Increasing resistance in community-acquired urinary tract infections in Latin America, five years after the implementation of national therapeutic guidelines

Bours, Paul; Polak, Roel; Hoepelman, Andy I. M.; Delgado, Edgar; Jarquin, Ana Cristina Castillo; Matute, Armando

doi:10.1016/j.ijid.2010.02.2264

Cited by 60 publications

(54 citation statements)

References 27 publications

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“…This study elucidated that Enterobacteriaceae are the predominant UTI causing pathogens, followed by Gram-positive cocci. These findings are consistent with the earlier studies from India and Canada [11,12] .…”

Section: Introductionsupporting

confidence: 94%

“…From hospitalized patients of wards and cabins, a total of 1 245 urine samples yielded 996 strains of pathogens belonging to 11 aeruginosa. Thus, E. coli was the maximally isolated UTI causing bacterium, followed by, S. aureus, E. faecalis, K. pneumoniae, P. aeruginosa, A. baumannii, E .aerogenes, P. mirabilis, P. vulgaris, and K. oxytoca (Table 1).…”

Section: Resultsmentioning

confidence: 99%

“…All isolated bacterial strains were subjected to antibiotic sensitivity tests with all antibiotics used, in each 6-month period. Three aminoglycoside antibiotics (µg/disc), amikacin-30, gentamicin-10 and netilmicin-30 were moderately resistant to 11 (Table 6). All these three antibiotics were almost equally resistant to the isolated UTI pathogens, confirming the consistence in the production of ESBL by majority of isolates.…”

Section: Resultsmentioning

confidence: 99%

“…From hospitalized patients of wards and cabins of IMS and Sum Hospital, a total of 1 245 urine samples yielded 996 strains of pathogenic bacteria belonging to 11 10 seconds, for confirmation of the presence of bound coagulase enzyme. When a sample of Gram-positive cocci responded positively to both catalase and coagulase tests, it was confirmed as S. aureus.…”

Section: Isolation and Identification Of Pathogenic Bacteriamentioning

confidence: 99%

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Surveillance of multidrug resistant uropathogenic bacteria in hospitalized patients in Indian

Mishra

Debata

Padhy

2013

Asian Pacific Journal of Tropical Biomedicine

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Objective: To record surveillance, antibiotic resistance of uropathogens of hospitalized patients over a period of 18 months. Methods: Urine samples from wards and cabins were used for isolating urinary tract infection (UTI)-causing bacteria that were cultured on suitable selective media and identified by biochemical tests; and their antibiograms were ascertained by KirbyBauer's disc diffusion method, in each 6-month interval of the study period, using 18 antibiotics of five different classes. Results: From wards and cabins, 1 245 samples were collected, from which 996 strains of bacteria belonging to 11 species were isolated, during April 2011 to September 2012. Two Gram-positive, Staphylococcus aureus (S. aureus) and Enterococcus faecalis (E. faecalis), and nine Gram-negative bacteria, Acinetobacter baumannii, Citrobacter sp., Escherichia coli, Enterobacter aerogenes, Klebsiella pneumoniae, Klebsiella oxytoca, Proteus mirabilis, Proteus vulgaris and Pseudomonas aeruginosa were isolated. Both S. aureus and E. faecalis were vancomycin resistant, and resistant-strains of all pathogens increased in each 6-month period of study. Particularly, all Gram-negatives were resistant to nitrofurantoin and co-trimoxazole, the most preferred antibiotics of empiric therapy for UTI. Conclusions: Antibiograms of 11 UTIcausing bacteria recorded in this study indicated moderately higher numbers of strains resistant to each antibiotic studied, generating the fear of precipitating fervent episodes in public health particularly with bacteria, Acinetobacter baumannii, Escherichia coli, Klebsiella pneumoniae and S. aureus. Moreover, vancomycin resistance in strains of S. aureus and E. faecalis is a matter of concern.

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Section: Introductionsupporting

confidence: 94%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Isolation and Identification Of Pathogenic Bacteriamentioning

confidence: 99%

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Surveillance of multidrug resistant uropathogenic bacteria in hospitalized patients in Indian

Mishra

Debata

Padhy

2013

Asian Pacific Journal of Tropical Biomedicine

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“…In recent years, an increase in the antibiotic resistance of UPEC isolates has been observed (Bours et al, 2010) that imposed an urgent need for alternative treatment and prevention strategies to combat this serious and widespread human pathogen. With this aim, much research has been focussed on the development of vaccines to stimulate protective immunity against UPEC.…”

Section: Anti-upec Vaccinementioning

confidence: 99%