Prevalence of urinary tract infection in children in the kingdom of Saudi Arabia

Alrasheedy, Mariam; Abousada, Hoda Jehad; Abdulhaq, M.; Alsayed, Raghad Abdulelah; Alghamdi, Khalid; Alghamdi, Fayez Dhyefallah; Muaibid, Abdullah Faisal Al; Ajjaj, Refal Ghassan; Almohammadi, Seham Salem; Almohammadi, Sarah Salem; Alfitni, Wajd Adnan; Homsi, Abdulrahman Mohamed; Alshelawi, Meqbel Majed; Alshamrani, Hassan A.; Tashkandi, Abdulrauf Abdulatif; Mannan, Sara; Alsamiri, Salihah Attiah

doi:10.4081/aiua.2021.2.206

Cited by 10 publications

(11 citation statements)

References 19 publications

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“…UTIs were much more common among women than men. However, the prevalence was approximately equal between the sexes among inpatient CAUTI cases and among children under the age of 5 years [4,63,75]. Among the reasons why UTIs are more frequent among women is the anatomical structure of their urogenital system.…”

Section: Discussionmentioning

confidence: 99%

Urinary Tract Infections in the Kingdom of Saudi Arabia, a Review

et al. 2023

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Urinary tract infections (UTIs) are among the most common infections and are associated with an increased rate of antimicrobial resistance in Saudi Arabia. Better knowledge of the most common pathogens and their antimicrobial resistance patterns will be useful for creating new treatment guidelines. PubMed, Web of Science, Scopus, and Google Scholar were searched using suitable keywords to identify UTI publications until November 2022. Eligible studies were selected and analyzed. A total of 110 records were found, but only 58 articles were analyzed. Most studies were retrospective, and just a few were cross-sectional or prospective. The majority of the studies were conducted in the central region followed by the Eastern region. Escherichia coli and Klebsiella spp. were the most common pathogens. There was a significant resistance rate against co-trimoxazole and ciprofloxacin. On the other hand, amikacin was one of the most effective antibiotics. Overall, only a few studies have been published on UTIs in Saudi Arabia. Moreover, not all regions have been represented, so the full scope of the issue is unknown. UTIs are still a major problem, and resistance has developed against commonly used antibiotics. Thus, large epidemiological studies are needed to battle the rapid emergence of antimicrobial resistance.

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Section: Discussionmentioning

confidence: 99%

Urinary Tract Infections in the Kingdom of Saudi Arabia, a Review

et al. 2023

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“… 68 The prevalence rates of urinary tract infections in Saudi Arabia were 25% among all age groups and 26% among children between 4.5 and 5 years of age. 69 , 70 …”

Section: Comparison With Other Studies and Explanationmentioning

confidence: 99%

Utilization of remote e-prescription (Anat) in Saudi Arabia during COVID-19: Factors associated with primary adherence and antibiotic prescription

Alhassoun,

AlDossary

2023

DIGITAL HEALTH

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Background The COVID-19 pandemic has affected healthcare systems globally. Various health care technologies have been used to mitigate the risk of disease transmission. Telemedicine is one such technology, and remote consulting and prescribing comprise one of its key aspects. In Saudi Arabia, telephone health services have been widely used through the free Medical Consultation Call Center (937). This platform facilitates medical consultations for all citizens, residents, and visitors. After consultations, healthcare providers are able to issue authenticated e-prescriptions using the Anat platform. Objectives To explore the utilization of the Anat remote prescription system in Saudi Arabia during the COVID-19 pandemic and to identify the factors associated with antibiotic prescription and primary medication adherence. Methods This retrospective analysis included data from the Anat e‑prescription system using a stratified random sample of 25000 prescriptions issued in Saudi Arabia in 2020. Predictive factors related to the patients, practitioners, and prescriptions were identified through bivariate and multivariate logistic regression analyses. Results Out of 25,000 e-prescriptions, 8885 were dispensed, resulting in a 35.5% primary medication adherence rate. The significant predictors of primary adherence were children, respiratory diseases, and antibacterial drugs. In addition, antibiotics made up 32.1% of the e-prescriptions. The prescription of antibiotics was significantly associated with male sex, children, genitourinary system diseases, and being treated by radiologists. Conclusions Almost two thirds 62.2% of e-prescriptions were undispensed, with antibiotic eprescriptions at 32.1%. Findings emphasize the need to enhance primary medication adherence and antibiotic prescription interventions. These findings could aid decision-makers in improving patient-centered e-prescribing practices.

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“…Urinary tract infections (UTIs) are a prevalent form of urinary tract disease that can occur in both community and hospital settings. These infections are classified into three types based on the affected part of the urinary tract: urethritis, cystitis, and pyelonephritis [1,2]. UTIs can affect individuals of all sexes and age groups, with the incidence rate Medicina 2023, 59, 1411 2 of 11 increasing with age.…”

Section: Introductionmentioning

confidence: 99%

“…In the Kingdom of Saudi Arabia (KSA), UTIs significantly burden the healthcare system, constituting 10% of all infections and ranking as the second most common cause of emergency department admissions [ 1 , 2 , 3 , 8 , 9 ]. Women, in particular, are susceptible to UTIs, with approximately 60% estimated to experience at least one UTI in their lifetime, making them more prone to these infections compared to men [ 9 ].…”

Section: Introductionmentioning

confidence: 99%

Epidemiology and Antimicrobial Resistance Patterns of Urinary Tract Infections: A Cross-Sectional Study from Southwestern Saudi Arabia

Alhazmi,

Alameer,

Abuageelah

et al. 2023

Medicina

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Background: Urinary tract infections (UTIs) are a prevalent form of urinary tract diseases affecting individuals of all ages and genders. In the Kingdom of Saudi Arabia (KSA), UTIs are a significant burden on the healthcare system, comprising 10% of all infections and ranking as the second leading cause of emergency department admissions. Despite this, limited research has been conducted in Saudi Arabia, particularly in Jazan Province, located in the southwestern region. Methods: This retrospective, cross-sectional study encompassed individuals with positive urine cultures who sought care at a tertiary hospital in Jazan between January 2022 and March 2023. A standardized data collection form was utilized to retrieve relevant information from microbiology lab test results and patients’ electronic medical records. Variables such as sex, urine sample collection date, bacterial isolates, antibiotic sensitivity, and resistance were collected using the data collection form. Data were analyzed using SPSS software, version 23.0 (IBM Corp., Armonk, NY, USA). Results: A total of 1082 urinary bacterial samples were isolated and identified. Females accounted for more bacterial infections (62.66%) than males (37.34%). Gram-negative bacteria represented 94% of all isolated strains. The most prevalent pathogens associated with UTIs were Escherichia coli (47.97%), Klebsiella pneumoniae (24.58%), and Pseudomonas aeruginosa (11.55%). Antimicrobial resistance patterns indicated the presence of extended-spectrum beta-lactamase (ESBL) (30.13%), carbapenemase-resistant Enterobacter (CRE) (1.94%), methicillin-resistant Staphylococcus aureus (MRSA) (0.74%), and vancomycin-resistant Enterococci (VRE) (0.18%). UTI incidence demonstrated a higher prevalence in September (13%) compared to other months in 2022. Escherichia coli, Klebsiella pneumoniae, and Pseudomonas aeruginosa were the predominant Gram-negative multidrug-resistant organisms (MDRO), accounting for 34.42%, 13.95%, and 1.63% of the population. Conclusions: The prevalence of UTIs caused by antibiotic-resistant microbes is notable in Jazan. Consistent with findings from other regions, Escherichia coli remains the most common causative pathogen of UTIs, displaying a seasonal pattern that warrants attention. Approximately 35% of reported cases involve MDRO, with ESBLs accounting for 30%. These results should raise concerns among healthcare officials, highlighting the necessity for further investigations into factors contributing to the circulation of MDRO in Jazan.

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Prevalence of urinary tract infection in children in the kingdom of Saudi Arabia

Cited by 10 publications

References 19 publications

Urinary Tract Infections in the Kingdom of Saudi Arabia, a Review

Urinary Tract Infections in the Kingdom of Saudi Arabia, a Review

Utilization of remote e-prescription (Anat) in Saudi Arabia during COVID-19: Factors associated with primary adherence and antibiotic prescription

Epidemiology and Antimicrobial Resistance Patterns of Urinary Tract Infections: A Cross-Sectional Study from Southwestern Saudi Arabia

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