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p-Index From 2021 - 2026
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All Journal Journal of Clinical Microbiology and Infectious Diseases
Monika Febryanti Lebo Nuru
Undergraduate Program, Faculty of Medicine and Health Sciences, Warmadewa University
Immunology & microbiology

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Clinical and microbiological profile of patients with urinary tract infections at Mangusada Hospital, Badung Monika Febryanti Lebo Nuru; Marta Setiabudy; Anak Agung Gede Indraningrat
Journal of Clinical Microbiology and Infectious Diseases Vol. 6 No. 1 (2026): Available online : 1 June 2026
Publisher : Indonesian Society for Clinical Microbiology (Perhimpunan Dokter Spesialis Mikrobiologi Klinik Indonesia)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51559/jcmid.v6i1.111

Abstract

Introduction: Urinary tract infections (UTIs) remain among the most common infectious diseases in healthcare settings and are increasingly complicated by antimicrobial resistance. This study aimed to describe the demographic characteristics, comorbidities, catheterisation history, and microbiological profile of UTI patients at Mangusada Regional Hospital. Methods: A descriptive cross-sectional study was conducted among 379 patients diagnosed with UTI from 2022 to 2024. Data were collected from medical records and microbiology laboratory reports. Variables included age, sex, comorbidities, urinary catheter use, and urine culture results. Data were analysed descriptively. Results: Urine culture samples consisted of 64 cases in 2022, 172 in 2023, and 143 in 2024. The highest average proportion of patients was found in the 0–5-year age group (28%), followed by those aged >65 years (11.6%). Sex distribution was nearly equal between males (50.1%) and females (49.9%). Benign prostatic enlargement was the most common comorbidity (13.4%), and most patients had no history of urinary catheter use (85.5%). Gram-negative bacteria predominated among culture-positive isolates (86%). Escherichia coli was the most frequently identified pathogen, with ESBL-producing strains accounting for approximately 50% of all E. coli isolates annually, followed by ESBL-producing Klebsiella pneumoniae. Conclusion: UTIs at Mangusada Regional Hospital were mainly associated with Gram-negative bacteria, particularly ESBL-producing E. coli and K. pneumoniae. These findings suggest limited effectiveness of third-generation cephalosporins as empirical therapy and highlight the need for ongoing antimicrobial surveillance and stewardship.
Co-Authors Anak Agung Gede Indraningrat Marta Setiabudy