Community-associated urinary infections requiring hospitalization: Risk factors, microbiological characteristics and patterns of antibiotic resistance

Medina-Polo, J.; Guerrero-Ramos, F.; Pérez-Cadavid, S.; Arrébola-Pajares, A.; Sopeña-Sutil, R.; Benítez-Sala, R.; Jiménez-Alcaide, E.; García-González, L.; Alonso-Isa, Manuel; Lara-Isla, A.; Passas-Martínez, J.B.; Tejido-Sánchez, Á.

doi:10.1016/j.acuroe.2015.01.009

Cited by 11 publications

(6 citation statements)

References 26 publications

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“…Finally, some studies suggest that having had a previous CAUTI places one at higher risk of developing a recurrent CAUTI. However, findings from a study by Medina-Polo, et al (2015) [10] suggest that a lower number of individuals had recurrent infections with catheter use, suggesting a previous infection was not predictive of another CAUTI. Current evidence, while limited, is conflicting regarding whether indwelling catheters place individuals at higher risk for CAUTI.…”

Section: Discussionmentioning

confidence: 96%

Reducing Catheter Acquired Urinary Tract Infections: Mini Report of the State of the Evidence for Indwelling Versus External Urinary Devices

Kelechi¹

2017

NHIJ

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Problem: Catheter-associated urinary tract infections (CAUTI) are the most frequent types of hospital acquired infections associated with urinary catheters. Purpose: The purpose of this mini review was to determine whether external urinary containment devices compared to indwelling containment devices reduce the incidence of CAUTI in hospitalized patients. Methods: A search of the literature was conducted from years 2012 to present, resulting in extracted data from four studies and one systematic review. Results: There is no difference between external and indwelling urinary containment devices in the prevalence of CAUTI in hospitalized patients. The same microbial flora is associated with infection in both devices. Conclusions: There is no recommendation for the use of one type of catheter over the other in preventing CAUTI in patients requiring catheters during hospitalization. Routine catheter care and early removal remain the most important nursing care considerations.

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Section: Discussionmentioning

confidence: 96%

Reducing Catheter Acquired Urinary Tract Infections: Mini Report of the State of the Evidence for Indwelling Versus External Urinary Devices

Kelechi¹

2017

NHIJ

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“…ESBLs are found in enterobacteria, mainly Klebsiella sp. and E. coli, which implies resistance to antibiotics such as penicillin, cephalosporin, and aztreonam [1].…”

Section: Discussionmentioning

confidence: 99%

“…Urinary tract infections (UTI) are one of the most frequent complications during pregnancy after anemia of pregnancy, however, urinary tract infections can affect both maternal and perinatal health, as well as the evolution of pregnancy [1]. The indiscriminate use of antibiotics, together with the increased mobilization that occurs in human populations, facilitates the spread of multi-resistant bacteria, particularly the extendedspectrum beta-lactamase (ESBL) producing Escherichia Coli (ESBL+E.coli) [1,2].…”

Section: Introductionmentioning

confidence: 99%

Risk Factors for the Development of Urinary Tract Infection During Pregnancy Caused by Extended-Spectrum Beta-Lactamase Producing Gram-Negative Bacteria

Ignacio

2022

JOJCS

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Background: Antimicrobial resistance is increasing worldwide, previous hospitalizations and use of antibiotics are well known risks factors for the development of urinary tract infections causedby gram-negative beta-lactamase producing bacteria, however, we know little about this problem during pregnancy.Objective: To determine the risk factors for the development of urinary tract infections caused by extended spectrum beta lactamase producing gram-negative bacteria during pregnancy. Methods:A case-control study was performed in 336 pregnant women with urinary tract infections caused by extended spectrum beta lactamase (ESBL) producing gram-negative bacteria and alsonon-producing extended spectrum beta lactamase gram-negative bacteria treated at the Women's Hospital in Culiacan, Mexico, between February 2019 and January 2020. Logistic regression was used to calculate odds ratio (OR) and 95% confidence intervals (95% CI). Results:The risk factors were recurrent urinary infection (OR = 1.84; 95% CI: 1.01, 3.34), Ceftriaxone administration (OR = 2.10; 95% CI: 1.01, 4.39), previous hospitalizations (OR = 4.03; 95% CI: 2.04, 7.93). Conclusion:The risk factors for urinary tract infections caused by extended spectrum beta lactamase producing gram-negative bacteria during pregnancy were previous hospitalizations, administration of ceftriaxone, and recurrent urinary tract infections.

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“…The association with older age and male gender may represent complicated urinary tract infections more likely to occur in these populations, which may include catheter-associated infections or prostatitis requiring prolonged treatment with extended-spectrum beta-lactam drugs. [25] Since multidrug resistance is associated with ESBL-E. coli, factors contributing to frequent antibiotic exposures among older persons in community settings, such as frequent contact with healthcare, higher likelihood of recurrent urinary tract infection, and urinary retention requiring catheterization, may also contribute to the ESBL-E. coli selection. [9,11,[26][27][28] Few studies have found differences in ESBL-E. coli infection by race/ethnicity, independent of healthcare exposures.…”

Section: Discussionmentioning

confidence: 99%

Trends in Prevalence of Extended-Spectrum Beta-Lactamase-Producing Escherichia Coli Isolated From Patients With Community- And Healthcare-Associated Bacteriuria: Results From 2014 To 2020 In An Urban Safety-Net Healthcare System

Raphael

Glymour

Chambers

2021

Preprint

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BackgroundThe prevalence of infections caused by extended-spectrum beta-lactamase producing Escherichia coli (ESBL-E. coli) is increasing worldwide, but the setting in which this increase is occurring is not well defined. We compared trends and risk factors for ESBL-E. coli bacteriuria in community vs healthcare settings.MethodsWe collected electronic health record data on all patients with E. coli isolated from urine cultures in a safety-net public healthcare system from January 2014 to March 2020. All analyses were stratified by healthcare-onset/associated (bacteriuria diagnosed > 48 hours after hospital admission or in an individual hospitalized in the past 90 days or in a skilled nursing facility resident, N=1,277) or community-onset bacteriuria (all other, N=7,751). We estimated marginal trends from logistic regressions to evaluate annual change in prevalence of ESBL-E. coli bacteriuria among all bacteriuria. We evaluated risk factors using logistic regression models.ResultsESBL-E. coli prevalence increased in both community-onset (0.91% per year, 95% CI: 0.56%, 1.26%) and healthcare-onset/associated (2.31% per year, CI: 1.01%, 3.62%) bacteriuria. In multivariate analyses, age >65 (RR 1.88, CI: 1.17, 3.05), male gender (RR 2.12, CI: 1.65, 2.73), and Latinx race/ethnicity (RR 1.52, CI: 0.99, 2.33) were associated with community-onset ESBL-E. coli. Only male gender (RR 1.53, CI: 1.03, 2.26) was associated with healthcare-onset/associated ESBL-E. coli.ConclusionsESBL-E. coli bacteriuria frequency increased at a faster rate in healthcare-associated settings than in the community between 2004 to 2020. Male gender was associated with ESBL-E. coli bacteriuria in both settings, but additional risks—age >65 and Latinx race/ethnicity—were observed only in the community.

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Community-associated urinary infections requiring hospitalization: Risk factors, microbiological characteristics and patterns of antibiotic resistance

Cited by 11 publications

References 26 publications

Reducing Catheter Acquired Urinary Tract Infections: Mini Report of the State of the Evidence for Indwelling Versus External Urinary Devices

Reducing Catheter Acquired Urinary Tract Infections: Mini Report of the State of the Evidence for Indwelling Versus External Urinary Devices

Risk Factors for the Development of Urinary Tract Infection During Pregnancy Caused by Extended-Spectrum Beta-Lactamase Producing Gram-Negative Bacteria

Trends in Prevalence of Extended-Spectrum Beta-Lactamase-Producing Escherichia Coli Isolated From Patients With Community- And Healthcare-Associated Bacteriuria: Results From 2014 To 2020 In An Urban Safety-Net Healthcare System

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