrum β-lactamase (ESBL)-producing strains was also reported, especially in healthcare-associated infections, which exhibited higher resistance profiles compared to community-acquired infections. Conclusions: The available evidence suggests that UTIs in Portugal are predominantly caused by enterobacteria, particularly Escherichia coli. However, the limited number and heterogeneity of studies highlight the need for cautious interpretation. Further multicenter and methodologically robust studies are required to better characterize national epidemiological patterns and antimicrobial resistance trends.eng
dc.description.versionN/A
dc.identifier.citationRODRIGUES, Francisco [et al.] (2026 - Urinary tract infections in Portugal: A decade of evidence on uropathogens and antimicrobial resistance — A systematic review. Bacteria. 5, 30. DOI: 10.3390/bacteria5020030
dc.identifier.doi10.3390/bacteria5020030en_US
dc.identifier.slugcv-prod-5045473
dc.identifier.urihttp://hdl.handle.net/10400.11/10906
dc.language.isoeng
dc.peerreviewedyes
dc.publisherMDPI
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/
dc.subjectUrinary tract infection
dc.subjectAntimicrobial resistance
dc.subjectPortugal
dc.subjectEscherichia coli
dc.subjectUropathogens
dc.subjectEpidemiology
dc.titleUrinary tract infections in Portugal: A decade of evidence on uropathogens and antimicrobial resistance — A systematic reviewen_US
dc.typereview article
dspace.entity.typePublication
oaire.citation.titleBacteriaen_US
oaire.versionhttp://purl.org/coar/version/c_970fb48d4fbd8a85
person.familyNameRodrigues
person.familyNameCoelho
person.givenNameFrancisco
person.givenNamePatricia
person.identifier2982790
person.identifier.ciencia-id7A18-045E-330C
person.identifier.ciencia-id231C-F92A-1BC2
person.identifier.orcid0000-0001-8405-4249
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.isAuthorOfPublication30f36b8c-0bee-46cd-9ecf-be2a8dc33bd6
relation.isAuthorOfPublication.latestForDiscoveryd496c83f-3a6b-424e-ba10-452ce609d597

Ficheiros

Principais
A mostrar 1 - 1 de 1
Miniatura
Nome:
Urinary_Tract_Infections_in_Portugal_A_Decade_of_Evidence_on_Uropathogens_and_Antimicrobial_Resistance.pdf
Tamanho:
376.41 KB
Formato:
Adobe Portable Document Format
Ver/Abrir
Licença
A mostrar 1 - 1 de 1
Miniatura indisponível
Nome:
license.txt
Tamanho:
2.02 KB
Formato:
Item-specific license agreed upon to submission
Descrição:
Ver/Abrir

Coleções

ESALD - Artigos em revistas com arbitragem científica