Risk Factors in Community-Acquired/Onset Urinary Tract Infections Due to Extended-Spectrum Beta-Lactamase-Producing Escherichia coli and Klebsiella pneumoniae


Yilmaz E., Akalin H., Ozbey S., Kordan Y., Sinirtas M., Gurcuoglu E., ...Daha Fazla

JOURNAL OF CHEMOTHERAPY, cilt.20, sa.5, ss.581-585, 2008 (SCI-Expanded) identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 20 Sayı: 5
  • Basım Tarihi: 2008
  • Doi Numarası: 10.1179/joc.2008.20.5.581
  • Dergi Adı: JOURNAL OF CHEMOTHERAPY
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Sayfa Sayıları: ss.581-585
  • Anahtar Kelimeler: Quinolones, urinary tract infection, UTI risk factors, NONHOSPITALIZED PATIENTS, EPIDEMIOLOGY, STRAINS, ENTEROBACTERIACEAE, SUSCEPTIBILITY, CIPROFLOXACIN, SURVEILLANCE, BACTEREMIA, RESISTANCE, ORGANISMS
  • Bursa Uludağ Üniversitesi Adresli: Evet

Özet

We investigated the risk factors for community acquired/onset urinary tract infections due to extended spectrum beta-lactamase (ESBL)-positive Escherichia coli or Klebsiella pneumoniae in 62 patients who were followed-up from August 1, 2003 to September 1, 2006. Sixty patients with community-acquired urinary tract infections caused by ESBL-negative E. coli or K. pneumoniae who were followed-up during the same dates were included as a control group. Age (>= 65 or <65 years old), sex, bladder cancer, benign prostate hypertrophy (BPH), prostate cancer, urolithiasis, urethral catheter, previous urological operation, diabetes mellitus, use of antibiotics during the last 3 months and hospitalization during the last 3 months were investigated as risk factors. The presence of previous urological operation and quinolone or cephalosporin use for any infection during the last 3 months were found to be independent risk factors. Knowing the risk factors for community acquired/onset urinary tract infections caused by ESBL-positive E. coli or K. pneumoniae is of great importance in planning empirical antibiotic therapy.