Time-dependent analysis of length of stay and mortality due to urinary tract infections in ten developing countries: INICC findings

2011 ◽  
Vol 62 (2) ◽  
pp. 136-141 ◽  
Author(s):  
Victor D. Rosenthal ◽  
Arpita Dwivedy ◽  
María Eugenia Rodríguez Calderón ◽  
Saban Esen ◽  
Héctor Torres Hernández ◽  
...  
Keyword(s):  
Developing Countries ◽  
Urinary Tract ◽  
Length Of Stay ◽  
Urinary Tract Infections ◽  
Time Dependent ◽  
Tract Infections ◽  
Time Dependent Analysis

Reclassification of Urinary Tract Infections in Critically Ill Trauma Patients: A Time-Dependent Analysis

2003 ◽  
Vol 4 (4) ◽  
pp. 379-385 ◽  
Author(s):  
Grant V. Bochicchio ◽  
Manjari Joshi ◽  
Diane Shih ◽  
Kelly Bochicchio ◽  
Kate Tracy ◽  
...  
Keyword(s):  
Urinary Tract ◽  
Critically Ill ◽  
Urinary Tract Infections ◽  
Time Dependent ◽  
Trauma Patients ◽  
Tract Infections ◽  
Time Dependent Analysis

scholarly journals Efficacy of Empiric Treatment of Urinary Tract Infections in Neonates and Young Infants

2019 ◽  
Vol 6 ◽  
pp. 2333794X1985799
Author(s):  
James W. Antoon ◽  
Paige J. Reilly ◽  
Erin H. Munns ◽  
Alan Schwartz ◽  
Jacob A. Lohr
Keyword(s):  
Antibiotic Resistance ◽  
Urinary Tract ◽  
Length Of Stay ◽  
Urinary Tract Infections ◽  
Age Group ◽  
Prolonged Length ◽  
Enterococcal Infection ◽  
Young Infants ◽  
Empiric Antibiotic ◽  
Tract Infections

Background. The antibiotic resistance patterns of young infants with urinary tract infections (UTIs) have evolved over the past 2 decades. Whether current empiric antibiotic regimens are sufficient in this age group is unknown. Methods. A retrospective review of patients aged 0 to 60 days admitted with a UTI discharge diagnosis. Results. Overall susceptibility to empiric antibiotics was 87%. Antibiotic resistance and length of stay were highest among those who were afebrile, those admitted to the intensive care unit, and those with culture diagnosis of enterococcal infection. The sensitivity and specificity of ultrasound as a screening tool for genitourinary anomaly was 70% and 40%, respectively, with a positive predictive value of 31.8%. Conclusions. Empiric antibiotic regimens cover a high percentage of UTIs in infants. However, high rates of resistance and prolonged length of stay in patients with enterococcal infection highlight the need for continued surveillance of such patients in this age group.

The incidence of urinary tract infections in febrile children during a two-year period in Tehran, Iran

2008 ◽  
Vol 38 (4) ◽  
pp. 247-249 ◽  
Author(s):  
Yunes Panahi ◽  
Fatemeh Beiraghdar ◽  
Yashar Moharamzad ◽  
Zahra Khalili Matinzadeh ◽  
Behzad Einollahi
Keyword(s):  
Escherichia Coli ◽  
Developing Countries ◽  
Urinary Tract Infection ◽  
Urinary Tract ◽  
Tract Infection ◽  
Urinary Tract Infections ◽  
Voiding Cystourethrogram ◽  
University Hospitals ◽  
Urinary Tract Abnormalities ◽  
Tract Infections

Of 433 febrile children examined in the paediatric clinics of two university hospitals in Tehran, Iran, 39 (9%) children (27 girls and 12 boys) were diagnosed as having urinary tract infection in which Escherichia coli was the most frequently detected pathogen (84.6%). According to the voiding cystourethrogram, nine (75%) boys and 17 (63%) girls had urinary tract abnormalities. This result is slightly higher than seen in other reports from developing countries.

Modeling the antimicrobial resistance of enterobacteria responsible for Urinary Tract Infections in Benin: Another way to control Antimicrobial Resistance

2020 ◽  
Author(s):  
DOUGNON Victorien ◽  
ASSOGBA Phenix ◽  
JIBRIL Mohammed ◽  
GNIMATIN Jean-Pierre ◽  
AGBANKPE Jerrold ◽  
...  
Keyword(s):  
Mathematical Modeling ◽  
Developing Countries ◽  
Urinary Tract ◽  
Antimicrobial Resistance ◽  
Urinary Tract Infections ◽  
Urine Samples ◽  
Public Health Issue ◽  
Beta Lactamase ◽  
Deterministic Models ◽  
Tract Infections

Abstract Background: Infectious diseases are serious public health issue both in developing countries and industrialized nations. In developing countries, they are the main cause of high mortality rates. In the second group, existing resistance strains to antibiotics is developing and growing at an alarming rate. The purpose of this study was to produce data of national interest to implement sustainable control program against the spread of antimicrobial resistance strains in Benin. Methods: One hundred and ninety (190) urine samples were collected in selected hospitals in Benin from patients with urinary tract infection. After getting the informed consent from the patients, samples collections were performed under aseptic conditions and cultured for further analysis in the laboratory. The resistance profile of the bacterial strains was established. The search for beta-lactamase production by the isolates was performed using the synergy test for amoxicillin/clavulanic acid and cephalosporins. Mathematical modeling for predicting the development of resistance of the strains by the year 2024 was carried out employing the compartmental deterministic models. Results: Two hundred and thirty (230) strains were identified from the urine samples. Male individuals were the most affected by urinary tract infections. Individuals between the ages of 21-30 were predominantly infected. E. coli was the most isolated species (32.43%) in the urine samples, followed by K. pneumoniae (26.85%) and E. cloacae (25.92%). The susceptibility testing of isolates showed a high resistance to amoxicillin (91.82%). Whereas the lowest resistance was to imipenem (2%). The beta-lactamase was produced by 24.03% of the strains. Escherichia coli (32.43%) was the most productive of broad spectrum beta-lactamase, followed by K. pneumoniae (31.03%). The mathematical modeling revealed a rampant rise in resistance development of the strains to the tested antibiotics. Conclusions: These results provide important data for developing new preventive strategies against the evolution of bacterial resistance to antibiotics. It therefore, further deserves a constructive advocacy so that more actions are taken against the rampant spread of antimicrobial resistance strains in our health facilities as well as in the communities.

scholarly journals Prevalence of CTX-M beta-Lactamases in Escherichia coli from community-acquired urinary tract infections and associated risk factors among women in Cameroon

2017 ◽  
Vol 3 (1) ◽  
pp. 51 ◽  
Author(s):  
Ingrid Cecile Djuikoue ◽  
Omer Njajou ◽  
Hortense Gonsu Kamga ◽  
Charles Fokunang ◽  
Adamo Bongoe ◽  
...  
Keyword(s):  
Risk Factors ◽  
Escherichia Coli ◽  
Developing Countries ◽  
Urinary Tract ◽  
Urinary Tract Infections ◽  
Intestinal Flora ◽  
Beta Lactamase ◽  
Sample Collection ◽  
Associated Risk Factors ◽  
Tract Infections

Background: In recent years, a worldwide dissemination of CTX-M beta-lactamase-type in Escherichia coli strains isolates from community-acquired urinary tract infections (CA-UTI) has been observed. However little is known on the prevalence and risk factors of this global threat in developing countries. Objective: The aim of this study was to study the prevalence and risk factors for CA-UTI in Yaoundé, Cameroon. Methods: Eighty six patients with urinary E.coli infection recruited from 10 health structures in the town of Yaoundé, Cameroon. After taking the first urine, faeces were collected from the patients for the study of the intestinal flora. The sample collection of faeces was done on a selected gel of enterobacteria resistant to third generation of cephalosporin. The molecular typing of extended-spectrum -lactamase (ESBL) was carried out. Results: Eighty-six strains of E. coli from 86 patients were included. We found that 39 (45.3%) strains produced an extendedspectrum beta-lactamase. Among risk factors, previous use of antibiotic and the dry season were associated with the presence of an ESBL-producing strain in the urine. All ESBL were identified as CTX-M. The production of CTX-M was found to be significantly associated with resistance to fluoroquinolones, aminoglycosides and to the association of trimethoprim-sulfamethazole. Conclusions: The prevalence of CTX-M ESBL in Yaoundé, Cameroon, provides new evidence on the global dissemination of CTX-M and the extent of this phenomenon in developing countries.

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