RESEARCH ARTICLE
Nobel Med 2016; 12(3): 67-72

RISK FACTORS AND TREATMENT APPROACHES FOR URINARY TRACT INFECTIONS CAUSED BY COMMUNITY AND HOSPITAL ACQUIRED EXTENDED SPECTRUM BETA-LACTAMASE PRODUCING ESCHERICHIA COLI AND KLEBSIELLA PNEUMONIAE

Eda Karadoğan, Şua Sümer, Nazlım Aktuğ Demir, Onur Ural
ABSTRACT
Objective: In recent years, extended-spectrum beta-lactamase (ESBL) producing microorganisms are responsible not only for healthcare-associated but also for community-acquired urinary tract infections (UTI). The aim of this study is to evaluate the risk factors of community acquired and healthcare associated UTI caused by ESBL producing Escherichia coli and Klebsiella pneumoniae and treatment options in outpatients and inpatients.
Material and Method: In this study 200 patients with UTI caused by ESBL producing E.coli and K.pneumoniae followed up between 1 January 2012 and 31 December 2013 at Selcuk University Faculty of Medicine Hospital were evaluated with file review.
Results: Compared to community-acquired UTI presence of underlying disease, previous antibiotic use, urinary catheterization, hospital admission in the last 6 months were more common in healthcare associated infection
When inpatient treatment was evaluated imipenem was more commonly used in healthcare associated infections and when outpatient treatment was evaluated the combination of nitrofurantoin and fosfomycin was more commonly used in community acquired infections.
Conclusion: The presence of underlying disease, history of antibiotic use in the past month, hospital admission in the last 6 months and urinary catheterization were highlights in healthcare associated UTI caused by ESBL producing microorganisms. Carbapenems were seen the first choice in the treatment of these infections. According to clinical and laboratory findings, combination of nitrofurantoin and fosfomycin was seen to be o good alternative for treatment of outpatients with UTI caused by ESBL producing E.coli and K.pneumoniae.
Keywords
Nosocomial Community acquired ESBL Ecoli Kpneumoniae

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  • Pubmed Style
    Eda Karadoğan, Şua Sümer, Nazlım Aktuğ Demir, Onur Ural. [TOPLUM VE HASTANE KÖKENLİ GENİŞLEMİŞ SPEKTRUMLU BETA-LAKTAMAZ ÜRETEN ESCHERİCHİA COLİ VE KLEBSİELLA PNEUMONİAE İLE OLUŞAN ÜRİNER SİSTEM ENFEKSİYONLARINDA RİSK FAKTÖRLERİ VE TEDAVİ YAKLAŞIMLARI]. Nobel Med 2016; 12(3): 67-72, Turkish.
  • Web Style
    Eda Karadoğan, Şua Sümer, Nazlım Aktuğ Demir, Onur Ural. [TOPLUM VE HASTANE KÖKENLİ GENİŞLEMİŞ SPEKTRUMLU BETA-LAKTAMAZ ÜRETEN ESCHERİCHİA COLİ VE KLEBSİELLA PNEUMONİAE İLE OLUŞAN ÜRİNER SİSTEM ENFEKSİYONLARINDA RİSK FAKTÖRLERİ VE TEDAVİ YAKLAŞIMLARI]. www.nobelmedicus.com/en/Article.aspx?m=1716 [Access: Mayıs 24, 2021], Turkish.
  • AMA (American Medical Association) Style
    Eda Karadoğan, Şua Sümer, Nazlım Aktuğ Demir, Onur Ural. [TOPLUM VE HASTANE KÖKENLİ GENİŞLEMİŞ SPEKTRUMLU BETA-LAKTAMAZ ÜRETEN ESCHERİCHİA COLİ VE KLEBSİELLA PNEUMONİAE İLE OLUŞAN ÜRİNER SİSTEM ENFEKSİYONLARINDA RİSK FAKTÖRLERİ VE TEDAVİ YAKLAŞIMLARI]. Nobel Med 2016; 12(3): 67-72, Turkish.
  • Vancouver/ICMJE Style
    Eda Karadoğan, Şua Sümer, Nazlım Aktuğ Demir, Onur Ural. [TOPLUM VE HASTANE KÖKENLİ GENİŞLEMİŞ SPEKTRUMLU BETA-LAKTAMAZ ÜRETEN ESCHERİCHİA COLİ VE KLEBSİELLA PNEUMONİAE İLE OLUŞAN ÜRİNER SİSTEM ENFEKSİYONLARINDA RİSK FAKTÖRLERİ VE TEDAVİ YAKLAŞIMLARI]. Nobel Med (2016); 12(3): 67-72, [cited Mayıs 24, 2021], Turkish.
  • Harvard Style
    Eda Karadoğan, Şua Sümer, Nazlım Aktuğ Demir, Onur Ural. (2016) [TOPLUM VE HASTANE KÖKENLİ GENİŞLEMİŞ SPEKTRUMLU BETA-LAKTAMAZ ÜRETEN ESCHERİCHİA COLİ VE KLEBSİELLA PNEUMONİAE İLE OLUŞAN ÜRİNER SİSTEM ENFEKSİYONLARINDA RİSK FAKTÖRLERİ VE TEDAVİ YAKLAŞIMLARI]. Nobel Med, 12(3): 67-72, Turkish.