A Policy Brief: Addressing Urinary Tract Infections and Antibiotic Resistance in Qazvin, Iran
| Author | Hamid Sadeghi | en |
| Author | Solmaz Farrokhzad | en |
| Author | Ali Akbar Karami | en |
| Author | Seyyedeh Sara Nazemsadati | en |
| Author | Fatemeh Karimi Dermani | en |
| Author | Saeideh Gholamzadeh Khoei | en |
| Orcid | Fatemeh Karimi Dermani [0000-0002-5484-3156] | en |
| Orcid | Saeideh Gholamzadeh Khoei [0000-0003-2675-9392] | en |
| Accessioned Date | 2026-07-14T18:54:18Z | |
| Issued Date | 2026-03-31 | en |
| Abstract | Background: Urinary tract infections (UTIs) are among the most prevalent bacterial infections worldwide and represent a major driver of antibiotic consumption. Inappropriate empirical treatment and limited community-level surveillance have contributed to the rapid expansion of antimicrobial resistance (AMR), particularly in outpatient settings. In Iran, most available resistance data originate from hospitalized populations, leaving an important evidence gap regarding community-acquired UTIs. Objectives: This policy brief aims to assess the prevalence of UTIs and antimicrobial susceptibility patterns in a non-hospital laboratory setting in Qazvin Province, Iran, and to propose evidence-informed policy options to improve antibiotic stewardship and reduce AMR. Methods: This policy brief summarizes the evidence from a retrospective cross-sectional analysis of 3,521 urine samples obtained from patients referred to Mehr Clinical Laboratory between April 2017 and January 2019. Bacterial isolates were identified using standard culture techniques, and antimicrobial susceptibility testing was performed in accordance with Clinical and Laboratory Standards Institute (CLSI) guidelines using the disk diffusion method. Conclusions: The study demonstrates a considerable burden of community-acquired UTIs and substantial resistance to commonly prescribed antibiotics. Strengthening community-based surveillance, promoting rational prescribing, and expanding public education are essential to contain AMR and improve UTI management in Iran. | en |
| DOI | https://doi.org/10.69107/jid-170551 | en |
| URI | https://brieflands.com/journals/jid/articles/170551 | en |
| URI | https://repository.brieflands.com/handle/123456789/68020 | |
| Keyword | Policy Brief | en |
| Keyword | Urinary Tract Infections | en |
| Keyword | Antimicrobial Resistance | en |
| Keyword | Community Surveillance | en |
| Publisher | Brieflands | en |
| Title | A Policy Brief: Addressing Urinary Tract Infections and Antibiotic Resistance in Qazvin, Iran | en |
| Type | Brief Report | en |
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