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Background: The resistance pattern of uropathogens is increasing very rapidly because of the unsorted,  insufficient, and incoherent usage of antibiotics. The aim of this study was to evaluate the prevalence of  multidrug-resistant (MDR), extensively drug-resistant (XDR), and pandrug-resistant (PDR) uropathogens which  were isolated from the urinary tract infection (UTI) cases in Dhaka, Bangladesh.    Methods: In this cross-sectional study, a total of 21167 urine samples were collected from January 2016 to  December 2018, followed by using conventional methods, as well as Kirby-Bauer disc diffusion method for  urine culture and susceptibility, respectively. Finally, SPSS software was utilized to analyze the obtained data.    Results: From among 21167 urine samples, 2469 (11.66%) cases were bacteriologically positive. In UTI cases,  males proportion were higher compared to females (in ≤ 10 and u003e 60 to ≤90 years age groups) and females  in the age groups between 10 and 60 and u003e90 years suffered more than males (Pu003c0.05). In addition, 172  (7.0%), 1337 (54.2%), and 845 (34.2%) cases were identified as XDR, single drug-resistance (SDR), and nondrug-resistance (NDR), respectively. Although the number of female XDR cases was higher than males, the  percentages of male cases were higher compared to female cases in this study. The most predominant drugresistance cases (18.7%) were found in the age group between 21 and 30 years (Pu003c0.05). Eventually, the  isolates of Escherichia coli were the most prevalent cases that carried XDR (5.4%) and MDR (39.7%).    Conclusions: In general, it is extremely alarming to increase XDR and MDR uropathogens. This bacterial  resistance can be prevented through control measures that limit the spread of resistant bacteria and the regular  monitoring of this resistance phenotype of uropathogens, along with the rational use of antimicrobial therapy.

avicenna journal of clinical microbiology and infection

Prevalence of Multidrug-Resistant, Extensively Drug-Resistantand Pandrug-Resistant Uropathogens Isolated From UrinaryTract Infection Cases in Dhaka, Bangladesh