Asymptomatic bacteriuria and urinary tract infections in special patient groups

Schneeberger, Caroline; Kazemier, Brenda M.; Geerlings, Suzanne E.

doi:10.1097/qco.0000000000000028

Cited by 63 publications

(49 citation statements)

References 33 publications

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“…Beside symptomatic infections, E. coli might be found in the urine in high numbers without causing any symptoms, referred to as asymptomatic bacteriuria (ABU). In healthy, non-pregnant women, these infections are generally not treated (Nicolle, Mayhew, & Bryan, 1987;Ouslander et al, 1995;Schneeberger, Kazemier, & Geerlings, 2014) and might even prevent infections by strains causing symptomatic disease .…”

Section: Introductionmentioning

confidence: 98%

Virulence Factors of Uropathogenic E. coli and Their Interaction with the Host

Lüthje

Brauner

2014

Advances in Bacterial Pathogen Biology

131

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Section: Introductionmentioning

confidence: 98%

Virulence Factors of Uropathogenic E. coli and Their Interaction with the Host

Lüthje

Brauner

2014

Advances in Bacterial Pathogen Biology

131

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“…In light of the possible adverse effects of antimicrobials, higher quality research is needed to better understand the direct and indirect consequences of antimicrobial exposure early in life and prudent antimicrobial use is extremely important during pregnancy and early childhood (Schneeberger et al, 2014). Studies exploring cost-effective diagnostic tools at the point of care and non-antimicrobial options to prevent or treat UTIs are needed to limit unnecessary treatment of bacteriuria in pregnancy .…”

Section: Introductionmentioning

confidence: 99%

Phenotypic Identification and Phylogenetic Characterization of Uropathogenic Escherichia coli in Symptomatic Pregnant Women With Urinary Tract Infections in South-Western Nigeria

Abiodun¹,

Olufunke²,

Dunah³

et al. 2014

IJB

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The study reports the characterization of uropathogenic E. coli (UPEC) in urine samples of pregnant women with confirmed urinary tract infections (UTIs) in Ondo and Ekiti States, Nigeria.Voided mid-stream urine samples were cultured on eosin methylene blue agar plates at 37 o C and identified by conventional biochemical tests. Antibiotic susceptibility testing of isolates was by Kirby-Bauer's disc diffusion technique. Phylogenetic typing of the isolates was by multiplex polymerase chain reaction (PCR).The occurrence of UPEC in pregnant women in age group 25-35 years (66.0%) was high. Two hundred and sixty four uropathogenic E. coli comprising 133 (50.38%) in Ondo and 131 (49.62%) in Ekiti States were recovered from 400 samlpes analyzed. In all, prevalence of UTIs with positive cultures was 66.0%. Escherichia coli only was 56.5%, mixed-infection (9.5%), non-E. coli infection (12.5%) and no growth (21.5%). Resistance to antibiotics was high with diverse multiple antibiotic resistance patterns. Greater percentage of the screened representative UPEC isolates belonged to phylogenetic group D (65.0%), group A (28.0%), group B1 (6.7%) and none to group B2.Escherichia coli belonging to phylogenetic group D appears to be a predominant uropathogen in this study area. Presence of chuA gene in most of the isolates shows the significance of iron acquisition in the pathogenesis and urovirulence of UPEC.

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“…4 It is particularly common infection in diabetic patients that occurs in the all ages of both males and females 5 and if it is left untreated, causes considerable morbidity. 6,7 UTIs are mainly originated by the bacterial species. Escherichia coli belongs to the specific serogroups of uropathogenic and is considered as frequently identified organism.…”

Section: Introductionmentioning

confidence: 99%

Assessment of urinary tract infection and their resistance to antibiotics in diabetic and non-diabetic patients

Zahra

Rehman

Aqeel

et al. 2016

Bangabandhu Sheikh Mujib Medical Univ J

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Diabetes mellitus (DM) has been characterized by a metabolic disorder of multipule etiology including hyperglycemia and hyslipidemia along with disturbance in carbohydrate, fat and protein metabolism. 1-3 DM and its associated complications are one of the most prevalent diseases worldwide. Development of multidrug resistant uropathogenic strains in associated with DM is being escalated that helps to determine the prevalence of urinary tract infections (UTIs) among diabetic patients and sensitivity of bacterial isolates against various types of antimicrobial agents. UTIs is one of the most common diseases that encounters in clinical practice today. 4 It is particularly common infection in diabetic patients that occurs in the all ages of both males and females 5 and if it is left untreated, causes considerable morbidity. 6,7UTIs are mainly originated by the bacterial species. Escherichia coli belongs to the specific serogroups of uropathogenic and is considered as frequently identified organism. Serogroups have many virulence factors that are specific for invasion of urinary epithelium. 8 E. coli is the most common cause of the uncomplicated UTI and account for about 95% of all infections. 9 E. coli is the main causative factor for the induction of UTIs in women and also increases the likelihood of persistent UTIs.DM has a number of effects on genitourinary system and has long been considered to be a predisposing factor for UTIs. A characteristic feature observed in UTIs in diabetic patients in the presence of asymptomatic bacteriuria, is more in female than in male patients. The exact reason is not clear, but may be attributed to a number of factors. These include impairment of granulocyte function, increased adherence of uropathogens to uroepithelial cells, dysfunctional bladder and increased in sugar content of urine. 10 Meiland et al. found that longer duration of DM was associated with the risk of asymptomatic bacteriuria. 11 The prevalence of asymptomatic bacteriuria is 15 to 30% higher in diabetic than in non-diabetic women.To the best of our knowledge, limited data regarding the correlation of UTIs and their susceptibility to antibacterial agents in diabetic and non-diabetic patients is available online. The aim of present study was the assessment of UTIs and their susceptibility to various antibacterial agents among diabetic and nondiabetic agents in one of the most populated cities i.e. Lahore of Punjab province, in Pakistan. Materials and Methods Study designA cross-sectional study was carried out at one of the largest government hospital located in | Original | Article | AbstractThe study was undertaken to determine the influence of diabetes mellitus on the uropathogens and antibiotic sensitivity pattern among patients with urinary tract infections (UTIs). A crosssectional study was conducted on 150 diabetic and 250 non-diabetic patients. Out of 160 uropathogenic isolates, Escherichia coli was found as a leading pathogen i.e. 46.2% followed by Candida spp. 30.6%, Streptococcus faecalis 15.6%, Pseudomon...

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Asymptomatic bacteriuria and urinary tract infections in special patient groups

Cited by 63 publications

References 33 publications

Virulence Factors of Uropathogenic E. coli and Their Interaction with the Host

Virulence Factors of Uropathogenic E. coli and Their Interaction with the Host

Phenotypic Identification and Phylogenetic Characterization of Uropathogenic Escherichia coli in Symptomatic Pregnant Women With Urinary Tract Infections in South-Western Nigeria

Assessment of urinary tract infection and their resistance to antibiotics in diabetic and non-diabetic patients

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