Antimicrobial resistance among uropathogens that cause community-acquired urinary tract infections in women: a nationwide analysis.
نویسندگان
چکیده
Current recommendations for empirical therapy for community-acquired urinary tract infection (UTI) in women hinge on knowledge of antimicrobial susceptibility patterns in the geographic region of the practitioner. We conducted a survey of antimicrobial susceptibilities of 103,223 isolates recovered from urine samples that were obtained in 1998 from female outpatients nationally and within 9 geographic regions in the United States. Resistance of Escherichia coli isolates to trimethoprim-sulfamethoxazole varied significantly according to geographic region, ranging from a high of 22% in the western United States to a low of 10% in the Northeast (P<.001). There were no clinically significant age-related differences in the susceptibility of E. coli to any of the study drugs, but the susceptibility to fluoroquinolones of non-E. coli isolates that were recovered from women who were aged >50 years was significantly lower than that of isolates recovered from younger women (P<.001). The in vitro susceptibility of uropathogens in female outpatients varies according to age and geographic region.
منابع مشابه
A Survey On Urinary Pathogens And Their Antimicrobial Susceptibility Among Patients With Significant Bacteriuria
Background and Objective: Urinary tract infection (UTIs) is one of the most common diagnosed infectious diseases. In order to determine the spectrum of bacterial etiology and antibiotic resistance pattern of the uropathogens that cause community acquired UTI, a retrospective study was performed in Research Center of Reference laboratories of Iran on urine samples of referred patients during ...
متن کاملFrequency and antimicrobial resistance pattern of pathogens implicated in urinary tract infection at a hospital in Tehran.
Purpose: Urinary tract infection is acommon infectious presentation in the community practice.It is also the most common cause of antimicrobial resistance in the society. The aim of this study was to investigate the frequencyand antimicrobial resistance pattern of the uropathogens isolated from patients with urinary tract infection. Materials and Methods: This study was conducted on the pati...
متن کاملIncreasing antimicrobial resistance and the management of uncomplicated community-acquired urinary tract infections.
Community-acquired urinary tract infections (UTIs) are among the most common bacterial infections in women. Therapy for these infections is usually begun before results of microbiological tests are known. Furthermore, in women with acute uncomplicated cystitis, empirical therapy without a pretherapy urine culture is often used. The rationale for this approach is based on the highly predictable ...
متن کاملAntimicrobial resistance patterns of uropathogens among children in Istanbul, Turkey.
Urinary tract infections are a common cause of end-stage renal disease in Turkey. This prospective study investigated the antibiotic resistance patterns of uropathogens in order to recommend appropriate therapeutic protocols for children with urinary tract infections in Istanbul, Turkey. Between October 2007 and October 2008, children presenting with a first episode of urinary tract infection t...
متن کاملCommunity-acquired urinary tract infections by extended-spectrum beta-lactamase-producing Gram negative bacteria
Antibiotic resistance among uropathogens causing community acquired urinary tract infection (CAUTI) is increasing worldwide. Severity and endemicity persists despite of wide spread availability of drugs. Knowledge of the aetiology and antimicrobial susceptibility patterns of uropathogens is important in order to determine the best empiric treatment option. Extended-spectrum beta-lactamase (ESBL...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید
ثبت ناماگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید
ورودعنوان ژورنال:
- Clinical infectious diseases : an official publication of the Infectious Diseases Society of America
دوره 33 1 شماره
صفحات -
تاریخ انتشار 2001