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| Content Provider | Springer Nature Link |
|---|---|
| Author | Weber, G. Riesenberg, K. Schlaeffer, F. Peled, N. Borer, A. Yagupsky, P. |
| Copyright Year | 1997 |
| Abstract | In order to monitor changes in the frequency and antimicrobial resistance of urinary pathogens over several years, urinary cultures received from outpatient clinics and from a hospital during a period of one month each in 1991 and 1995 were analyzed at a clinical microbiology laboratory. In 1991 and 1995, 1366 and 1534 significant monomicrobic cultures respectively were reviewed. The frequency ofEscherichia coli dropped significantly in the outpatient clinics from 70.5% to 61.2% (p<0.0001). The frequency ofProteus mirabilis, Morganella morganii, Pseudomonas aeruginosa and other gram-negative bacteria also decreased, but the frequency ofKlebsiella spp. andEnterobacter spp. increased from 2.6% to 5.8% (p<0.0001). In the hospital, the frequency ofEnterobacter spp. (p<0.04),Escherichia coli andMorganella morganii declined from 1991 to 1995, whereas the frequency ofPseudomonas aeruginosa (p=0.001),Acinetobacter spp. (p<0.05),Klebsiella spp.,Proteus mirabilis and other gram-negative rods increased considerably. The frequency of gram-positive aerobic bacteria rose markedly in outpatient specimens from 6.1% to 13.5% (p<0.0001), while a decline from 14.4% to 9.3% was noted in hospital specimens (p<0.02). A significant rise in the resistance ofEscherichia coli to gentamicin and ciprofloxacin (p<0.0001) was detected in outpatient isoates. In the hospital, gram-negative urinary pathogens demonstrated increased resistance to ampicillin (p=0.042), cefuroxime (p=0.005), gentamicin (p=0.002) and ciprofloxacin (p<0.0001) during the study period. The changing etiology of urinary tract infections and the increasing resistance of organisms indicate that periodic monitoring and possibly also modification of empirical therapy are required. |
| Starting Page | 834 |
| Ending Page | 838 |
| Page Count | 5 |
| File Format | |
| ISSN | 09349723 |
| Journal | European Journal of Clinical Microbiology & Infectious Diseases |
| Volume Number | 16 |
| Issue Number | 11 |
| e-ISSN | 14354373 |
| Language | English |
| Publisher | Springer-Verlag |
| Publisher Date | 1997-01-01 |
| Publisher Place | Berlin, Heidelberg |
| Access Restriction | One Nation One Subscription (ONOS) |
| Subject Keyword | Medical Microbiology Internal Medicine |
| Content Type | Text |
| Resource Type | Article |
| Subject | Infectious Diseases Microbiology (medical) |
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