1
|
Yoo YM, Park BS, Lee SY, Park KJ, Jung HJ, Pai KS. An Epidemiologic Study on Hosts and Pathogens of Urinary Tract Infection in Urban Children of Korea (2012–2017). ACTA ACUST UNITED AC 2019. [DOI: 10.3339/jkspn.2019.23.1.29] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
|
2
|
Kweon OJ, Choi JH, Song UH, Park AJ. Performance evaluation of a DNA chip assay in the identification of major genitourinary pathogens. J Microbiol Methods 2015; 109:117-22. [DOI: 10.1016/j.mimet.2014.12.010] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/08/2014] [Revised: 12/18/2014] [Accepted: 12/18/2014] [Indexed: 11/25/2022]
|
3
|
Lee MTG, Lee SH, Chang SS, Lee SH, Lee M, Fang CC, Chen SC, Lee CC. Comparative effectiveness of different oral antibiotics regimens for treatment of urinary tract infection in outpatients: an analysis of national representative claims database. Medicine (Baltimore) 2014; 93:e304. [PMID: 25526477 PMCID: PMC4603088 DOI: 10.1097/md.0000000000000304] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/26/2022] Open
Abstract
There are very limited data on the postmarketing outcome comparison of different guideline antibiotic regimens for patients with urinary tract infections (UTIs). We carried out a population-based comparative effectiveness study from year 2000 through 2009, using the administrative data of 2 million patients from the National Health Informatics Project of Taiwan. Treatment failure was defined as either hospitalization or emergency department visits for UTI. Odd ratios were computed using conditional logistic regression models matched on propensity score. We identified 73,675 individuals with UTI, of whom 54,796 (74.4%) received trimethoprim-sulfamethoxazole (TMP-SMX), 4184 (5.7%) received ciprofloxacin, 3142 (4.3%) received levofloxacin, 5984 (8.1%) received ofloxacin, and 5569 (7.6%) received norfloxacin. Compared with TMP-SMX, the composite treatment failure was significantly lowered for norfloxacin in propensity score (PS) matching analyses (OR, 0.73; 95% CI, 0.54-0.99). Both norfloxacin (PS-matched OR, 0.68; 95% CI, 0.47-0.98) and ofloxacin (PS-matched OR, 0.70; 95% CI, 0.49-0.99) had significantly lowered composite treatment failure rate when compared with ciprofloxacin. Subgroup analysis suggested that both norfloxacin and ofloxacin were more effective in female patients without complications (W/O indwelling catheters, W/O bedridden status and W/O spinal cord injury), when compared with either TMP-SMX or ciprofloxacin. Among outpatients receiving oral fluoroquinolone therapy for UTIs, there was evidence of superiority of norfloxacin or ofloxacin over ciprofloxacin or TMP-SMX in terms of treatment failure. Given the observational nature of this study and regional difference in antibiotic resistance patterns, more studies are required to validate our results.
Collapse
Affiliation(s)
- Meng-Tse Gabriel Lee
- From the Department of Emergency Medicine, National Taiwan University Hospital, Taipei, Taiwan (M-TGL, Sh-HL, C-CF, S-CC, C-CL); Department of Family Medicine, Chang Gung Memorial Hospital, Taoyuan, Taiwan (S-SC); Graduate Institute of Clinical Medical Sciences, College of Medicine, Chang Gung University, Taoyuan, Taiwan (S-SC); Department of Rehabilitation and Physical Medicine, Taipei Veteran General Hospital (Si-HL); Department of Rehabilitation and Physical Medicine, National Yang-Ming University, Taipei, Taiwan (Si-HL); Medical Wisdom Inc, US (ML); and Department of Emergency Medicine and Department of General Medicine, National Taiwan University Hospital Yunlin Branch, Douliou, Taiwan (C-CL)
| | | | | | | | | | | | | | | |
Collapse
|
4
|
Kim B, Kim J, Wie SH, Park SH, Cho YK, Lim SK, Shin SY, Yum JS, Lee JS, Kweon KT, Lee H, Cheong HJ, Park DW, Ryu SY, Chung MH, Pai H. Is it Acceptable to Select Antibiotics for the Treatment of Community-acquired Acute Cystitis Based on the Antibiotics Susceptibility Results for Uropathogens from Community-acquired Acute Pyelonephritis in Korea? Infect Chemother 2012. [DOI: 10.3947/ic.2012.44.4.269] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022] Open
Affiliation(s)
- Bongyoung Kim
- Department of Internal Medicine, Hanyang University, College of Medicine, Seoul, Korea
| | - Jieun Kim
- Department of Internal Medicine, Hanyang University, College of Medicine, Seoul, Korea
| | - Seong-heon Wie
- Department of Internal Medicine, Catholic University, College of Medicine, Seoul, Korea
| | - Sun Hee Park
- Department of Internal Medicine, Catholic University, College of Medicine, Seoul, Korea
| | - Young Kyun Cho
- Department of Internal Medicine, Gacheon University, College of Medicine, Gacheon, Korea
| | - Seung-Kwan Lim
- Department of Internal Medicine, Ajou University, College of Medicine, Suwon, Korea
| | - Sang Yop Shin
- Department of Internal Medicine, Jeju University, College of Medicine, Jeju, Korea
| | - Joon Sup Yum
- Department of Internal Medicine, Sungkyunkwan University, College of Medicine, Seoul, Korea
| | - Jin Seo Lee
- Department of Internal Medicine, Hallym University, College of Medicine, Seoul, Korea
| | - Ki Tae Kweon
- Department of Infectious disease, Patima Hospital, Daegu, Korea
| | - Hyuck Lee
- Department of Internal Medicine, Donga University, College of Medicine, Daegu, Korea
| | - Hee Jin Cheong
- Department of Internal Medicine, Korea University, College of Medicine, Seoul, Korea
| | - Dae Won Park
- Department of Internal Medicine, Korea University, College of Medicine, Seoul, Korea
| | - Seong Yeol Ryu
- Department of Internal Medicine, Gyemyeong University, College of Medicine, Daegu, Korea
| | - Moon-Hyun Chung
- Department of Internal Medicine, Inha University, College of Medicine, Incheon, Korea
| | - Hyunjoo Pai
- Department of Internal Medicine, Hanyang University, College of Medicine, Seoul, Korea
| |
Collapse
|
5
|
Kim TH. The Choice of Empirical Treatment of Uncomplicated Cystitis: No Longer Free Ride. Infect Chemother 2012. [DOI: 10.3947/ic.2012.44.4.323] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022] Open
Affiliation(s)
- Tae Hyong Kim
- Department of Internal Medicine, Soon Chun Hyang University Seoul Hospital, Seoul, Korea
| |
Collapse
|
6
|
Jang WH, Yoo DH, Park SW. Prevalence of and Risk Factors for Levofloxacin-Resistant E. coli Isolated from Outpatients with Urinary Tract Infection. Korean J Urol 2011; 52:554-9. [PMID: 21927703 PMCID: PMC3162222 DOI: 10.4111/kju.2011.52.8.554] [Citation(s) in RCA: 12] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/23/2011] [Accepted: 07/08/2011] [Indexed: 11/27/2022] Open
Abstract
Purpose Levofloxacin has been widely used because of its broad spectrum and excellent penetration of the prostate. But levofloxacin-resistant Escherichia coli (E.coli) has been reported all over the world. We analyzed the annual levofloxacin resistance of E. coli and its risk factors. Materials and Methods From 2005 to 2009, we retrospectively analyzed patients who had undergone a urine analysis and a urine culture at the Outpatient Section of the Department of Urology of Kwangju Christian Hospital. Among them, we chose 509 patients infected by E. coli and evaluated the resistance rate to levofloxacin and its risk factors. Results The annual rates of levofloxacin resistance of E. coli were 29.49% in 2005, 26.51% in 2006, 40.21% in 2007, 43.20% in 2008, and 31.75% in 2009. A close correlation with the resistance rate was shown in cases that had underlying neurogenic bladder (p=0.002, odds ratio [OR]=4.236), a history of ciprofloxacin (p<0.001, OR=3.753) and levofloxacin (p<0.001, OR=2.996) administration for at least 48 hours in the past year, urolithiasis (p=0.003, OR=3.317), and older age (p<0.001, OR=1.027). Conclusions This study from 2005 to 2009 showed that the levofloxacin resistance rates of E. coli were high at over 25%. The risk factors that affected the levofloxacin resistance rates of E. coli were underlying neurogenic bladder, ciprofloxacin administration history, urolithiasis, levofloxacin administration history, and older age. Levofloxacin should be prescribed cautiously in patients with these risk factors until the pathogen is identified.
Collapse
Affiliation(s)
- Woo Hyuk Jang
- Department of Urology, Kwangju Christian Hospital, Gwangju, Korea
| | | | | |
Collapse
|
7
|
Ryu KH, Kim YB, Yang SO, Lee JK, Jung TY. Results of urine culture and antimicrobial sensitivity tests according to the voiding method over 10 years in patients with spinal cord injury. Korean J Urol 2011; 52:345-9. [PMID: 21687395 PMCID: PMC3106168 DOI: 10.4111/kju.2011.52.5.345] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/08/2011] [Accepted: 04/25/2011] [Indexed: 11/23/2022] Open
Abstract
Purpose We studied the results of urine cultures and antimicrobial sensitivity tests according to the voiding method used by spinal cord injury (SCI) patients over a recent 10-year period. Materials and Methods We retrospectively analyzed 1,236 urine samples and their antimicrobial sensitivity tests for 112 patients who had used only one voiding method between January 2000 and December 2009. The voiding methods were classified into four groups: clean intermittent catheterization (CIC), suprapubic catheterization, urethral Foley catheter, and spontaneous voiding. Results Of the 1,236 urine samples, 925 (74.8%) were positive and 279 (30.2%) had more than one bacteria. The CIC group showed the lowest rate of bacteriuria, colony counts, and polymicrobial infection (p<0.001). Causative organisms were mostly Gram-negative bacteria (84%), including Pseudomonas aeruginosa (22.9%), Escherichia coli (21.1%), Klebsiella species (6.7%), and Citrobacter species (6.3%). The rate of Gram-positive bacterial infection was 13.6%, and major pathogenic organisms were Streptococcus species (8.6%) and Staphylococcus species (2.6%). Major pathogenic organisms and the results of antimicrobial sensitivity tests differed according to the voiding method. Conclusions Although the patient's condition and preferences are important when choosing the method of bladder management, CIC is the best voiding method for reducing urinary tract infections in SCI patients. When immediate use of antibiotics is needed for treatment of urinary tract infections, an appropriate antibiotic can be chosen according to the voiding method on the basis of our study and can be administered before the results of an antimicrobial sensitivity test are available.
Collapse
Affiliation(s)
- Kyoung Ho Ryu
- Department of Urology, Seoul Veterans Hospital, Seoul, Korea
| | | | | | | | | |
Collapse
|
8
|
Lee DS, Lee CB, Lee SJ. Prevalence and risk factors for extended spectrum Beta-lactamase-producing uropathogens in patients with urinary tract infection. Korean J Urol 2010; 51:492-7. [PMID: 20664784 PMCID: PMC2907500 DOI: 10.4111/kju.2010.51.7.492] [Citation(s) in RCA: 36] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/14/2010] [Accepted: 06/23/2010] [Indexed: 11/18/2022] Open
Abstract
PURPOSE The aim of this study was to determine the prevalence and risk factors of extended spectrum beta-lactamase (ESBL)-producing microorganisms in urinary tract infection. MATERIALS AND METHODS total of 2,312 patients older than 25 years and diagnosed from January 2007 to December 2009 as having urinary tract infection were studied. The prevalence of ESBL-producing microorganisms including Escherichia coli and the antimicrobial susceptibility of E. coli were examined. Univariate analyses were performed with gender, age, inpatient status, previous hospitalization, recent history of urinary catheterization, recent exposure to specific antibiotics, and past history of urogenital organ operation as risk factors for the emergence of ESBL-producing microorganisms. Then, multivariate analysis was performed with all significant variables. RESULTS In outpatient urinary tract infection, the antimicrobial susceptibility of E. coli to each of the third-generation cephalosporins, cefotaxime, ceftazidime, and ceftriaxone, was 87.6%, 93.4%, and 87.7%, respectively, and the prevalence of ESBL-producing E. coli was 12.1%. In inpatient urinary tract infection, the susceptibility of E. coli was 78%, 84.5%, and 76.9%, respectively, and the prevalence was 23.1%. CONCLUSIONS The overall prevalence of ESBL-producing microorganism was 12.6% and the risk appeared to be increased in cases with a previous hospitalization, a recent history of urinary catheterization, inpatient status, cefaclor medication, cefminox administration, and female gender.
Collapse
Affiliation(s)
- Dong Sup Lee
- Department of Urology, St. Vincent's Hospital, The Catholic University of Korea, School of Medicine, Suwon, Korea
| | | | | |
Collapse
|
9
|
Lee NS, Lee SJ, Cho YH, Han CH. Antimicrobial Effect of Lactobacillus in a Rat Model of Escherichia coli Urinary Tract Infection: A Preliminary Study. Korean J Urol 2009. [DOI: 10.4111/kju.2009.50.12.1253] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/20/2023] Open
Affiliation(s)
- Nam Suk Lee
- Department of Urology, College of Medicine, The Catholic University of Korea, Seoul, Korea
| | - Seung-Ju Lee
- Department of Urology, College of Medicine, The Catholic University of Korea, Seoul, Korea
| | - Yong-Hyun Cho
- Department of Urology, College of Medicine, The Catholic University of Korea, Seoul, Korea
| | - Chang Hee Han
- Department of Urology, College of Medicine, The Catholic University of Korea, Seoul, Korea
| |
Collapse
|
10
|
Kim HY, Yim SH, Cho HJ, Kim JS, Ha US, Kim DB, Hong SH, Sohn DW, Lee JY, Kim SW. Changes in Causative Organisms and Antibiotic Sensitivity in Intensive Care Unit-Acquired Urinary Tract Infection. Korean J Urol 2009. [DOI: 10.4111/kju.2009.50.11.1108] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022] Open
Affiliation(s)
- Hee Youn Kim
- Department of Urology, The Catholic University of Korea College of Medicine, Seoul, Korea
| | - Seung Hyuk Yim
- Department of Urology, The Catholic University of Korea College of Medicine, Seoul, Korea
| | - Hyuk Jin Cho
- Department of Urology, The Catholic University of Korea College of Medicine, Seoul, Korea
| | - Jae Sik Kim
- Department of Urology, The Catholic University of Korea College of Medicine, Seoul, Korea
| | - U-Syn Ha
- Department of Urology, The Catholic University of Korea College of Medicine, Seoul, Korea
| | - Doo Bae Kim
- Department of Urology, The Catholic University of Korea College of Medicine, Seoul, Korea
| | - Sung Hoo Hong
- Department of Urology, The Catholic University of Korea College of Medicine, Seoul, Korea
| | - Dong Wan Sohn
- Department of Urology, The Catholic University of Korea College of Medicine, Seoul, Korea
| | - Ji Youl Lee
- Department of Urology, The Catholic University of Korea College of Medicine, Seoul, Korea
| | - Sae Woong Kim
- Department of Urology, The Catholic University of Korea College of Medicine, Seoul, Korea
| |
Collapse
|
11
|
Chang IH, Bang SH, Choi NY, Park SY, Han JH, Ahn SH. Trends in the Emergence of Ciprofloxacin-resistant Escherichia coli and the Relationship with Underlying Diseases in Patients with Urinary Tract Infection. Korean J Urol 2008. [DOI: 10.4111/kju.2008.49.1.66] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022] Open
Affiliation(s)
- In Ho Chang
- Department of Urology, Hanil General Hospital, Seoul, Korea
| | - Soeng Hak Bang
- Department of Urology, Hanil General Hospital, Seoul, Korea
| | - Nak Young Choi
- Department of Urology, Hanil General Hospital, Seoul, Korea
| | - Sang Yuk Park
- Department of Urology, Hanil General Hospital, Seoul, Korea
| | - Jun Hyun Han
- Department of Urology, Hanil General Hospital, Seoul, Korea
| | - Seung Hyun Ahn
- Department of Urology, Hanil General Hospital, Seoul, Korea
| |
Collapse
|
12
|
Kim KY, Kim CS, Lim DH. The Ciprofloxacin Resistance Pattern of Escherichia coli Isolated from Female Patients with Community-acquired Urinary Tract Infection in the Jeonnam and Gwangju Region for the Recent 2-years. Korean J Urol 2008. [DOI: 10.4111/kju.2008.49.6.540] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022] Open
Affiliation(s)
- Kyoung Young Kim
- Department of Urology, College of Medicine, Chosun University, Gwangju, Korea
| | - Chul Sung Kim
- Department of Urology, College of Medicine, Chosun University, Gwangju, Korea
| | - Dong Hoon Lim
- Department of Urology, College of Medicine, Chosun University, Gwangju, Korea
| |
Collapse
|
13
|
Lee JW, Oh KJ, Park SC, Rim JS. The Clinical Features of Complicated Urinary Tract Infections by Pseudomonas aeruginosa. Korean J Urol 2008. [DOI: 10.4111/kju.2008.49.12.1149] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022] Open
Affiliation(s)
- Jung Woo Lee
- Department of Urology, Wonkwang University School of Medicine, Iksan, Korea
| | - Kyung Jae Oh
- Department of Preventive Medicine, Wonkwang University School of Medicine, Iksan, Korea
| | - Seung Chol Park
- Department of Urology, Wonkwang University School of Medicine, Iksan, Korea
| | - Joung Sik Rim
- Department of Urology, Wonkwang University School of Medicine, Iksan, Korea
| |
Collapse
|