Antimicrobial Susceptibility of Uropathogenic Escherichia coli with Analysis of Impact of Socio-Economic Factors in Low, Medium and High-Income Countries

Meher Rizvi; Maria Khan; Amina AL Jardani; Ujjala Ghoshal; Zaaima AL Jabri; Mohammad Ahanjan; Azza AL Mamari; Nawal AL Shizawi; Hiba Sami; Abdullah Balkhair; Adila Shaukat; Alwarith Nasser Salem Alkharusi; Abdulrahman Almahrouqi; Afreenish Hassan; Ajay Kumar; Amal Malehi; Amina Gul; Ashima Singh; Asma Said Hamed AL Shidhani; Areena Hoda Siddiqui; Aruna Poojary; Azza AL Rashdi; Bradley Langford; Dmytro Stepanskyi; Abbas Dolatabadi; Aisha Al Mufraji AL Mufraji; Elham Said Ahmed AL Risi; Garima Kapoor; Isabella Princess; Hatim Ali Eltahir; Hilal Al Sidairi; Kaitlyn Dougherty; Katia Iskandar; Ken Masters; Ibrahim Khalaf Hamdan AL Busaidi; Laila AL Yazidi; Mahfuza Nasrin; Mahmood Salim AL Subhi; Mallika Sengupta Mallika Sengupta; Manisha Khandait; Nada Khalfan AL Tamtami; Nada Khafan Alsiyabi; Nawal AL Kindi; Nazla Musthafa Luthfee; Neha Shreshtha; Nihal Mohamed Amur AL Riyami; Noora Hilal Ali AL Busaidi; Nupur Goel; Oksana Ishchenko; Omnia Mohamed Elnabawy Ahmed Taher; Pragnya Paramita Jena; Rajni Ekadashi; Razan Zadjali; Reba Kanungo; Sara Abolghasemi; Salima Al-maqbali; Sanjay Jaju; Sayantan Banerjee; Shadma Yaqoob; Shahnaz Sali; Shafqat Husnain Khan; Shalini Malhotra; Stephen Hughes; Sundas Shaukat; Syed Mohammed Atif; Vrushali Vishwas Patwardhan; Victorien Dougnon; Wahid Khan; Walid Wali; Zakariya AL Muharrmi; Zeeshana Basit; Jasashree Choudhury; Rachita Pravalina; Sanjeev Singh; Sarman Singh; Neelam Taneja; Raman Sardana; Pawan Kapoor; Rajeev Soman; Rashid Al Abri

doi:10.20944/preprints202409.1855.v1

How to cite: Rizvi, M.; Khan, M.; Jardani, A. A.; Ghoshal, U.; Jabri, Z. A.; Ahanjan, M.; Mamari, A. A.; Shizawi, N. A.; Sami, H.; Balkhair, A.; Shaukat, A.; Alkharusi, A. N. S.; Almahrouqi, A.; Hassan, A.; Kumar, A.; Malehi, A.; Gul, A.; Singh, A.; Shidhani, A. S. H. A.; Siddiqui, A. H.; Poojary, A.; Rashdi, A. A.; Langford, B.; Stepanskyi, D.; Dolatabadi, A.; Mufraji, A. A. M. A.; Risi, E. S. A. A.; Kapoor, G.; Princess, I.; Eltahir, H. A.; Sidairi, H. A.; Dougherty, K.; Iskandar, K.; Masters, K.; Busaidi, I. K. H. A.; Yazidi, L. A.; Nasrin, M.; Subhi, M. S. A.; Mallika Sengupta, M. S.; Khandait, M.; Tamtami, N. K. A.; Alsiyabi, N. K.; Kindi, N. A.; Luthfee, N. M.; Shreshtha, N.; Riyami, N. M. A. A.; Busaidi, N. H. A. A.; Goel, N.; Ishchenko, O.; Taher, O. M. E. A.; Jena, P. P.; Ekadashi, R.; Zadjali, R.; Kanungo, R.; Abolghasemi, S.; Al-maqbali, S.; Jaju, S.; Banerjee, S.; Yaqoob, S.; Sali, S.; Khan, S. H.; Malhotra, S.; Hughes, S.; Shaukat, S.; Atif, S. M.; Patwardhan, V. V.; Dougnon, V.; Khan, W.; Wali, W.; Muharrmi, Z. A.; Basit, Z.; Choudhury, J.; Pravalina, R.; Singh, S.; Singh, S.; Taneja, N.; Sardana, R.; Kapoor, P.; Soman, R.; Al Abri, R. Antimicrobial Susceptibility of Uropathogenic Escherichia coli with Analysis of Impact of Socio-Economic Factors in Low, Medium and High-Income Countries. Preprints 2024, 2024091855. https://doi.org/10.20944/preprints202409.1855.v1 Rizvi, M.; Khan, M.; Jardani, A. A.; Ghoshal, U.; Jabri, Z. A.; Ahanjan, M.; Mamari, A. A.; Shizawi, N. A.; Sami, H.; Balkhair, A.; Shaukat, A.; Alkharusi, A. N. S.; Almahrouqi, A.; Hassan, A.; Kumar, A.; Malehi, A.; Gul, A.; Singh, A.; Shidhani, A. S. H. A.; Siddiqui, A. H.; Poojary, A.; Rashdi, A. A.; Langford, B.; Stepanskyi, D.; Dolatabadi, A.; Mufraji, A. A. M. A.; Risi, E. S. A. A.; Kapoor, G.; Princess, I.; Eltahir, H. A.; Sidairi, H. A.; Dougherty, K.; Iskandar, K.; Masters, K.; Busaidi, I. K. H. A.; Yazidi, L. A.; Nasrin, M.; Subhi, M. S. A.; Mallika Sengupta, M. S.; Khandait, M.; Tamtami, N. K. A.; Alsiyabi, N. K.; Kindi, N. A.; Luthfee, N. M.; Shreshtha, N.; Riyami, N. M. A. A.; Busaidi, N. H. A. A.; Goel, N.; Ishchenko, O.; Taher, O. M. E. A.; Jena, P. P.; Ekadashi, R.; Zadjali, R.; Kanungo, R.; Abolghasemi, S.; Al-maqbali, S.; Jaju, S.; Banerjee, S.; Yaqoob, S.; Sali, S.; Khan, S. H.; Malhotra, S.; Hughes, S.; Shaukat, S.; Atif, S. M.; Patwardhan, V. V.; Dougnon, V.; Khan, W.; Wali, W.; Muharrmi, Z. A.; Basit, Z.; Choudhury, J.; Pravalina, R.; Singh, S.; Singh, S.; Taneja, N.; Sardana, R.; Kapoor, P.; Soman, R.; Al Abri, R. Antimicrobial Susceptibility of Uropathogenic Escherichia coli with Analysis of Impact of Socio-Economic Factors in Low, Medium and High-Income Countries. Preprints 2024, 2024091855. https://doi.org/10.20944/preprints202409.1855.v1

Abstract

Background: While mapping Escherichia coli susceptibility in community acquired simple UTIs across 38 centres, DASH to Protect Antibiotics, (https://dashuti.com/), a multiregional study also assessed impact of socio-economic conditions and climate on antimicrobial susceptibility. Methods: The centres were located in the Indian subcontinent, Middle East, North and West Africa, Eurasia, Europe, and North America. Harmonic means were used for comparative analysis of the antimicrobial susceptibility of E. coli in simple cystitis. Kruskal-Wallis test was utilized to compare susceptibility means between the antimicrobials and the GDP. A two-way ANOVA to simultaneously analyzed the impact of the antimicrobials and GDP on the proportion of susceptible E. coli while adjusting for variables (low and high temperature, humidity and population density per sqkm). Findings: Antimicrobial susceptibility varied between regions and within large countries like India and Pakistan. Nitrofurantoin (89%) and fosfomycin (96%) emerged as the most effective antimicrobials. In majority of the centres, susceptibility to other oral antimicrobials was low: cotrimoxazole.

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Antimicrobial Susceptibility of Uropathogenic Escherichia coli with Analysis of Impact of Socio-Economic Factors in Low, Medium and High-Income Countries

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