Characterization of Bacterial Pathogens of the Urinary Tract in Type 2 Diabetes Patients at Mzuzu Central Hospital, Northern Malawi

This study examined UTIs and antibiotic resistance among 294 people with type 2 diabetes, identifying an 11% UTI prevalence that was significantly higher in those with mean blood sugar levels above 190 g/dl, traders, and individuals diagnosed for 5–10 years. E. coli (43.8%) was the most common pathogen and showed the highest resistance, including to third‑generation cephalosporins, with 62.5% confirmed as ESBL producers. These findings highlight a growing public health concern and emphasize the need for routine UTI screening, antimicrobial susceptibility testing, and stronger antibiotic resistance surveillance in diabetic populations.

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