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Urinary tract infection in infants caused by extended-spectrum beta-lactamase-producing Escherichia coli: comparison between urban and rural hospitals.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Cheng, Ming-Fang Chen, Wan-Ling Huang, I-Fei Chen, Jung-Ren Chiou, Yee-Hsuan Chen, Yao-Shen Lee, Susan Shin-Jung Hung, Wan-Yu Hung, Chih-Hsin Wang, Jiun-Ling
Description	Country affiliation: Taiwan Author Affiliation: Cheng MF ( Department of Pediatrics, Kaohsiung Veterans General Hospital, Kaohsiung, Taiwan.); Chen WL ( School of Medicine, National Yang-Ming University, Taipei, Taiwan.); Huang IF ( Fooyin University, Kaohsiung, Taiwan.); Chen JR ( Department of Pediatrics, Kaohsiung Veterans General Hospital, Kaohsiung, Taiwan.); Chiou YH ( School of Medicine, National Yang-Ming University, Taipei, Taiwan.); Chen YS ( Department of Pediatrics, Pingtung Branch of Veterans General Hospital-Kaohsiung, Pingtung, Taiwan.); Lee SS ( Department of Pediatrics, Kaohsiung Veterans General Hospital, Kaohsiung, Taiwan.); Hung WY ( School of Medicine, National Yang-Ming University, Taipei, Taiwan.); Hung CH ( Department of Biological Science and Technology, College of Medicine, I-Shou University, Kaohsiung, Taiwan.); Wang JL ( Department of Pediatrics, Kaohsiung Veterans General Hospital, Kaohsiung, Taiwan.)
Abstract	BACKGROUND: Community-acquired urinary tract infection (UTI) caused by extended-spectrum beta-lactamase (ESBL)-producing Escherichia coli is an emerging problem. Compared with urban infants, rural infants may encounter different distributions of community-acquired resistant strains and various barriers to efficient management. METHODS: A retrospective survey and comparison was conducted for infants with UTI caused by ESBL-producing E. coli admitted to an urban hospital (n = 111) and a rural hospital (n = 48) in southern Taiwan from 2009 to 2012. RESULTS: Compared with 2009 and 2010, the total number of cases at both hospitals significantly increased in 2011 and 2012 (p < 0.001). Compared with the rural patients, the urban patients were significantly younger, and they had fewer days of fever before and after admission, fewer presentations of poor activity and poor appetite, and a lower serum creatinine level. Most of the patients had no prior history of illness, and we could not identify any significant different risk factors for acquiring ESBL-producing E. coli, such as past antimicrobial use, hospitalization, UTI, and underlying renal diseases, between the urban and rural populations. CONCLUSIONS: The increase in community-acquired UTI in infants caused by ESBL-producing E. coli was similar between the urban and rural populations. Our preliminary data suggest that the rural-urban disparities were probably related to easy access to health care by the urban population. ESBL complicates disease management, and the increase in the prevalence of ESBL producers is a major health concern and requires further healthy carrier and environmental surveillance.
File Format	HTM / HTML
ISSN	0931041X
Issue Number	8
Journal	Pediatric Nephrology
Volume Number	31
e-ISSN	1432198X
Language	English
Publisher	Springer
Publisher Date	2016-08-01
Publisher Place	Germany
Access Restriction	One Nation One Subscription (ONOS)
Subject Keyword	Discipline Nephrology Discipline Pediatrics
Content Type	Text
Resource Type	Article
Subject	Nephrology Pediatrics, Perinatology and Child Health

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