{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,20]],"date-time":"2026-08-20T07:26:09Z","timestamp":1787210769521,"version":"build-2736575974"},"reference-count":36,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Public Health Research"],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Diabetes mellitus associated with urinary tract infections. This study aimed to determine the prevalence of bacterial infection of urinary tract, assess antimicrobial resistance, and associated factors among asymptomatic diabetic patients attending Felege Hiwot Comprehensive Specialized Hospital, Bahir Dar, northwestern Ethiopia.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>An institution-based cross-sectional study was conducted from January to March 2025 among 248 diabetic patients. Sociodemographic and clinical data were collected using a structured questionnaire. Data were entered into EPI data 3.1 and exported to SPSS v.26. Bivariate and multivariable logistic regression analyses were used to identify factors associated with bacterial infection of urinary tract, with p &lt; 0.05 considered statistically significant.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Of the 248 study participants, 63 (25.4%) had bacterial infection of urinary tract. Gram-negative bacteria predominated, with\n                      <jats:italic toggle=\"yes\">Escherichia coli<\/jats:italic>\n                      (38.1%),\n                      <jats:italic toggle=\"yes\">Klebsiella pneumoniae<\/jats:italic>\n                      (20.6%), and\n                      <jats:italic toggle=\"yes\">Acinetobacter baumannii<\/jats:italic>\n                      (11.1%) being the most common isolates. High resistance was observed to commonly used antibiotics, including\n                      <jats:italic toggle=\"yes\">ampicillin, amoxicillin\u2013clavulanate, chloramphenicol,<\/jats:italic>\n                      and\n                      <jats:italic toggle=\"yes\">co-trimoxazole<\/jats:italic>\n                      . In multivariable analysis, age 19\u201360 years (AOR = 3.95; 95% CI: 1.55\u201310.08), divorced marital status (AOR = 3.05; 95% CI: 1.02\u20139.09), prior history of UTI (AOR = 2.20; 95% CI: 1.12\u20134.33), and longer duration of diabetes (6\u201310 years: AOR = 3.85; &gt;10 years: AOR = 5.50) were significantly associated with bacterial infection of urinary tract.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The findings of this study showed bacterial infection of urinary tract is common among asymptomatic diabetic patients, with a high burden of antimicrobial resistance. Antimicrobial stewardship programs, rational antibiotic use guided by culture and sensitivity testing are essential to reduce infection-related morbidity.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/22799036261480185","type":"journal-article","created":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T13:07:44Z","timestamp":1786972064000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Prevalence, antimicrobial resistance, and risk factors of bacterial urinary tract infections among asymptomatic diabetes mellitus patients in Bahir Dar, Ethiopia"],"prefix":"10.1177","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4159-6288","authenticated-orcid":false,"given":"Alemayehu","family":"Abate","sequence":"first","affiliation":[{"name":"Amhara Public Health Institute"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Melkamnesh","family":"Azage","sequence":"additional","affiliation":[{"name":"Bahir Dar University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abaineh","family":"Munshea","sequence":"additional","affiliation":[{"name":"Bahir Dar University"},{"name":"Bahir Dar University"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,8,17]]},"reference":[{"key":"e_1_3_8_2_2","doi-asserted-by":"publisher","DOI":"10.3390\/pathogens12040623"},{"issue":"7","key":"e_1_3_8_3_2","first-page":"347","article-title":"Urinary tract infection in diabetic patients: etiology and antibiotic sensitivity","volume":"11","author":"Kharde SN","year":"2025","unstructured":"Kharde SN, Anuradha AK, Soumya SS. 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