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., ...More

JOURNAL OF CHEMOTHERAPY, vol.20, no.5, pp.581-585, 2008 (Journal Indexed in SCI) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 20 Issue: 5
  • Publication Date: 2008
  • Doi Number: 10.1179/joc.2008.20.5.581
  • Title of Journal : JOURNAL OF CHEMOTHERAPY
  • Page Numbers: pp.581-585
  • Keywords: Quinolones, urinary tract infection, UTI risk factors, NONHOSPITALIZED PATIENTS, EPIDEMIOLOGY, STRAINS, ENTEROBACTERIACEAE, SUSCEPTIBILITY, CIPROFLOXACIN, SURVEILLANCE, BACTEREMIA, RESISTANCE, ORGANISMS

Abstract

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.