Prevalence of multidrug resistant pathogens from community and health care associated urinary tract infections
Abstract
Introduction: Health care–associated infections (HCA) are a risk factor for multidrug resistant pathogens. However, limited data of this epidemiological category for urinary tract infections (UTI) is available. Methods: This was a prospective and observational study of adult patients coming from community who were attended as outpatients or hospitalized for urinary tract infections at a general Hospital (December 2011-November 2012). Patients who had residency at nursing homes, chronic haemodialysis, intravenous drug infusions or wound care at home, prior hospitalization >= 2 days in the preceding 90 days and chronic indwelling urinary catheters were considered to have HCA-UTI. Results: A total of 87 patients were included, of whom 42 (48%) and 45 (52%) were considered to have community acquired UTI (CA-UTI) and HCA-UTI respectively. The most frequent pathogens were: E. coli (74% vs. 47%), K pneumoniae (12% vs. 20%), and E. faecalis (5% vs. 7%) for CA-UTI and HCA-UTI respectively. Prevalence of MDR: 10% and 49% (p<0.01) for CAUTI and HCA-UTI respectively. Conclusions: Our study suggests that HCA-UTI should represent a category of UTI epidemiologically and microbiologically distinct from CA-UTI. Physicians should correctly identify these patients in order to provide optimal clinical management.
Downloads
Copyright (c) 2023 Ezequiel Córdova, María I. Lespada, Diego Cecchini, Néstor Jacob, Nora Gómez, Gabriela Gutfraind, Marcela Badía, Claudia Rodríguez Ismael
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
When an article is finally accepted in the journal, its authors assign their economic rights on a non-exclusive basis in favor of the editors, who allow reuse under an “Attribution-NonCommercial-ShareAlike 4.0 International” License (https://creativecommons.org/licenses/by-nc-sa/4.0/deed.es). This implies that the articles can be shared (copy and redistribute the material in any medium or format) and adapted (remix, transform and create another work from the material), as long as the authorship and the original source of publication (journal, publisher and URL of the work) are cited, they are not used for commercial purposes, and the same terms of the license are respected. It is requested to cite the original source of publication.
In addition, the acceptance of the article by the journal implies on the part of the authors the non-submission of the material to other journals or editorial bodies.