Abstract
Objective: To determine the association between vitamin D deficiency and urinary tract infections within the local population.
Methods: In this cross-sectional study, urine and blood samples of 174 participants (87 healthy controls and 87 UTI patients) were collected by standard operating procedures. Urine samples were processed for the physical, chemical, microscopic examination and culture & sensitivity. The disinfectant susceptibility examination was skilled by using the Kirby-Bauer disc diffusion test by CLSI recommendations. Vitamin D levels of the participants were determined in blood samples by the ELISA technique.
Results: Out of 87 urine samples of UTI patients, 84 (96.5%) were growth positive; out of these positive cases, Gram-negative bacteria were 75(89.3%) in comparison to Gram-positive bacteria, which were 8(9.5%), and 1(1.2%) was Candida albicans. In all of these isolates, Escherichia coli was the predominant 49(56.3%) uropathogens and a higher frequency was observed in young females. The majority of the UTI patients, 68(78.2%), revealed a vitamin D deficiency, compared to 5(5.7%) in the control group participants. There was a statistically significant difference (p-value .001).
Conclusion: This study highlights the strong correlation between vitamin D deficiency and UTI.
References
Ali SB, Perdawood D, Abdulrahman RM, Al Farraj D, Alkubaisi N. Vitamin D deficiency as a risk factor for urinary tract infection in women at reproductive age. Saudi J Biol Sci. 2020; 27(11):2942–2947. https://doi.org/10.1016/j.sjbs.2020.08.008
Arshad S, Zaidi SJA. Vitamin D levels among children, adolescents, adults, and elders in the Pakistani population: a cross-sectional study. BMC Public Health. 2022 Nov 8;22(1):2040. https://doi.org/10.1186/s12889-022-14526-6.
Benedik E. Sources of vitamin D for humans. Int J Vitam Nutr Res. 2022 Mar;92(2):118-125. https://doi.org/10.1024/0300-9831/a000733.
Hosman IS, Roić AC, Brinar IV, Tonko Gulin, Marijana Ćorić, Dunja Rogić, et al. Cathelicidin in Urinary Tract Diseases: Diagnostic, Prognostic and Therapeutic Potential of an Evolutionary Conserved Antimicrobial Protein. Medicina. 2024 Dec 6;60(12):2015–5. https://doi.org/10.3390/medicina60122015
Madrazo, M., Esparcia, A., López-Cruz, I. et al. Clinical impact of multidrug-resistant bacteria in older hospitalized patients with community-acquired urinary tract infection. BMC Infect Dis.2021 21(1232). https://doi.org/10.1186/s12879-021-06939-2
Kebbeh A, Dsane-Aidoo P, Sanyang K, Darboe SMK, Fofana N, Ameme D, Sanyang AM, Darboe KS, Darboe S, Sanneh B, Kenu E, Anto F. Antibiotics susceptibility patterns of uropathogenic bacteria: a cross-sectional analytic study at Kanifing General Hospital, The Gambia. BMC Infect Dis. 2023 Oct 25;23(1):723. https://doi.org/10.1186/s12879-023-08373-y.
Gbinigie O, Allen J, Williams N, Moore M, Hay AD, Heneghan C, et al. Does cranberry extract reduce antibiotic use for symptoms of acute uncomplicated urinary tract infections (CUTI)? A feasibility randomised trial. BMJ Open. 2021 Feb;11(2):e046791. https://doi.org/10.1136/bmjopen-2020-046791
Grigoryan L, Mulgirigama A, Powell M & Schmiemann G. The emotional impact of urinary tract infections in women: a qualitative analysis BMC Women’s Health. 2022 22:182. https://doi.org/10.1186/s12905-022-01757-3
Collins L, Sathiananthamoorthy S, Rohn J, Malone-Lee J. A revalidation and critique of assumptions about urinary sample collection methods, specimen quality and contamination. Int Urogynecol J. 2020 Jun;31(6):1255-1262. https://doi.org/10.1007/s00192-020-04272-x.
Arienzo A, Cellitti V, Ferrante V, Losito F, Stalio O, Murgia L, Marino R, Cristofano F, Orrù M, Visca P, Somma SD, Silvestri L, Ziparo V & Antonini G. A new point-of-care test for the rapid detection of urinary tract infections. Eur J Clin Microbiol Infect Dis. 2020 Feb;39(2):325-332. https://doi.org/10.1007/s10096-019-03728-3
Fan H, Hui L, Yan X, Hou W, Bai E, Wang L & Yu X. Serum 25 hydroxyvitamin D levels and affecting factors among preconception fertile women. BMC Women's Health 2020 20:146. https://doi.org/10.1186/s12905-020-01018-1
Gebretensaie Y, Atnafu A, Girma S, Alemu Y, Desta K. Prevalence of Bacterial Urinary Tract Infection, Associated Risk Factors, and Antimicrobial Resistance Pattern in Addis Ababa, Ethiopia: A Cross-Sectional Study. Infect Drug Resist. 2023 May 16;16:3041-3050. https://doi.org/10.2147/IDR.S402279.
Nampelli G, Reddy Gunnala S, Nimmagadda R, Kumar Redy VS. A Study On Urine Analysis Parameters and Antimicrobial Susceptibility of Uropathogens Among Children of Suspected Uti in A Tertiary Care Hospital. Journal of Neonatal Surgery. 2025 Mar 6;14(4S):1316–28
Donkor ES, Horlortu PZ, Dayie NTDK, Nkrumah NO & Labi AK. Community acquired urinary tract infections among adults in Accra, Ghana, Infection and Drug Resistance. 2019 2059-2067. https://doi.org/10.2147/IDR.S204880
Wojno KJ, Baunoch D, Luke N, Opel M, Korman H, Kelly C, Jafri SMA, Keating P, Hazelton D, Hindu S, Makhloouf B, Wenzler D, Sabry M, Burks F, Penaranda M, Smith DE, Korman A, & Sirls L. Multiplex PCR Based Urinary Tract Infection (UTI) Analysis Compared to Traditional Urine Culture in Identifying Significant Pathogens in Symptomatic Patients. urology 2020 136, 119-126. https://doi.org/10.1016/j.urology.2019.10.018
Carlotta N, Nitin M, Dave B, Bhaskar Kumar S. Gram negative bacteria related urinary tract infections: spectrum of antimicrobial resistance over 9 years in a University tertiary referral Hospital. Ther Adv Infect Dis, 2024 2;11:20499361241228342. https://doi.org/10.1177/20499361241228342
Zhou Y, Zhou Z, Zheng L, Gong Z, Jin Y, Huang Y, & Chi M. Urinary Tract Infections Caused by Uropathogenic Escherichia coli: Mechanisms of Infection and Treatment Options. Int J Mol Sci. 2023 Jul; 24(13): 10537. https://doi.org/10.3390/ijms241310537
Muntean C, Sasaran M. Vitamin D Status and Its Role in First-Time and Recurrent Urinary Tract Infections in Children: A Case-Control Study. Children 2021, 8(5):419. https://doi.org/10.3390/children8050419
Chidambaram S, Pasupathy U, Geminiganesan S, Divya R. The Association between Vitamin D and Urinary Tract Infection in Children: A Case-Control Study. May 24, 2022 Cureus 14(5): e25291. https://doi.org/10.7759/cureus.25291

This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
Copyright (c) 2025 Wajid Hussain, Sheikh Sajjad Ahmed, Fakhur Uddin , Shahida Kashif , Mubashira Adnan , Faiza Zeeshan

