Antimicrobial susceptibility of enterobakteriacea species causing community acquired urinary tract infection: A retrospective study

dc.authorscopusid55552407500
dc.authorscopusid13611182300
dc.authorscopusid23060531400
dc.authorscopusid6602236477
dc.contributor.authorEro?lu, Muzaffer
dc.contributor.authorKoço?lu, Esra
dc.contributor.authorKarabay, O?uz
dc.contributor.authorSemerciöz, Atilla
dc.date.accessioned2024-09-25T19:43:59Z
dc.date.available2024-09-25T19:43:59Z
dc.date.issued2007
dc.departmentAbant İzzet Baysal Üniversitesien_US
dc.description.abstractIntroduction: The rates of antibiotic resistance in common pathogenic bacteria have been increasing due to high and unnecessary antibiotic use. It can vary according to geographical and regional location. But little is known about the epidemiology of community-acquired antibiotic resistant enterobacteriacea spices in our region. The aim of this study is to assess the antimicrobial susceptibility of enterobacteriacea spices causing community-acquired urinary tract infection in our region. Materials and Methods: Medical records of AIBU microbiology laboratory from August 2004 to August 2006 were retrospectively reviewed to identify all adult patients with community acquired urinary tract infection (UTI). Patients, who had more than three episodes of UTI in the last year, hospitalization in the last month, pregnancy and those with upper UTI were excluded. Susceptibility testing for urinary tract isolates was performed if there were ?100,000 colonies per milliliter. The resistance rates of ampicilline, ciprofloxacine, gentamisin, amikicin, nitrofurantoin and SXT were investigated by Kirby-Bauer disk diffusion technique. Antibacterial susceptibility testing was performed according to the Clinical and Laboratory Standards Institute criteria's (CLSI). Results: During the study period, 3575 urine samples were analyzed and the mean age was 47.2 years (range: 17-74). The overall female to male ratio was 4.8. A total of 305 patients were excluded due to contamination and 697 (21.3%) bacterial isolates were examined in the study. E. coli was the most causative agent (87.1%) and it was followed by Klebsiella pneumonia with a percentage of 9.6%. Highest and lowest antibiotic resistance to Escherichia coli was ampicillin (41%) and nitrofurantoin (0.05%), respectively. Conclusion: Resistance rates of SXT and kinolons are increasing in every day due to high and widespread antibiotic usage. In our region nitrofurantoin and amikacin may be better empiric choices in patients with community-acquired UTI, because their resistance rates are only 0.05% and 3.5%, respectively. Although nitrofurantoin has maintained excellent activity against almost all E. coli strains causing UTI, it is not active against some strains of Enterobacter, Klebsiella and most strains of Proteus species. Urine culture and antimicrobial susceptibility should be essential in the treatment of UTI. Antibiotic resistance rates are changing in every region. Physicians must be educated continuously about the antibiotic resistance and they should know the local antibiotic resistance rates in order to prescribe appropriate antibiotics. Local infection control guidelines must be prepared in every year.en_US
dc.identifier.endpage103en_US
dc.identifier.issn1300-5804
dc.identifier.issue1en_US
dc.identifier.scopus2-s2.0-34250024070en_US
dc.identifier.scopusqualityN/Aen_US
dc.identifier.startpage100en_US
dc.identifier.urihttps://hdl.handle.net/20.500.12491/12576
dc.identifier.volume33en_US
dc.indekslendigikaynakScopusen_US
dc.language.isotren_US
dc.relation.ispartofTurk Uroloji Dergisien_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.snmzYK_20240925en_US
dc.subjectAntibiotic resistanceen_US
dc.subjectEnterobacteriaceaen_US
dc.subjectEscherichia colien_US
dc.subjectUrinary tract infectionen_US
dc.titleAntimicrobial susceptibility of enterobakteriacea species causing community acquired urinary tract infection: A retrospective studyen_US
dc.title.alternativeToplum kaynakli eri?şki?n üri?ner si?stem enfeksi?yonlarinda i?zole edi?len enterobakteri?cea t_durleri??in bazi anti?bi?yoti?klere duyarililiklari: Geri?ye dönük çalişma]en_US
dc.typeArticleen_US

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