Evaluation of Community-acquired Lower Urinary Tract Infections

Coşkun, Belgin; Ayhan, Müge

doi:10.4274/atfm.galenos.2022.76598

Cited by 2 publications

(1 citation statement)

References 18 publications

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“…Considering the findings of the present study and the studies that were carried out in our country between 2013 and 2023, the resistance rate of only aminoglycosides and carbapenems was under 20% for both of the bacteria. In addition, fosfomycin and nitrofurantoin resistance rates of E. coli strains were under 20% [9,10,[13][14][15][16] .…”

Section: Discussionmentioning

confidence: 99%

Bacteria That Cause Community-Acquired Urinary Tract Infections and Their Antibiotic Resistance Profiles

Daldaban Dinçer

2023

Haydarpasa Numune Med J

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Introduction: Urinary tract infections (UTIs) are one of the most common community-acquired infectious diseases globally. This study was conducted to contribute to the data of our country by examining the distribution of UTI agents isolated from outpatients and their antibiotic susceptibility results. Methods: The positive urine cultures of 24,917 outpatients aged 18 years and older, which were sent to the Istanbul Public Hospitals Services Presidency-2 Central Laboratory between January 2016 and December 2019, and their antibiotic susceptibility results were retrospectively evaluated. Results: Of the 24,917 uropathogens, 87% were Gram-negative bacteria and 13% were Gram-positive bacteria. The most commonly isolated organisms were Escherichia coli (57%), Klebsiella pneumoniae (15%), and Enterococcus spp (12%). E. coli showed high resistance to all antibiotics tested except for aminoglycoside group, carbapenem group, nitrofurantoin, and fosfomycin, while K. pneumoniae showed high resistance to all antibiotics except for aminoglycoside group and carbapenem group. In enterococci, high-level resistance was determined only to gentamicin and ciprofloxacin. Discussion and Conclusion: In our study, it was determined that most of the antibiotics used for the treatment of community-acquired UTIs had a higher resistance rate than the recommended 10-20% value for empirical treatment. We think that it is very important to follow region-specific epidemiological data, take the necessary measures, and use antibiotics rationally.

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Section: Discussionmentioning

confidence: 99%

Bacteria That Cause Community-Acquired Urinary Tract Infections and Their Antibiotic Resistance Profiles

Daldaban Dinçer

2023

Haydarpasa Numune Med J

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Antibiotic resistance rates of <i>Klebsiella pneumoniae</i> strains isolated from urine cultures

Aytaç

2024

Northwestern Med J

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Aim: Our study aimed to determine the antibiotic resistance rates of K. pneumoniae by retrospectively examining the results of urine culture samples studied in our laboratory. Methods: Urine samples with K. pneumoniae growth, sent to our laboratory from various wards, outpatient clinics, and intensive care units between July 1, 2018 and December 31, 2022 were included in the study and retrospectively examined. Results: The antibiotic to which K. pneumoniae was most resistant was cefixime (53.3%), and the antibiotic to which it was least resistant was imipenem (12.1%). While the lowest resistance rates were observed in the samples of outpatients, the highest resistance rates were observed in the samples of ward patients and to cefixime (81%), amoxicillin clavulanic acid (AMC) (80%), trimethoprim-sulfamethoxazole (TMT/SXT) (74.8%), and ciprofloxacin (72.1%). Ertapenem (48.9%), meropenem (50.2%) and piperacillin-tazobactam (PRP) (57.3%) resistance was found to be higher in intensive care patients. Conclusion: Although fluctuations in resistance rates have been observed over the years, resistance rates have generally been found to be high for antibiotics frequently used in the empirical treatment of urinary tract infections. Re-adjusting treatment according to culture results and keeping resistance rates in mind for empirical treatment will be important for treatment success.

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Evaluation of Community-acquired Lower Urinary Tract Infections

Cited by 2 publications

References 18 publications

Bacteria That Cause Community-Acquired Urinary Tract Infections and Their Antibiotic Resistance Profiles

Bacteria That Cause Community-Acquired Urinary Tract Infections and Their Antibiotic Resistance Profiles

Antibiotic resistance rates of <i>Klebsiella pneumoniae</i> strains isolated from urine cultures

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