The Role of Colistin in Urinary Tract Infections in the Neurologic Patient

Stoian, Andreea Cristina; Dumitrescu, Florentina; Sandu, Raluca Elena; Bărbulescu, Andreea Lili; Vreju, F.; Florescu, O; Catalin, Bogdan; Burada, Emilia; Musatescu, Anca Emanuela; Albu, Carmen Valeria

doi:10.37358/rc.19.8.7437

Rev. Chim.

2019

DOI: 10.37358/rc.19.8.7437

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The Role of Colistin in Urinary Tract Infections in the Neurologic Patient

Andreea Cristina Stoian¹,

Florentina Dumitrescu²,

Raluca Elena Sandu³

et al.

Abstract: Urinary tract infections represent a frequent, infectious casuistry of the neurologic patient, often recurrent, with the significant involvement of multidrug-resistant bacteria (MDRs). A retrospective study, during the period 01.01.2018-31.12.2018, in the Clinical Neurology Hospital in Craiova, on a group of 334 Px with urinary tract infections and proven microbial etiology (positive urocultures), for whom antibiograms were performed using KIRBY-BAUER disk diffusion test. The duplicates and samples considered … Show more

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Cited by 2 publications

References 15 publications

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Tekrarlayan idrar yolu enfeksiyonlarında etiyolojik paternler ve antibiyotik direnci: Retrospektif bir analiz

Yağmur

2024

Turkish Journal of Clinics and Laboratory

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Abstract: Aim: Recurrent urinary tract infections (rUTIs) pose a significant clinical challenge due to their high prevalence and the escalating issue of antibiotic resistance. Understanding the etiological patterns and risk factors associated with rUTIs is crucial for effective management and prevention strategies. Escherichia coli is a prevalent pathogen in UTIs, but its emerging antibiotic resistance is a growing concern. This study aims to retrospectively analyze the prevalence of E. coli and patterns of antibiotic resistance in rUTIs. Material and Methods: Conducted at Özel Kızılay Kağıthane Hospital between 2020 and 2023, this retrospective cohort study included 265 patients diagnosed with rUTIs. Data encompassed demographics, clinical history, uropathogens, and antibiotic resistance patterns, offering insights into the etiology and resistance trends in this population. Results: Escherichia coli emerged as the main uropathogen in 70.6% of rUTI cases, with a significant proportion showing resistance to cotrimoxazole (54.5%) and fluoroquinolones (46.5%). The study predominantly involved female patients (79.2%), with sexual activity noted as a notable risk factor in 60% of these cases. Additionally, 40% of patients experienced moderate to severe symptoms, impacting their quality of life. Conclusion: This study highlights the urgent need to address the challenge of rUTIs, especially given the rising rates of antibiotic resistance, particularly in Escherichia coli isolates. It emphasizes the importance of considering patient demographics and risk factors in managing rUTIs. Future research, including prospective studies, is essential for developing effective therapeutic and preventive strategies to mitigate the burden of rUTIs on individuals and healthcare systems.

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Tekrarlayan idrar yolu enfeksiyonlarında etiyolojik paternler ve antibiyotik direnci: Retrospektif bir analiz

Yağmur

2024

Turkish Journal of Clinics and Laboratory

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Shoulder Involvement in Daily Practice – Ultrasonographic Approach

et al. 2021

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Shoulder involvement is one of the most frequent findings in rheumatology and many of the rheumatic diseases can determine inflammatory lesions, as well as degenerative ones. Due to the non-specificity of clinical symptoms, imaging methods are emerging into the daily practice in order to establish an accurate diagnosis. Objectives. The aim of the study was to determine the presence of different pathologic changes in patients with shoulder pain, depending on the concurrent disease and associated risk factors. Material and methods. We included in our retrospective study 40 consecutive patients that presented with shoulder pain, during the past 6 months, in the Department of Rheumatology. All those patients underwent ultrasound evaluation according to EULAR Guidelines for musculoskeletal Ultrasound in Rheumatology. Results. Rotator cuff lesions, which most commonly underlie non traumatic pain in adults, were detected with frequencies similar to the ones described by the literature. It seems that comorbidities, as the presence of diabetes, may influence tendon degeneration or rupture. Conclusions. Although it included a relatively low number of subjects, our paper reveals data similar to the ones previously published and underlines the necessity of applying an algorithm for managing shoulder pathology, that should mandatory include ultrasonography examination, in order to obtain an accurate diagnosis and individualize each patient's therapeutic approach and improve their life quality.

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The Role of Colistin in Urinary Tract Infections in the Neurologic Patient

Cited by 2 publications

References 15 publications

Tekrarlayan idrar yolu enfeksiyonlarında etiyolojik paternler ve antibiyotik direnci: Retrospektif bir analiz

Tekrarlayan idrar yolu enfeksiyonlarında etiyolojik paternler ve antibiyotik direnci: Retrospektif bir analiz

Shoulder Involvement in Daily Practice – Ultrasonographic Approach

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