Investigation of the Results of Urine Cultures and Approaches to Empirical Antibiotic Treatment of Community-Acquired Urinary Tract Infections in Elderly Patients

Ulug, Mehmet; Gul, Ismail

doi:10.5152/kd.2012.20

Cited by 5 publications

(13 citation statements)

References 3 publications

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“…Intensive use of antibiotics has created the problem of antibiotic resistance in this disease group and made the treatment of uncomplicated cases difficult as well. In Turkey, the most commonly preferred antibiotics for the treatment of urinary tract infection are cotrimoxazole, ciprofloxacin, and cephalosporins (19,25). However, studies published from Turkey have shown that we have reached the end of the road in the use of these antibiotics.…”

Section: Discussionmentioning

confidence: 99%

Isolation rates and antibiotic susceptibilities of different Enterobacteriaceae species as urinary tract infection agents in Turkey: a systematic review

Yürüyen¹,

Gürol²,

Kaleağasioğlu³

et al. 2017

Turk J Med Sci

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IntroductionUrinary tract infections are one of the most commonly seen infections in both in-and outpatient settings (1,2). In Turkey, although studies have been conducted on urinary tract infection agents and their antibiotic susceptibilities, they have generally been regional studies covering limited time periods. There are a limited number of reviews to pool the results of different studies and reveal the isolation rates of different species and their antibiotic susceptibilities in Turkey.The objective of this review is to contribute to the advancement of empirical treatment, particularly in primary healthcare settings, and to reveal the isolation rates of Enterobacteriaceae species, the most common agents of urinary tract infections, and their antibiotic susceptibilities. 2.Materials and methodsThe method used in this review was established by considering the items provided in the Preferred Reporting Items for Systematic Review and Meta-Analysis Protocols-2015 (PRISMA-P) statement. Based on this guide, information resources were identified and searching strategies were established by a team consisting of three microbiologists, one medical pharmacologist, and one biostatistician who then reviewed the studies and evaluated the data collected according to the specified acceptance/rejection criteria. Information resources to review and searching strategiesFour team members independently searched articles in the Google Scholar, PubMed and ULAKBİM-EKUAL national databases. During the database search, "Escherichia coli,

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Section: Discussionmentioning

confidence: 99%

Isolation rates and antibiotic susceptibilities of different Enterobacteriaceae species as urinary tract infection agents in Turkey: a systematic review

Yürüyen¹,

Gürol²,

Kaleağasioğlu³

et al. 2017

Turk J Med Sci

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“…In this study, the most frequently isolated pathogen was E. coli (58 %). Similarly, Ulug et al [6] reported the rate of E. coli isolated as a causative agent of UTI was 64% in 401 elderly patients. This rate was 32% in elderly patients admitted to the emergency room and diagnosed with UTI in the study by Ginde et al [12], 69% in elderly patients who resided in nursing homes in the study by Sundwall et al [11], and 54% in the study by Das et al [13].…”

Section: Discussionmentioning

confidence: 88%

“…In this study, the rate of resistance to amoxicillinclavulanic acid in E. coli strains was 52%. This rate has been reported to be 33% in elderly patients in the study by Ulug et al [6] and between 6.5% and 32% in the studies consisting of various groups in Turkey [14,15,19,20]. Sanchez et al [18] have found a rate of resistance of 7% against amoxicillin-clavulanic acid in E. coli strains in elderly patients.…”

Section: Discussionmentioning

confidence: 94%

“…Advanced age is a major risk factor for UTIs. Comorbid conditions such as increased urinary incontinence, urinary retention, increased urinary catheterization, and diabetes mellitus (DM) associated with aging lead up to the development of UTI [4,6]. In addition, decreased cognitive functions, along with decreased personal hygiene, dementia, immunodeficiency, and malnutrition can also facilitate the development of the infection [3,4,6].…”

Section: Introductionmentioning

confidence: 99%

“…Comorbid conditions such as increased urinary incontinence, urinary retention, increased urinary catheterization, and diabetes mellitus (DM) associated with aging lead up to the development of UTI [4,6]. In addition, decreased cognitive functions, along with decreased personal hygiene, dementia, immunodeficiency, and malnutrition can also facilitate the development of the infection [3,4,6]. The fact that elderly patients are more sensitive to the side effects of drugs and chronic comorbidities (chronic liver and renal failure, DM) can limit treatment options [4,5].…”

Section: Introductionmentioning

confidence: 99%

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Which antibiotics should we prefer empirical treatment of urinary tract infections in elderly patients?

Aşgın¹,

Satilmis²

2019

Journal of Surgery and Medicine

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Urinary tract infections in the geriatric patients

et al. 2018

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Objective:Urinary tract infections (UTI) are the second most common infection in geriatric population. This study investigated clinical findings, diagnostic approaches, complicating factors, prognosis, causative microorganisms and antimicrobial susceptibility in geriatric patients diagnosed with UTI.Methods:A total of 140 hospitalised patients with UTIs were evaluated within three years between January 2011-January 2015 at the Eskisehir Yunus Emre State Hospital. UTI diagnosed when there were systemic and urinary signs and symptoms and a positive dipstick test and urine culture result, leukocyte and CRP like serum parameters.Results:Among the studied patients, 41.4% had urological diseases, 20.7% had diabetes mellitus and 19.2% had neurological diseases. The most common symptoms and signs were fever, dysuria nausea/vomiting, general condition impairment, pyuria, haematuria. The laboratory values for CRP, ESR and leukocyte count were 84 mg/dL, 56 mm/s and 11.9 (10^3μL), with mean values being determined. Among patients having a urinary catheter (17.1%), 27.9% had a history of UTI, while 29.3% had been hospitalised. Escherichia coli and Klebsiella pneumoniae were the most commonly identified microorganisms. The mean duration for hospitalisation was 7.6 days, while a 5% mortality rate was observed over the course of the disease.Conclusion:Because of the potential for serious complications and mortality, elderly patients with urinary tract infection, should receive immediate empirical treatment based on anamnesis, clinical evaluation and urinalysis and should be re-examined using results from cultures and antibiograms upon follow-up.

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Investigation of the Results of Urine Cultures and Approaches to Empirical Antibiotic Treatment of Community-Acquired Urinary Tract Infections in Elderly Patients

Cited by 5 publications

References 3 publications

Isolation rates and antibiotic susceptibilities of different Enterobacteriaceae species as urinary tract infection agents in Turkey: a systematic review

Isolation rates and antibiotic susceptibilities of different Enterobacteriaceae species as urinary tract infection agents in Turkey: a systematic review

Which antibiotics should we prefer empirical treatment of urinary tract infections in elderly patients?

Urinary tract infections in the geriatric patients

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