Urinary Tract Infections: Pathophysiology, Epidemiology and Management

A special issue of Medicina (ISSN 1648-9144). This special issue belongs to the section "Urology & Nephrology".

Deadline for manuscript submissions: 15 December 2024 | Viewed by 757

Special Issue Editors


E-Mail Website
Guest Editor
1. Faculty of Medicine, University of Medicine and Pharmacy “Grigore T. Popa” of Iași, 700115 Iasi, Romania
2. Clinic of Infectious Diseases, “Sf. Parascheva” Clinical Hospital of Infectious Diseases, 700116 Iasi, Romania
Interests: antibiotic resistance; urinary tract infections; carbapenem-resistant Enterobacterales; multidrug-resistant bacteria; healthcare-associated infections
Special Issues, Collections and Topics in MDPI journals

E-Mail Website
Guest Editor
1. Faculty of Medicine, University of Medicine and Pharmacy “Grigore T. Popa” of Iași, 700115 Iasi, Romania
2. Clinic of Infectious Diseases, “Sf. Parascheva” Clinical Hospital of Infectious Diseases, 700116 Iasi, Romania
Interests: antibiotic resistance; multidrug-resistant bacteria; healthcare-associated infections; antibiotic stewardship

Special Issue Information

Dear Colleagues,

Urinary tract infections (UTIs) represent a major public health problem as one of the most common infectious diseases, second to upper respiratory tract infections. More than 50% of all women and at least 12% of men experience a UTI in their lifetime.

Data on UTI prevalence in the general population are scanty in some areas, indicating the need to regularly monitor the burden of UTIs to inform policy decisions. The integrative approach to UTIs has an important role in improving patient prognosis, which implies that, in most cases, antimicrobial therapy should often be prescribed empirically. In order to implement appropriate empirical therapy, it is essential to know the main bacteria commonly involved in UTI pathology, as well as their antibiotic resistance profile. This approach reduces the incidence of antimicrobial resistance and prevents the spread of bacterial strains resistant to multiple antibiotics.

UTIs caused by multidrug-resistant Enterobacterales represent a rising concern due to the paucity of therapeutical options available, especially in countries with high resistance rates. Thus, a dynamic assessment of regional isolates’ resistance patterns and constantly updated knowledge of the microorganisms most commonly involved are crucial in choosing an appropriate empiric antibiotic therapy for UTIs.

Therefore, this Special Issue aims to create an opportunity to update information on the epidemiology and particularities of UTIs, as well as the newest insights into innovative approaches for UTI management.

This Special Issue welcomes all submissions related to the diagnosis and treatment of UTIs, including original research articles, reviews and opinion papers.

Dr. Ionela-Larisa Miftode
Prof. Dr. Mihaela Cǎtǎlina Luca
Guest Editors

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Medicina is an international peer-reviewed open access monthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2200 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • urinary tract infections
  • antibiotic resistance
  • risk factors
  • prevention
  • Enterobacterales
  • catheter-associated urinary tract infections

Benefits of Publishing in a Special Issue

  • Ease of navigation: Grouping papers by topic helps scholars navigate broad scope journals more efficiently.
  • Greater discoverability: Special Issues support the reach and impact of scientific research. Articles in Special Issues are more discoverable and cited more frequently.
  • Expansion of research network: Special Issues facilitate connections among authors, fostering scientific collaborations.
  • External promotion: Articles in Special Issues are often promoted through the journal's social media, increasing their visibility.
  • e-Book format: Special Issues with more than 10 articles can be published as dedicated e-books, ensuring wide and rapid dissemination.

Further information on MDPI's Special Issue polices can be found here.

Published Papers (1 paper)

Order results
Result details
Select all
Export citation of selected articles as:

Research

13 pages, 622 KiB  
Article
Characteristics of Urinary Tract Infections in Patients with Diabetes from Timișoara, Romania: Prevalence, Etiology, and Antimicrobial Resistance of Uropathogens
by Teodora Sorescu, Monica Licker, Romulus Timar, Corina Musuroi, Delia Muntean, Adela Voinescu, Dan Dumitru Vulcanescu, Andrei Cosnita, Silvia-Ioana Musuroi and Bogdan Timar
Medicina 2024, 60(11), 1870; https://doi.org/10.3390/medicina60111870 - 14 Nov 2024
Viewed by 498
Abstract
Background and Objectives: Diabetic patients are more likely to develop infections compared to the general population, especially urinary tract infections (UTIs). The aim of this study was to assess the prevalence of UTIs in a population of patients with diabetes (DM) from [...] Read more.
Background and Objectives: Diabetic patients are more likely to develop infections compared to the general population, especially urinary tract infections (UTIs). The aim of this study was to assess the prevalence of UTIs in a population of patients with diabetes (DM) from Romania, to identify the most common uropathogens and their antimicrobial resistance (AMR) patterns, as well as to determine the correlations between resistance behavior and particularities of patients with UTIs according to DM type. Materials and Methods: The hospital records of 1282 type 1 (T1D) and type 2 DM (T2D) adult inpatients who were ordered urine cultures during hospitalization were reviewed, and all 241 patients who presented a positive urine culture were included in the present study analysis. Results: The prevalence of UTIs in diabetic patients was 18.8% and higher in patients with T2D vs. T1D. Patients with UTIs and T2D had a significantly older age, longer duration of DM, higher waist circumference and body mass index, lower levels of estimated glomerular filtration rate, and more frequent chronic complications of DM than patients with T1D. E. coli was the most frequently isolated uropathogen (56.4%), with a significantly higher incidence for T2D, followed by K. pneumoniae (12.9%) and Enterococcus spp. (9.5%). Although the acquired resistance phenotypes were more frequently isolated in T2D patients (over 90% of the multidrug-resistant and extended-spectrum beta-lactamase-producing isolates, respectively, and 75% of the total carbapenem-resistant organisms), no statistically significant correlation was found regarding the distribution of AMR patterns in the two types of DM. Conclusions: The present study brings new data regarding the prevalence of UTIs in diabetic patients from Western Romania. By identifying the spectrum of uropathogens and their AMR pattern, this paper may contribute to improving UTI management in diabetic patients, thus reducing antibiotic overuse and preventing recurrent UTIs. Full article
Show Figures

Figure 1

Back to TopTop