Urinary tract infections in adult and adolescent males of a developing community: pattern, bacteriology and genito-urinary predisposing factors.

OBJECTIVES

Analysis of 95 consecutive adult and adolescent males with urinary tract infections to determine the pattern, bacteriology and the predisposing causes.

METHODS

The period was 12 months, and the number of patients was 95 consecutive cases. They were adult and adolescent males with urinary tract infection. Their age ranged from 13-100 years, (median 55, mean 53.3 years).

RESULTS

Hospital and community acquired urinary tract infections occurred in 40% and 60% of patients respectively. E. coli was isolated from 66.7% of community acquired infections, which was well below the reported literature of 80-90%.

CONCLUSIONS

Enterococci and Enterobacter spp. Appear to be emerging as important hospital and community acquired urinary tract pathogens in males. Bladder outflow obstruction accounted for over 50% of all genito urinary causes of urinary tract infections, while genitourinary malignancy occurred in nearly 20% of patients. The implications of these findings are discussed.