Antibiotic resistance pattern in urine cultures from community-dwelling women in southern Brazil - a cross-sectional study short communication
ABSTRACT Objective The increase in antibiotic resistance (AR) is a global phenomenon with regional variation. This survey aims to describe the AR in urine cultures of women from the community in a southern Brazil city. Methods A retrospective cross-sectional single-center study in urine cultures o...
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Universidade Federal do Rio Grande do Sul
2022-07-01
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| Series: | Revista Gaúcha de Enfermagem |
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| Online Access: | http://revodonto.bvsalud.org/scielo.php?script=sci_arttext&pid=S1983-14472022000100433&lng=en&tlng=en |
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| author | Claudia Rejane Mews Peter Josiane Cristine dos Passos Krause Braga Lourdes Helena de Araújo Rodrigues Mauricio Parcio Arrieira Rafael de Oliveira Arrieira Maristela Böhlke |
| author_facet | Claudia Rejane Mews Peter Josiane Cristine dos Passos Krause Braga Lourdes Helena de Araújo Rodrigues Mauricio Parcio Arrieira Rafael de Oliveira Arrieira Maristela Böhlke |
| author_sort | Claudia Rejane Mews Peter |
| collection | DOAJ |
| description | ABSTRACT Objective The increase in antibiotic resistance (AR) is a global phenomenon with regional variation. This survey aims to describe the AR in urine cultures of women from the community in a southern Brazil city. Methods A retrospective cross-sectional single-center study in urine cultures of community dwelling individuals. The main outcome was the AR profile of bacterial isolates from women in outpatient care. Results From 4,011 urine cultures, 524 were positive (91% from women). The most frequently isolated bacteria were Escherichia coli (E. coli) (67.0%) and Klebsiella spp. (19.4%). E. coli presented low resistance to nitrofurantoin (3.7%), moderate to levofloxacin (15.6%), amoxacillin-clavulonate (16.4%) and ciprofloxacin (17.4%), and high to trimethoprim-sulfamethoxazole (26.9%). Conclusions Nitrofurantoin seems to be the best choice for the empirical treatment of low urinary tract infections in women, whereas sulfonamides are no longer an option, since E. coli resistance to this drug is above 20%. |
| first_indexed | 2024-04-14T03:39:25Z |
| format | Article |
| id | doaj.art-569f0c3356554a4da18d003960f21b69 |
| institution | Directory Open Access Journal |
| issn | 1983-1447 |
| language | English |
| last_indexed | 2024-04-14T03:39:25Z |
| publishDate | 2022-07-01 |
| publisher | Universidade Federal do Rio Grande do Sul |
| record_format | Article |
| series | Revista Gaúcha de Enfermagem |
| spelling | doaj.art-569f0c3356554a4da18d003960f21b692022-12-22T02:14:35ZengUniversidade Federal do Rio Grande do SulRevista Gaúcha de Enfermagem1983-14472022-07-014310.1590/1983-1447.2022.20200485.enAntibiotic resistance pattern in urine cultures from community-dwelling women in southern Brazil - a cross-sectional study short communicationClaudia Rejane Mews Peterhttps://orcid.org/0000-0002-2907-4973Josiane Cristine dos Passos Krause Bragahttps://orcid.org/0000-0002-7993-0862Lourdes Helena de Araújo Rodrigueshttps://orcid.org/0000-0002-7131-0669Mauricio Parcio Arrieirahttps://orcid.org/0000-0001-8780-0083Rafael de Oliveira Arrieirahttps://orcid.org/0000-0001-8404-1974Maristela Böhlkehttps://orcid.org/0000-0001-9372-3475ABSTRACT Objective The increase in antibiotic resistance (AR) is a global phenomenon with regional variation. This survey aims to describe the AR in urine cultures of women from the community in a southern Brazil city. Methods A retrospective cross-sectional single-center study in urine cultures of community dwelling individuals. The main outcome was the AR profile of bacterial isolates from women in outpatient care. Results From 4,011 urine cultures, 524 were positive (91% from women). The most frequently isolated bacteria were Escherichia coli (E. coli) (67.0%) and Klebsiella spp. (19.4%). E. coli presented low resistance to nitrofurantoin (3.7%), moderate to levofloxacin (15.6%), amoxacillin-clavulonate (16.4%) and ciprofloxacin (17.4%), and high to trimethoprim-sulfamethoxazole (26.9%). Conclusions Nitrofurantoin seems to be the best choice for the empirical treatment of low urinary tract infections in women, whereas sulfonamides are no longer an option, since E. coli resistance to this drug is above 20%.http://revodonto.bvsalud.org/scielo.php?script=sci_arttext&pid=S1983-14472022000100433&lng=en&tlng=enUrinary tract infectionsCommunity-acquired infectionsDrug resistance microbialBrazilEscherichia coli |
| spellingShingle | Claudia Rejane Mews Peter Josiane Cristine dos Passos Krause Braga Lourdes Helena de Araújo Rodrigues Mauricio Parcio Arrieira Rafael de Oliveira Arrieira Maristela Böhlke Antibiotic resistance pattern in urine cultures from community-dwelling women in southern Brazil - a cross-sectional study short communication Revista Gaúcha de Enfermagem Urinary tract infections Community-acquired infections Drug resistance microbial Brazil Escherichia coli |
| title | Antibiotic resistance pattern in urine cultures from community-dwelling women in southern Brazil - a cross-sectional study short communication |
| title_full | Antibiotic resistance pattern in urine cultures from community-dwelling women in southern Brazil - a cross-sectional study short communication |
| title_fullStr | Antibiotic resistance pattern in urine cultures from community-dwelling women in southern Brazil - a cross-sectional study short communication |
| title_full_unstemmed | Antibiotic resistance pattern in urine cultures from community-dwelling women in southern Brazil - a cross-sectional study short communication |
| title_short | Antibiotic resistance pattern in urine cultures from community-dwelling women in southern Brazil - a cross-sectional study short communication |
| title_sort | antibiotic resistance pattern in urine cultures from community dwelling women in southern brazil a cross sectional study short communication |
| topic | Urinary tract infections Community-acquired infections Drug resistance microbial Brazil Escherichia coli |
| url | http://revodonto.bvsalud.org/scielo.php?script=sci_arttext&pid=S1983-14472022000100433&lng=en&tlng=en |
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