1042Prevalence of Fluoroquinolone- and Ceftriaxone-resistant E. coli among U.S. Emergency Department Patients with Acute Pyelonephritis
نویسندگان
چکیده
among U.S. Emergency Department Patients with Acute Pyelonephritis Gregory Moran, MD, FIDSA, FACEP; Anusha Krishnadasan, PhD; William Mower, MD, PhD; Fredrick Abrahamian, DO; Sukhjit Takhar, MD; David Talan, MD FIDSA, FACEP; The EMERGEncy ID NET Study Group; Emergency Medicine/Infectious Diseases, Olive View-UCLAMedical Center, Sylmar, CA; Emergency Medicine, David Geffen School of Medicine at UCLA, Los Angeles, CA; Emergency Medicine, Olive View-UCLA Medical Center, Sylmar, CA; Emergency Medicine, Brigham and Women’s Hospital, Boston, MA
منابع مشابه
Prevalence and risk factor analysis of trimethoprim-sulfamethoxazole- and fluoroquinolone-resistant Escherichia coli infection among emergency department patients with pyelonephritis.
BACKGROUND High rates of resistance to trimethoprim-sulfamethoxazole (TMP-SMX) among uropathogenic Escherichia coli are recognized, and concerns exist about emerging fluoroquinolone resistance. METHODS Adults presenting to 11 US emergency departments with (1) flank pain and/or costovertebral tenderness, (2) temperature >38 degrees C, and (3) a presumptive diagnosis of pyelonephritis were enro...
متن کاملFluoroquinolone-Resistant and Extended-Spectrum β-Lactamase–Producing Escherichia coli Infections in Patients with Pyelonephritis, United States1
For 2013-2014, we prospectively identified US adults with flank pain, temperature >38.0°C, and a diagnosis of acute pyelonephritis, confirmed by culture. Cultures from 453 (86.9%) of 521 patients grew Escherichia coli. Among E. coli isolates from 272 patients with uncomplicated pyelonephritis and 181 with complicated pyelonephritis, prevalence of fluoroquinolone resistance across study sites wa...
متن کاملMolecular typing of fluoroquinolone resistant Escherichia coli isolates from patients undergoing prostate biopsy
Background: Escherichia coli (E. coli) is one of the most important infectious agents in patients undergoing prostate biopsy. It belongs to a large family of gram-negative rods, Enterobacteriaceae. This family includes members of the normal flora of the intestine that are only occasionally pathogenic. Recent considerations of rectal colonization with fluoroquinolone-resistant E. coli shows the ...
متن کاملDiagnosis and treatment of acute pyelonephritis in women.
Acute pyelonephritis is a common bacterial infection of the renal pelvis and kidney most often seen in young adult women. History and physical examination are the most useful tools for diagnosis. Most patients have fever, although it may be absent early in the illness. Flank pain is nearly universal, and its absence should raise suspicion of an alternative diagnosis. A positive urinalysis confi...
متن کاملUncomplicated Urinary Tract Infections in Women in a Sao Paulo Quaternary Care Hospital: Bacterial Spectrum and Susceptibility Patterns
Uncomplicated urinary tract infections (UTI) in women are very common. Regular analysis of bacterial flora is important to formulate updated guidelines. The objective of this study is to determine and compare the microbiology of UTIs and their susceptibility patterns in a quaternary care hospital. In a seven-year review, the urine culture results of 480 female patients with uncomplicated UTIs w...
متن کامل