Antimicrobial Resistance in Urinary Tract Infections in Brazil with Emphasis on the Legal Amazon
DOI:
https://doi.org/10.66104/rdj7s162Keywords:
Antimicrobial Resistance; Escherichia coli; Legal Amazon; Urinary Tract Infections.Abstract
Objective: Urinary tract infections (UTIs) are among the most frequent bacterial infections in clinical practice and represent a major public health concern due to the progressive increase in antimicrobial resistance. This study aimed to analyze the etiological profile and regional patterns of antimicrobial resistance among the main uropathogens in Brazil, with comparative emphasis on the different Brazilian regions, especially the Legal Amazon. Methods: This is an integrative literature review conducted using the PubMed/MEDLINE, SciELO, and Google Scholar databases, including studies published between 2015 and 2025 in Portuguese and English. Eighteen eligible studies containing extractable microbiological data on uropathogens isolated from urine cultures and their respective antimicrobial susceptibility and resistance profiles were selected. Data were organized, standardized, and analyzed descriptively and comparatively. Results: Escherichia coli was the main etiological agent in all analyzed regions. Higher resistance rates were observed for penicillins, antifolates, and fluoroquinolones, whereas nitrofurantoin, fosfomycin, and carbapenems showed lower resistance percentages in most studies. Conclusion: The findings demonstrate important regional differences and reinforce the need for continuous microbiological surveillance and rational antimicrobial use policies in Brazil.
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Copyright (c) 2026 Lucas Wagner Pereira de Souza , Nicolle Juliana Ximendes Gadelha Alves, Nieggy Schuindt Galdino, Siandra Cordeiro Alves , Adriana Cristina Dutra Capila , Jerônimo Vieira Dantas Filho, Rosineide Vieira Gois
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