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  1. Community-acquired urinary tract infection in adults : a hospital viewpoint.

    Article - En anglais

    The clinical and epidemiologic spectrum of 175 cases of community-acquired urinary tract infection (UTI) were evaluated at a university hospital.

    Patients were grouped in five different categories of which complicated UTI was the most common (39%). Bacteraemia was detected in eight patients (18%) of this group and in five (12%) with acute uncomplicated pyelonephritis.

    A single organism was isolated in 166 cases (95%). The rate of Escherichia coli bacteriuria ranged from 60% (asymptomatic bacteriuria) to 94% (uncomplicated cystitis).

    Of the 184 isolates, 92% were susceptible to ciprofloxacin and significantly high rates of resistance were found for ampicillin, cefazolin, cefuroxime, and co-trimoxazole.

    Isolates causing uncomplicated UTI had significantly high rates of resistance to ampicillin, amoxycillin-clavulanate and co-trimoxazole and those causing complicated UTI, had significantly high rates of resistance to most oral antibiotics tested, except quinolones and nitrofurantoine.

    Community-acquired UTI requiring hospital evaluation occurs in a complex group of patients, and current patterns of antibiotic resistance make it difficult to suggest empiric oral treatments in this setting.

    Mots-clés Pascal : Infection, Voie urinaire, Infection nosocomiale, Milieu hospitalier, Résistance microorganisme, Epidémiologie, Adulte, Homme, Israël, Asie, Voie urinaire pathologie, Appareil urinaire pathologie

    Mots-clés Pascal anglais : Infection, Urinary tract, Nosocomial infection, Hospital environment, Microorganism resistance, Epidemiology, Adult, Human, Israel, Asia, Urinary tract disease, Urinary system disease

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 98-0251640

    Code Inist : 002B05A02. Création : 11/09/1998.