Antimicrobial Susceptibilities and Laboratory Profiles of , , and Isolates as Agents of Urinary Tract Infection in Lebanon: Paving the Way for Better Diagnostics.

Urinary tract infections (UTIs) are major healthcare problems that are usually treated empirically. However, antimicrobial resistance has been increasing across many settings. This study aims to elucidate the antibiotic resistance profiles of three common uropathogens, (), (), and () and compare between extended spectrum beta-lactamase (ESBL) and non-ESBL strains among Lebanese patients. This retrospective study was conducted at multiple tertiary healthcare centers in South Lebanon, between January and September 2017, including 551 patients of all age groups. Demographic, clinical, and laboratory data of patients were collected and analyzed statistically. The prevalence of UTI in Lebanon was highest in adults between 19 and 64 years (44%). was the predominant uropathogenic organism (67.1%) followed by (10%) and (3.7%). ESBL represented 32.9% of the UTI agents. The three common uropathogens studied were found to be most susceptible to imipenem (100%) and meropenem (100%). Interestingly, 115 (25.1%) out of the 458 isolates were resistant to more than eight antibiotics while 107 (23.4%) were susceptible to all antibiotics studied. Our study underlined the importance of adequate antimicrobial prescription for UTIs in Lebanon to avoid multidrug resistance.