Prevalence and Isolation of Escherichia coli in Male and Female UTI Patients in Sabratha region
Keywords:
UTI, E. coli, age groupsAbstract
Background: Urinary tract infections (UTIs) are among the most common bacterial infectious diseases encountered in clinical practice and account for significant morbidity and high medical costs. Escherichia coli is the most predominant pathogen causing 80-90% of community-acquired UTIs and 30-50% of nosocomial-acquired UTIs.
Objectives: the aim of this study is to evaluate the presence of E.coli in the Urinary tract infection (UTIs) in different age and sex patients in the area of the study.
Methods: The present study was conducted at Sabratha hospital during the period of October -December 2025. The samples were collected from UTIs patients (n= 629) (384) females and (245) males, who were registered in this research and the urine samples were taken aseptically for microbial culture. Patients were divided into 18 age groups.
Results: A total of patients (n= 629): (384) females and (245) males of urine were cultured on CLED agar, equal or more than 105 CFU/ml of a single potential pathogen was interpreted as positive. Out of these samples (236): (138) females and (98) males gave positive growth on CLED agar. On the other hand, total percentage of prevalence in female samples recorded (35.93%) while the highest percentage of infection from the total positive samples recorded in (0-5) age group (19.56%). In male samples the total percentage of prevalence recorded (40.0%) while the highest percentage of infection from the total positive samples recorded in (0-5) age group (37.75%).
Conclusion :This study showed a significant prevalence of urinary tract infections among the examined patients using CLED agar. Although more samples were collected from females, the proportion of positive cases was slightly higher in males. The highest infection rates were observed in children aged 0–5 years in both genders. These findings suggest increased susceptibility to infection in early childhood. Routine urine culture is essential for accurate diagnosis of UTIs. Early detection helps in effective treatment and prevention of complications.
Findings: The data revealed a predominance of the traditional production system, with 42.5% of respondents indicating that theoretical education is the prevailing model. Multiple regression analysis identified funding adequacy (β = 0.31, p < 0.001), academic staff efficiency (β = 0.27, p < 0.001), and infrastructure quality (β = 0.22, p = 0.002) as the three strongest predictors of perceived institutional productivity, collectively explaining 41.3% of the variance (R² = 0.413, F(5,432) = 57.42, p < 0.001). A strong consensus favored curriculum reform (75.3%, 95% CI: [71.3%, 79.4%]) and the adoption of a dual education model (75.3%) as primary development strategies.
Originality/Value: This paper presents an empirical classification of educational production systems in Libya, contributing to the limited body of research on higher education productivity in conflict-affected Arab states. We propose a measurable development model built on three pillars—institutional governance reform, effective industrial partnership development, and the establishment of a sustainable financing system—operationalized through Key Performance Indicators (KPIs) and phased implementation timelines
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