Original Investigation

Antimicrobial Resistance Trends in Urinary Tract Infections in 6 African Countries

JAMA Network Open 10.1001/jamanetworkopen.2026.21865

July 09, 2026 at 11:00 AM EDT

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What are the trends of antimicrobial resistance in urinary and in Africa between 2010 and 2022?In this cross-sectional study of 44 367 urinary isolates from Benin, Cameroon, Central African Republic, Madagascar, Morocco, and Senegal, most resistance increased over time, including amoxicillin-clavulanate resistance in most countries. Projected trends suggested that third-generation cephalosporin and carbapenem resistance could exceed 90% by 2050 in most countries.These findings underscore the need for action to curb antimicrobial resistance in Africa.

Corresponding Author: Bich-Tram Huynh, Epidemiology and Modelling of Antibacterial Evasion, Institut Pasteur, Université Paris Cité, 25 Rue du Docteur Roux, 75015 Paris, France (bich-tram.huynh@pasteur.fr).

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