Prevalence, antimicrobial sensitivity patterns and associated factors of urinary tract infection among patients attending Nekemte Comprehensive Specialized Hospital, Western Ethiopia, 2024: a cross-sectional study

Of the total samples collected, 78/270 (28.9%) had significant bacteriuria. Gram-negative and gram-positive bacteria accounted for 67/78 (85.9%) and 11/78 (14.1%), among which Escherichia coli was the most prevalent, 30/78 (38.5%), followed by Klebsiella species, 26/78 (33.3%). Gram-positive isolates were highly susceptible to gentamicin (100%) and clindamycin (88.9%). Gram-negative bacteria showed high-level susceptibility to amikacin (100%), cefepime (93.3%), and gentamicin (91.0%). The total multidrug resistance identified was 44/78 (56.4%). Female gender, a having history of UTI, and antibiotic use without a prescription were statistically significant with UTI. CONCLUSION AND RECOMMENDATION: Most of the isolated uropathogens were multidrug-resistant. A significant association with UTI was observed with being female, having a previous history of UTI, and using antibiotic without a prescription. Treatment of UTI should be supported by culture and antimicrobial susceptibility patterns.