Incidence, Distribution And Management of Community Acquired Urinary Tract Infections Among Patients In Hospitals of Lahore, Pakistan

International Journal of Biotech Trends and Technology (IJBTT)
© 2020 by IJBTT Journal
Volume - 10 Issue - 1                          
Year of Publication : 2020
Authors : Asma Manzoor, Nabila Ishaq, Ambreen Kanwal
DOI :  10.14445/22490183/IJBTT-V10I1P603


MLA Style:Asma Manzoor, Nabila Ishaq, Ambreen Kanwal"Incidence, Distribution And Management of Community Acquired Urinary Tract Infections Among Patients In Hospitals of Lahore, Pakistan" International Journal of Biotech Trends and Technology 10.1 (2020): 15-21.

APA Style:Asma Manzoor, Nabila Ishaq, Ambreen Kanwal. Incidence, Distribution And Management of Community Acquired Urinary Tract Infections Among Patients In Hospitals of Lahore, Pakistan International Journal of Biotech Trends and Technology, 10(1), 15-21.


Urinary tract infection (UTI) is described as microbe invasion in kidneys, ureter, urethra or urinary bladder causing discomfort, morbidity and mortality ending up to frequent hospital visits. E.coli, Enterobactor, Serratia species, Staphylococcus, and Klebsiella species are few main causes of UTI infections. In order to control the problem of UTI, it is important to understand the causes and distribution patterns of disease. Aim of the current study was to investigate the effect of different factors such as age, gender, and physiological condition on relative abundance of UTI. Semi-structured questionnaire was designed to collect information from UTI patients in local hospitals of Lahore, Pakistan. Data accumulated from current study highlighted the most common symptom of UTI in all age groups and gender was frequency of micturition (38.46%) followed by lower abdominal pain (35%). However, higher rate of UTI was reported in women especially age group 41-60 years. Another significant factor among women with UTI infection was pregnancy which might be due to physiological differences, hormonal effects or behavioral patterns. Careful analysis of life style factors of patients further draw attention to drinking water as a significant reason behind the occurrence of UTI as 58.2% patients were using tap water. In conclusion, data suggest age, gender and lifestyle factors as underlying cause of UTI in Pakistan and needs further research to understand their link and overcome the problem.


[1] Kass, E.H., Asymptomatic infections of the urinary tract. The Journal of urology, 2002. 167(2): p. 1016-1020.
[2] Nicolle, L.E., Catheter associated urinary tract infections. Antimicrobial resistance and infection control, 2014. 3(1): p. 23.
[3] Vasudevan, R., Urinary tract infection: an overview of the infection and the associated risk factors. J Microbiol Exp, 2014. 1(2): p. 00008.
[4] Gajamer, V.R., et al., Prevalence and Antibiogram Profile of Uropathogens Isolated from Symptomatic and Asymptomatic Female Patients with Urinary Tract Infections and its Associated Risk Factors: Focus on Cephalosporin. Research & Reviews: Journal of Medical Science and Technology, 2018. 7(1): p. 32-41.
[5] Foxman, B., Epidemiology of urinary tract infections: incidence, morbidity, and economic costs. The American journal of medicine, 2002. 113(1): p. 5-13.
[6] Kashef, N., G.E. Djavid, and S. Shahbazi, Antimicrobial susceptibility patterns of community-acquired uropathogens in Tehran, Iran. The Journal of Infection in Developing Countries, 2010. 4(04): p. 202-206.
[7] Karki, A., B. Tiwari, and S. Pradhan, Study of bacteria isolated from urinary tract infection and their sensitivity pattern. Journal of the Nepal Medical Association, 2004. 43(154).
[8] Paudel, L., et al., Prevalence of urinary tract infection and associated risk factors among women in Sindhupalchowk district, Nepal. International Journal Of Community Medicine And Public Health, 2018. 5(7): p. 2714-2719.
[9] Griebling, T.L., Urinary tract infection in women. Urologic diseases in America, 2007. 7: p. 587-619.
[10] Arinzon, Z., et al., Clinical presentation of urinary tract infection (UTI) differs with aging in women. Archives of gerontology and geriatrics, 2012. 55(1): p. 145-147.
[11] Manzoor, A., et al., Efficacy of locally isolated lactic acid bacteria against antibiotic-resistant uropathogens. Jundishapur journal of microbiology, 2016. 9(1).
[12] Gupta, U.P., et al., Prevalence of Urinary Tract Infection among Suspected Female Patients Attending Manipal Teaching Hospital, Pokhara, Nepal. Nepal. RRJoMV, 2013. 3(2): p. 2230-36.
[13] Ullah, A., S. Shah, and B. Almugadam, Prevalence of symptomatic urinary tract infections and antimicrobial susceptibility patterns of isolated uropathogens in kohat region of Pakistan. MOJ Biol Med, 2018. 3(4): p. 85-89.
[14] Medina-Bombardo, D., et al., What is the predictive value of urinary symptoms for diagnosing urinary tract infection in women? Family Practice, 2003. 20(2): p. 103-107.
[15] Anis-ur-Rehman, M.J., T.S. Siddiqui, and M. Idris, Frequency and clinical presentation of UTI among children of Hazara Division, Pakistan. J Ayub Med Coll Abbottabad, 2008. 20(1).
[16] Morgan, B., et al. 1502. Identifying Risk Factors for Recurrent Urinary Tract Infections Among Female Outpatients. in Open Forum Infectious Diseases. 2018. Oxford University Press.
[17] Fatima, S., S. Jamil, and T. Siddiqui, Prescribing Practices of Broad Spectrum Antibiotics in Tertiary Care Hospital: An Observational Study. RADS Journal of Pharmacy and Pharmaceutical Sciences, 2018. 6(1): p. 07-16.
[18] Chen, Y.T., et al., In vitro efficacy of six alternative antibiotics against multidrug resistant Escherichia coli and Klebsiella pneumoniae from urinary tract infections. Ann Acad Med Singapore, 2016. 45(6): p. 245-50.
[19] Stewardson, A., et al., Effect of outpatient antibiotics for urinary tract infections on antimicrobial resistance among commensal Enterobacteriaceae: a multinational prospective cohort study. Clinical Microbiology and Infection, 2018. 24(9): p. 972-979.
[20] Vazquez, J.C. and E. Abalos, Treatments for symptomatic urinary tract infections during pregnancy. Cochrane Database of Systematic Reviews, 2011(1).
[21] Ranjan, A., et al., Prevalence of UTI among pregnant women and its complications in newborns. Indian Journal of Pharmacy Practice, 2017. 10(1): p. 45.
[22] Akinloye, O., et al., Asymptomatic bacteriuria of pregnancy in Ibadan, Nigeria: a re-assessment. British journal of biomedical science, 2006. 63(3): p. 109-112.
[23] August, S.L. and M.J. De Rosa, Evaluation of the prevalence of urinary tract infection in rural Panamanian women. PloS one, 2012. 7(10): p. e47752.
[24] Masinde, A., et al., Prevalence of urinary tract infection among pregnant women at Bugando Medical Centre, Mwanza, Tanzania. Tanzania journal of health research, 2009. 11(3).
[25] Haider, G., et al., Risk factors of urinary tract infection in pregnancy. JPMA. The Journal of the Pakistan Medical Association, 2010. 60(3): p. 213.
[26] Hooton, T.M., et al., Effect of increased daily water intake in premenopausal women with recurrent urinary tract infections: a randomized clinical trial. JAMA internal medicine, 2018. 178(11): p. 1509-1515.
[27] Jepson, R.G., G. Williams, and J.C. Craig, Cranberries for preventing urinary tract infections. Cochrane database of systematic reviews, 2012(10).
[28] Ferrara, P., et al., Cranberry juice for the prevention of recurrent urinary tract infections: a randomized controlled trial in children. Scandinavian journal of urology and nephrology, 2009. 43(5): p. 369-372.
[29] Mantzorou, M. and C. Giaginis, Cranberry Consumption Against Urinary Tract Infections: Clinical State-of-the-Art and Future Perspectives. Current pharmaceutical biotechnology, 2018. 19(13): p. 1049-1063.

Occurrence, Urinary tract infection (UTI), micturition, morbidity, pregnancy.