Urinary Tract Infections due to Multidrug-Resistant Enterobacteriaceae : Prevalence and Risk Factors in a Chicago Emergency Department
المؤلفون المشاركون
Vasoo, Shawn
Khawcharoenporn, Thana
Singh, Kamaljit
المصدر
Emergency Medicine International
العدد
المجلد 2013، العدد 2013 (31 ديسمبر/كانون الأول 2013)، ص ص. 1-7، 7ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2013-10-31
دولة النشر
مصر
عدد الصفحات
7
التخصصات الرئيسية
الملخص EN
Background.
Selection of empiric antibiotics for urinary tract infections (UTIs) has become more challenging because of the increasing rates of multidrug-resistant Enterobacteriaceae (MDRE) infections.
Methods.
This retrospective study was conducted to determine antibiotic resistance patterns, risk factors, and appropriate empiric antibiotic selection for MDRE UTIs.
Adult patients seen in the Emergency Department (ED) with Enterobacteriaceae UTIs during 2008-2009 were identified from review of microbiology records.
MDRE were defined as organisms resistant to at least 3 categories of antibiotics.
Results.
There were 431 eligible patients; 83 (19%) had MDRE UTIs.
Resistance rates for individual antibiotics among MDRE UTIs were significantly greater than non-MDRE UTIs: levofloxacin, 72% versus 14%; TMP-SMX, 77% versus 12%; amoxicillin-clavulanate, 35% versus 4%; nitrofurantoin, 21% versus 12%, and ceftriaxone, 20% versus 0%.
All Enterobacteriaceae isolates were susceptible to ertapenem (MIC ≤ 2 mg/L).
Independent risk factors for MDRE UTI were prior fluoroquinolone use within 3 months (adjusted odds ratio (aOR) 3.64; P=0.001), healthcare-associated risks (aOR 2.32; P=0.009), and obstructive uropathy (aOR 2.22; P=0.04).
Conclusion.
Our study suggests that once-daily intravenous or intramuscular ertapenem may be appropriate for outpatient treatment of ED patients with MDRE UTI.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Khawcharoenporn, Thana& Vasoo, Shawn& Singh, Kamaljit. 2013. Urinary Tract Infections due to Multidrug-Resistant Enterobacteriaceae : Prevalence and Risk Factors in a Chicago Emergency Department. Emergency Medicine International،Vol. 2013, no. 2013, pp.1-7.
https://search.emarefa.net/detail/BIM-458099
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Khawcharoenporn, Thana…[et al.]. Urinary Tract Infections due to Multidrug-Resistant Enterobacteriaceae : Prevalence and Risk Factors in a Chicago Emergency Department. Emergency Medicine International No. 2013 (2013), pp.1-7.
https://search.emarefa.net/detail/BIM-458099
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Khawcharoenporn, Thana& Vasoo, Shawn& Singh, Kamaljit. Urinary Tract Infections due to Multidrug-Resistant Enterobacteriaceae : Prevalence and Risk Factors in a Chicago Emergency Department. Emergency Medicine International. 2013. Vol. 2013, no. 2013, pp.1-7.
https://search.emarefa.net/detail/BIM-458099
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-458099
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
تقوم هذه الخدمة بالتحقق من التشابه أو الانتحال في الأبحاث والمقالات العلمية والأطروحات الجامعية والكتب والأبحاث باللغة العربية، وتحديد درجة التشابه أو أصالة الأعمال البحثية وحماية ملكيتها الفكرية. تعرف اكثر