Epidemiology and antimicrobial susceptibility profiles of Gram-negative bacteria causing urinary tract infections in the Asia-Pacific region: 2009–2010 results from the Study for Monitoring Antimicrobial Resistance Trends (SMART)

Lu, Po Liang; Liu, Yung Ching; Toh, Han Siong; Lee, Yu Lin; Liu, Yuag Meng; Ho, Cheng-Mao; Huang, Chih‐Wei; Liu, Chun Eng; Ko, Wen Chien; Wang, Jen Hsien; Tang, Hung Jen; Yu, Kwok Woon; Chen, Yao Shen; Chuang, Yin Ching; Xu, Yingchun; Ni, Yizhao; Chen, Yen Hsu; Hsueh, Po-Ren

doi:10.1016/s0924-8579(12)70008-0

Cited by 168 publications

(121 citation statements)

References 8 publications

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“…Escherichia coli accounted for 61% of the urinary isolates, which is consistent with the results of previous studies of patients with community-acquired UTI (16,17). The second and third common causative agents varied among countries.…”

Section: Discussionsupporting

confidence: 89%

Trend of Erythrocyte Sedimentation Rate in Patients with Symptomatic Urinary Tract Infection Under Treatment

Makarem¹,

Allami²,

Mohammadi³

2016

Biotech Health Sci

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Objectives: The aim of this study was to evaluate erythrocyte sedimentation rate (ESR) in patients with symptoms of urinary tract infection (UTI), and to analyze bacteriological and clinical findings. Methods: In a prospective study, 187 patients with UTI and suggestive signs and symptoms were included. History of UTI and clinical findings were recorded. Urine specimens were cultured and analyzed for pyuria by sediment microscopy and nitrite using a test strip. The systemic inflammatory response was assessed by ESR, and total white blood cell count. Results: Escherichia coli accounted for 62.2% of the urinary isolates. Most UTI patients showed a decline three days after treatment, whereas some had an increased ESR response at this time (despite improvements in clinical symptoms). Overall, ESR on the sixth day was determined to be a better marker for response to symptomatic UTI treatment than the third day ESR. Conclusions: This study showed that ESR and clinical findings were not interchangeable indexes of patient's condition, although they are concordant (both normal and both abnormal) in the vast majority of patients. Erythrocyte sedimentation rate is frequently misleading in patients with UTI and is not responsive to changes in the patient's condition. Checking ESR is recommended not earlier than six days after starting UTI treatment, if necessary.

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Section: Discussionsupporting

confidence: 89%

Trend of Erythrocyte Sedimentation Rate in Patients with Symptomatic Urinary Tract Infection Under Treatment

Makarem¹,

Allami²,

Mohammadi³

2016

Biotech Health Sci

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“…Considering international data, regional variations in drug resistance among UTIs can easily be observed (8,12,13,18,19). Therefore, knowledge of regional drug sensitivities or resistance rates is very important when establishing regional guidelines for UTI treatment.…”

Section: Discussionmentioning

confidence: 99%

Antimicrobial Susceptibility Pattern and Epidemiology of Female Urinary Tract Infections in South Korea, 2010-2011

Lee

Choe

Lee

et al. 2013

Antimicrob Agents Chemother

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i This study aimed to (i) investigate the antimicrobial susceptibilities of bacteria that cause urinary tract infections (UTIs) in outpatient and inpatient settings and (ii) evaluate the risk factors for emerging antimicrobial drug resistance in UTIs in South Korea. In total, 3,023 samples without duplication were collected from females between 25 and 65 years of age who had been diagnosed with a urinary tract infection. Multicenter patient data were collected using a Web-based electronic system and then evaluated. The isolation rates of Escherichia coli, Klebsiella pneumoniae, and Enterococcus faecium in the outpatient setting were 78.1, 4.7, and 1.3%, respectively; in the inpatient setting, the isolation rates of these microorganisms were 37.8, 9.9, and 14.8%, respectively. The susceptibilities of E. coli to amikacin, amoxicillin-clavulanic acid, cefotaxime, cefoxitin, ciprofloxacin, piperacillin-tazobactam, and imipenem in the outpatient setting were 99.4, 79.8, 89.4, 92.8, 69.8, 96.9, and 100.0%, respectively; in the inpatient setting, the susceptibilities to these antibiotics were 97.8, 73.9, 73.7, 82.1, 53.6, 93.2, and 100.0%, respectively. The most unique and common risk factor for emerging antimicrobial-resistant E. coli, K. pneumoniae, and E. faecium was previous exposure to antimicrobials. On the basis of these data, the use of fluoroquinolones should be reserved until culture data are available for the treatment of UTIs in South Korea. The present study will serve as a useful reference for Far Eastern Asia.

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“…(19%) and Klebsiella spp. (11%) (19) , and a multicenter study that included 1,762 urine samples collected from thirty-eight sites in eleven countries showed that the most frequent isolates were E. coli (56.5%) and K. pneumoniae (13.8%) (20) . In another prospective study, the authors followed 295 renal transplant patients up to four weeks post-transplantation and collected 582 urine cultures.…”

Section: Methodsmentioning

confidence: 99%

Study of the risk factors related to acquisition of urinary tract infections in patients submitted to renal transplant

Menegueti

Pereira

Bellissimo-Rodrigues

et al. 2015

Rev. Soc. Bras. Med. Trop.

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Epidemiology and antimicrobial susceptibility profiles of Gram-negative bacteria causing urinary tract infections in the Asia-Pacific region: 2009–2010 results from the Study for Monitoring Antimicrobial Resistance Trends (SMART)

Cited by 168 publications

References 8 publications

Trend of Erythrocyte Sedimentation Rate in Patients with Symptomatic Urinary Tract Infection Under Treatment

Trend of Erythrocyte Sedimentation Rate in Patients with Symptomatic Urinary Tract Infection Under Treatment

Antimicrobial Susceptibility Pattern and Epidemiology of Female Urinary Tract Infections in South Korea, 2010-2011

Study of the risk factors related to acquisition of urinary tract infections in patients submitted to renal transplant

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