The prevalence of antimicrobial resistance among uropathogens causing acute uncomplicated cystitis in young women
Four hundred and fifty-two urine isolates from women with acute uncomplicated cystitis and a positive urine culture presenting to a sexually transmitted disease clinic were collected during 1989–1991, and 213 specimens were collected over 1995–1997. The predominant species was Escherichia coli, repr...
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| Veröffentlicht in: | International journal of antimicrobial agents 1999-05, Vol.11 (3), p.305-308 |
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| creator | Gupta, K. Hooton, T.M. Wobbe, C.L. Stamm, W.E. |
| description | Four hundred and fifty-two urine isolates from women with acute uncomplicated cystitis and a positive urine culture presenting to a sexually transmitted disease clinic were collected during 1989–1991, and 213 specimens were collected over 1995–1997. The predominant species was
Escherichia coli, representing 68% of the isolates; others included
Staphylococcus saprophyticus (8%), Group B streptococci (7%),
Proteus spp. (6%),
Klebsiella spp. (4%) and
Enterococcus spp. (3%). More than 10% of the
E. coli isolates were resistant to ampicillin, cephalothin, tetracycline and trimethoprim–sulfamethoxazole (TMP–SMX ) during both study periods, with the greatest increase in resistance to ampicillin and TMP/SMX between the two periods. Six hundred and four urinary tract infection isolates, including 83%
E. coli, 7%
S. saprophyticus, 3%
Klebsiella spp. 2%
Proteus spp., 2% enterococci, 1%
Enterobacter spp. and 2% other organisms, were collected from women with acute cystitis attending a university student health service during 1995. Among
E. coli isolates, 25% were resistant to ampicillin, 24% to tetracycline and 11% to TMP–SMX. Resistance to fluoroquinolones was essentially absent among gram-negative pathogens. Continued evaluation of susceptibility patterns of pathogens causing acute uncomplicated cystitis to traditional as well as new antimicrobials in well defined populations is necessary to ascertain the optimal empiric therapy. |
| doi_str_mv | 10.1016/S0924-8579(99)00035-7 |
| format | Article |
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Escherichia coli, representing 68% of the isolates; others included
Staphylococcus saprophyticus (8%), Group B streptococci (7%),
Proteus spp. (6%),
Klebsiella spp. (4%) and
Enterococcus spp. (3%). More than 10% of the
E. coli isolates were resistant to ampicillin, cephalothin, tetracycline and trimethoprim–sulfamethoxazole (TMP–SMX ) during both study periods, with the greatest increase in resistance to ampicillin and TMP/SMX between the two periods. Six hundred and four urinary tract infection isolates, including 83%
E. coli, 7%
S. saprophyticus, 3%
Klebsiella spp. 2%
Proteus spp., 2% enterococci, 1%
Enterobacter spp. and 2% other organisms, were collected from women with acute cystitis attending a university student health service during 1995. Among
E. coli isolates, 25% were resistant to ampicillin, 24% to tetracycline and 11% to TMP–SMX. Resistance to fluoroquinolones was essentially absent among gram-negative pathogens. Continued evaluation of susceptibility patterns of pathogens causing acute uncomplicated cystitis to traditional as well as new antimicrobials in well defined populations is necessary to ascertain the optimal empiric therapy.</description><identifier>ISSN: 0924-8579</identifier><identifier>EISSN: 1872-7913</identifier><identifier>DOI: 10.1016/S0924-8579(99)00035-7</identifier><identifier>PMID: 10394988</identifier><language>eng</language><publisher>Netherlands: Elsevier B.V</publisher><subject>Acute cystitis ; Acute Disease ; Adolescent ; Adult ; Anti-Bacterial Agents - pharmacology ; Anti-Bacterial Agents - therapeutic use ; Cystitis - drug therapy ; Cystitis - microbiology ; Drug Resistance, Microbial ; Enterococcus ; Escherichia coli ; Escherichia coli - drug effects ; Female ; Gene Frequency ; Humans ; Klebsiella ; Proteus ; Resistance surveillance ; Sexually Transmitted Diseases - drug therapy ; Sexually Transmitted Diseases - microbiology ; Staphylococcus - drug effects ; Staphylococcus saprophyticus ; Streptococcus ; Student Health Services ; Susceptibility pattern</subject><ispartof>International journal of antimicrobial agents, 1999-05, Vol.11 (3), p.305-308</ispartof><rights>1999 Elsevier Science B.V.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c392t-41a3dd6647d4b025074d64ef60991de2bc81ea90c3d5378058d1aabe37fb794e3</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0924857999000357$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/10394988$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Gupta, K.</creatorcontrib><creatorcontrib>Hooton, T.M.</creatorcontrib><creatorcontrib>Wobbe, C.L.</creatorcontrib><creatorcontrib>Stamm, W.E.</creatorcontrib><title>The prevalence of antimicrobial resistance among uropathogens causing acute uncomplicated cystitis in young women</title><title>International journal of antimicrobial agents</title><addtitle>Int J Antimicrob Agents</addtitle><description>Four hundred and fifty-two urine isolates from women with acute uncomplicated cystitis and a positive urine culture presenting to a sexually transmitted disease clinic were collected during 1989–1991, and 213 specimens were collected over 1995–1997. The predominant species was
Escherichia coli, representing 68% of the isolates; others included
Staphylococcus saprophyticus (8%), Group B streptococci (7%),
Proteus spp. (6%),
Klebsiella spp. (4%) and
Enterococcus spp. (3%). More than 10% of the
E. coli isolates were resistant to ampicillin, cephalothin, tetracycline and trimethoprim–sulfamethoxazole (TMP–SMX ) during both study periods, with the greatest increase in resistance to ampicillin and TMP/SMX between the two periods. Six hundred and four urinary tract infection isolates, including 83%
E. coli, 7%
S. saprophyticus, 3%
Klebsiella spp. 2%
Proteus spp., 2% enterococci, 1%
Enterobacter spp. and 2% other organisms, were collected from women with acute cystitis attending a university student health service during 1995. Among
E. coli isolates, 25% were resistant to ampicillin, 24% to tetracycline and 11% to TMP–SMX. Resistance to fluoroquinolones was essentially absent among gram-negative pathogens. Continued evaluation of susceptibility patterns of pathogens causing acute uncomplicated cystitis to traditional as well as new antimicrobials in well defined populations is necessary to ascertain the optimal empiric therapy.</description><subject>Acute cystitis</subject><subject>Acute Disease</subject><subject>Adolescent</subject><subject>Adult</subject><subject>Anti-Bacterial Agents - pharmacology</subject><subject>Anti-Bacterial Agents - therapeutic use</subject><subject>Cystitis - drug therapy</subject><subject>Cystitis - microbiology</subject><subject>Drug Resistance, Microbial</subject><subject>Enterococcus</subject><subject>Escherichia coli</subject><subject>Escherichia coli - drug effects</subject><subject>Female</subject><subject>Gene Frequency</subject><subject>Humans</subject><subject>Klebsiella</subject><subject>Proteus</subject><subject>Resistance surveillance</subject><subject>Sexually Transmitted Diseases - drug therapy</subject><subject>Sexually Transmitted Diseases - microbiology</subject><subject>Staphylococcus - drug effects</subject><subject>Staphylococcus saprophyticus</subject><subject>Streptococcus</subject><subject>Student Health Services</subject><subject>Susceptibility pattern</subject><issn>0924-8579</issn><issn>1872-7913</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1999</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkcFO3DAQhq2qqCy0j9DKp6ocAnZsx_apQgjaSitxgJ4tx56AURIH29lq357sLkK9cRpp5psZ6f8Q-krJOSW0ubgjuuaVElL_0PqMEMJEJT-gFVWyrqSm7CNavSHH6CTnJ0KoYFx8QseUMM21Uiv0fP8IeEqwsT2MDnDssB1LGIJLsQ22xwlyyMXuZnaI4wOeU5xseYwPMGbs7JzD0rRuLoDn0cVh6oOzBTx221xCCRmHEW_jvFD_4gDjZ3TU2T7Dl9d6iv7eXN9f_a7Wt7_-XF2uK8d0XSpOLfO-abj0vCW1IJL7hkPXEK2ph7p1ioLVxDEvmFREKE-tbYHJrpWaAztF3w93pxSfZ8jFDCE76Hs7QpyzabRqmBL0XZDKuiFc1gsoDuCSTc4JOjOlMNi0NZSYnRSzl2J2iRutzV6Kkcvet9cHczuA_2_rYGEBfh4AWPLYBEgmu7DT4UMCV4yP4Z0XL9H-nsc</recordid><startdate>19990501</startdate><enddate>19990501</enddate><creator>Gupta, K.</creator><creator>Hooton, T.M.</creator><creator>Wobbe, C.L.</creator><creator>Stamm, W.E.</creator><general>Elsevier B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QL</scope><scope>C1K</scope><scope>7X8</scope></search><sort><creationdate>19990501</creationdate><title>The prevalence of antimicrobial resistance among uropathogens causing acute uncomplicated cystitis in young women</title><author>Gupta, K. ; Hooton, T.M. ; Wobbe, C.L. ; Stamm, W.E.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c392t-41a3dd6647d4b025074d64ef60991de2bc81ea90c3d5378058d1aabe37fb794e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1999</creationdate><topic>Acute cystitis</topic><topic>Acute Disease</topic><topic>Adolescent</topic><topic>Adult</topic><topic>Anti-Bacterial Agents - pharmacology</topic><topic>Anti-Bacterial Agents - therapeutic use</topic><topic>Cystitis - drug therapy</topic><topic>Cystitis - microbiology</topic><topic>Drug Resistance, Microbial</topic><topic>Enterococcus</topic><topic>Escherichia coli</topic><topic>Escherichia coli - drug effects</topic><topic>Female</topic><topic>Gene Frequency</topic><topic>Humans</topic><topic>Klebsiella</topic><topic>Proteus</topic><topic>Resistance surveillance</topic><topic>Sexually Transmitted Diseases - drug therapy</topic><topic>Sexually Transmitted Diseases - microbiology</topic><topic>Staphylococcus - drug effects</topic><topic>Staphylococcus saprophyticus</topic><topic>Streptococcus</topic><topic>Student Health Services</topic><topic>Susceptibility pattern</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Gupta, K.</creatorcontrib><creatorcontrib>Hooton, T.M.</creatorcontrib><creatorcontrib>Wobbe, C.L.</creatorcontrib><creatorcontrib>Stamm, W.E.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Bacteriology Abstracts (Microbiology B)</collection><collection>Environmental Sciences and Pollution Management</collection><collection>MEDLINE - Academic</collection><jtitle>International journal of antimicrobial agents</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Gupta, K.</au><au>Hooton, T.M.</au><au>Wobbe, C.L.</au><au>Stamm, W.E.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The prevalence of antimicrobial resistance among uropathogens causing acute uncomplicated cystitis in young women</atitle><jtitle>International journal of antimicrobial agents</jtitle><addtitle>Int J Antimicrob Agents</addtitle><date>1999-05-01</date><risdate>1999</risdate><volume>11</volume><issue>3</issue><spage>305</spage><epage>308</epage><pages>305-308</pages><issn>0924-8579</issn><eissn>1872-7913</eissn><abstract>Four hundred and fifty-two urine isolates from women with acute uncomplicated cystitis and a positive urine culture presenting to a sexually transmitted disease clinic were collected during 1989–1991, and 213 specimens were collected over 1995–1997. The predominant species was
Escherichia coli, representing 68% of the isolates; others included
Staphylococcus saprophyticus (8%), Group B streptococci (7%),
Proteus spp. (6%),
Klebsiella spp. (4%) and
Enterococcus spp. (3%). More than 10% of the
E. coli isolates were resistant to ampicillin, cephalothin, tetracycline and trimethoprim–sulfamethoxazole (TMP–SMX ) during both study periods, with the greatest increase in resistance to ampicillin and TMP/SMX between the two periods. Six hundred and four urinary tract infection isolates, including 83%
E. coli, 7%
S. saprophyticus, 3%
Klebsiella spp. 2%
Proteus spp., 2% enterococci, 1%
Enterobacter spp. and 2% other organisms, were collected from women with acute cystitis attending a university student health service during 1995. Among
E. coli isolates, 25% were resistant to ampicillin, 24% to tetracycline and 11% to TMP–SMX. Resistance to fluoroquinolones was essentially absent among gram-negative pathogens. Continued evaluation of susceptibility patterns of pathogens causing acute uncomplicated cystitis to traditional as well as new antimicrobials in well defined populations is necessary to ascertain the optimal empiric therapy.</abstract><cop>Netherlands</cop><pub>Elsevier B.V</pub><pmid>10394988</pmid><doi>10.1016/S0924-8579(99)00035-7</doi><tpages>4</tpages></addata></record> |
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| subjects | Acute cystitis Acute Disease Adolescent Adult Anti-Bacterial Agents - pharmacology Anti-Bacterial Agents - therapeutic use Cystitis - drug therapy Cystitis - microbiology Drug Resistance, Microbial Enterococcus Escherichia coli Escherichia coli - drug effects Female Gene Frequency Humans Klebsiella Proteus Resistance surveillance Sexually Transmitted Diseases - drug therapy Sexually Transmitted Diseases - microbiology Staphylococcus - drug effects Staphylococcus saprophyticus Streptococcus Student Health Services Susceptibility pattern |
| title | The prevalence of antimicrobial resistance among uropathogens causing acute uncomplicated cystitis in young women |
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