Factors associated with specific uropathogens in catheter-associated urinary tract infection: Developing a clinical prediction model

Oh, Won Sup; Hur, Ji An; Kim, Eu Suk; Park, Kyung Hwa; Choi, Hee Kyoung; Moon, Chisook; Kim, Baek-Nam

doi:10.1177/0300060514543035

Cited by 11 publications

(9 citation statements)

References 20 publications

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“…UTIs are mostly complicated with various predisposing factors [5]. In more than 80% of the cases, they are related to the use of urologic devices including foley catheters [6], and according to risk factors and clinical settings, there are several described uropathogens [7]. E. coli is reported as the most common pathogen of UTIs, followed by the second most common, K. pneumonia [8].…”

Section: Introductionmentioning

confidence: 99%

Comparison of Escherichia coli and Klebsiella pneumoniae Acute Pyelonephritis in Korean Patients

et al. 2019

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Background Escherichia coli and Klebsiella pneumoniae are two of the most common causes of urinary tract infection. The purpose of this study was to compare clinical characteristics and antimicrobial susceptibility of acute pyelonephritis (APN) between E. coli and K. pneumoniae . Materials and Methods We retrospectively reviewed medical records of patients with APN due to E. coli and K. pneumoniae between February 2014 and October 2017. Results A total 329 patients were enrolled; 258 cases of E. coli and 71 cases of K. pneumoniae . Among them, 219 cases were categorized into community-onset APN; 194 cases of E. coli and 25 cases of K. pneumoniae , and 110 patients were categorized into healthcare-associated APN; 64 cases of E. coli and 46 cases of K. pneumoniae . Catheter-associated APN was more frequently observed in K. pneumoniae in both community-onset and healthcare-associated APN. Neurogenic bladder, obstructive uropathy, urinary tract stone, bacteremia, and severe APN were more related to E. coli in healthcare-associated APN. In multivariate analysis, urinary catheter was more associated with K. pneumoniae (odds ratio [OR] 9.643, 95% confidence intervals [CI] 4.919-18.904, P = 0.001) and neurogenic bladder was more associated with E. coli (OR 3.765, 95% CI 1.112-12.772, P = 0.033). Extended-spectrum β-lactamase (ESBL) production was observed in 29.0% of E. coli in community-onset APN. Among ESBL, antimicrobial susceptibility of piperacillin/tazobactam was significantly higher in E. coli and ciprofloxacin was significantly higher in K. pneumoniae . Conclusion K. pneumoniae were more associated with urinary catheter while E. coli tended to be more associated with urogenital problems. ESBL positivity showed no significance in healthcare-associated APN. In community-onset APN, ESBL producing E. coli was more observed than K. pneumoniae .

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Section: Introductionmentioning

confidence: 99%

Comparison of Escherichia coli and Klebsiella pneumoniae Acute Pyelonephritis in Korean Patients

et al. 2019

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“…In a study conducted in Switzerland it was found that 1.5% of the catheterized patients developed UTI. 15 This significant difference of occurrence of UTI following urinary catheterization, between the two countries could be due to the strict aseptic measures taken in developed countries for urinary catheterization. Such strict measures should also be taken in the developing countries to reduce occurrence of UTI following urinary catheterization.…”

Section: Discussionmentioning

confidence: 99%

Post Transurethral Resection of Prostate Histopathological Proven Chronic Prostatitis

2016

J Surg Pak

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“…and Staphylococci. 64 Higher rates of CAUTIs and antibiotic-resistant organisms have been reported in parts of Asia. Hence, antimicrobial treatment choice should be guided by local antibiograms and culture results (LE: 4).…”

Section: Catheter-associated Utismentioning

confidence: 99%

“…Candida species are the most common uropathogens, followed by Enterococci , E. coli , Pseudomonas spp., Klebsiella spp. and Staphylococci . Higher rates of CAUTIs and antibiotic‐resistant organisms have been reported in parts of Asia.…”

Section: Urinary Tract Infectionsmentioning

confidence: 99%

Summary of the UAA‐AAUS guidelines for urinary tract infections

et al. 2017

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Urinary tract infections, genital tract infections and sexually transmitted infections are the most prevalent infectious diseases, and the establishment of locally optimized guidelines is critical to provide appropriate treatment. The Urological Association of Asia has planned to develop the Asian guidelines for all urological fields, and the present urinary tract infections, genital tract infections and sexually transmitted infections guideline was the second project of the Urological Association of Asia guideline development, which was carried out by the Asian Association of Urinary Tract Infection and Sexually Transmitted Infection. The members have meticulously reviewed relevant references, retrieved via the PubMed and MEDLINE databases, published between 2009 through 2015. The information identified through the literature review of other resources was supplemented by the author. Levels of evidence and grades of recommendation for each management were made according to the relevant strategy. If the judgment was made on the basis of insufficient or inadequate evidence, the grade of recommendation was determined on the basis of committee discussions and resultant consensus statements. Here, we present a short English version of the original guideline, and overview its key clinical issues.

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Factors associated with specific uropathogens in catheter-associated urinary tract infection: Developing a clinical prediction model

Cited by 11 publications

References 20 publications

Comparison of Escherichia coli and Klebsiella pneumoniae Acute Pyelonephritis in Korean Patients

Comparison of Escherichia coli and Klebsiella pneumoniae Acute Pyelonephritis in Korean Patients

Post Transurethral Resection of Prostate Histopathological Proven Chronic Prostatitis

Summary of the UAA‐AAUS guidelines for urinary tract infections

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