2018
DOI: 10.1089/mdr.2016.0318
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Frequency and Antibiotic Resistance of Bacteria Implicated in Community Urinary Tract Infections in North Aveiro Between 2011 and 2014

Abstract: The results of this study emphasized the relevance to consider sex as a differentiating factor in the choice of UTI empirical treatment, mainly due to differences in antimicrobial resistance. From the first line drugs recommended by the European Association of Urology (EAU) to empirical treatment of uncomplicated UTI, nitrofurantoin is the most appropriate drug for both sexes. Ciprofloxacin, although appropriate for treatment in women, is not appropriate to treat UTIs in men. From the second line drugs, both t… Show more

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Cited by 23 publications
(21 citation statements)
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“…Nonetheless, some of the higher resistance frequencies in this study were detected against important antimicrobials for UTI treatment, such as trimethoprim-sulfamethoxazole, fluoroquinolones and beta-lactams. A previous study from Portugal reported higher antimicrobial resistance frequencies among P. mirabilis from humans with communityacquired UTI (Costa et al, 2018). Part of the companion animal P. mirabilis strains here characterized have been included in a previous study analysing the temporal trends of antimicrobial resistance in UTI (Marques et al, 2017).…”
Section: Discussionmentioning
confidence: 99%
See 1 more Smart Citation
“…Nonetheless, some of the higher resistance frequencies in this study were detected against important antimicrobials for UTI treatment, such as trimethoprim-sulfamethoxazole, fluoroquinolones and beta-lactams. A previous study from Portugal reported higher antimicrobial resistance frequencies among P. mirabilis from humans with communityacquired UTI (Costa et al, 2018). Part of the companion animal P. mirabilis strains here characterized have been included in a previous study analysing the temporal trends of antimicrobial resistance in UTI (Marques et al, 2017).…”
Section: Discussionmentioning
confidence: 99%
“…Proteus mirabilis are known to cause community-acquired urinary tract infections (UTI) in humans and are important agents of nosocomial UTIs (Armbruster and Mobley, 2012;Costa et al, 2018). After E. coli, which is the main cause of UTI, P. mirabilis is the second most common Enterobacteriacea isolated in companion animals with UTI (Moyaert et al, 2017).…”
Section: Introductionmentioning
confidence: 99%
“…Despite the useful aspects of antibiotics, the definitive mechanism underlying their growth-promoting effect remains unknown (Kumar et al 2018). Additionally, the prolonged use of antibiotics may lead to the development of bacteria resistant to drugs, which can be transferred to humans (Costa et al 2018); thus, the elimination of the use of antibiotics as feed additives is desirable. Therefore, alternate approaches to replace antibiotics in poultry production are urgently needed.…”
Section: Introductionmentioning
confidence: 99%
“…However, it's resistance has become a global public health crisis over the decades with the spread of multi-resistant bacteria [2]. Whether natural, acquired, crossresistance or co-resistance, the disaster of increasing antibiotic ineffectiveness is now an established reality in every country in the world [2][3][4][5][6].…”
Section: Introductionmentioning
confidence: 99%