{"id":16110,"date":"2021-01-05T01:24:41","date_gmt":"2021-01-04T22:24:41","guid":{"rendered":"https:\/\/www.klimikdergisi.org\/\/2021\/01\/05\/investigation-of-the-results-of-urine-cultures-and-approaches-to-empirical-antibiotic-treatment-of-community-acquired-urinary-tract-infections-in-elderly-patients\/"},"modified":"2021-01-05T01:24:41","modified_gmt":"2021-01-04T22:24:41","slug":"investigation-of-the-results-of-urine-cultures-and-approaches-to-empirical-antibiotic-treatment-of-community-acquired-urinary-tract-infections-in-elderly-patients","status":"publish","type":"post","link":"https:\/\/www.klimikdergisi.org\/en\/2021\/01\/05\/investigation-of-the-results-of-urine-cultures-and-approaches-to-empirical-antibiotic-treatment-of-community-acquired-urinary-tract-infections-in-elderly-patients\/","title":{"rendered":"Investigation of the Results of Urine Cultures and Approaches to Empirical Antibiotic Treatment of Community-Acquired Urinary Tract Infections in Elderly Patients"},"content":{"rendered":"<h1>Abstract<\/h1>\n<p> <strong>Objective<\/strong>: Urinary tract infection is one of the most common bacterial diseases in elderly patients. The objective of this study is to determine the antibiotic resistance rates against first-line antibiotics used for the treatment of community-acquired urinary tract infections in elderly patients at our hospital, and use the results as guidance for empirical antibiotic therapy.\u00a0<\/p>\n<p> <strong>Methods<\/strong>: In this study, data on all elderly patients aged 65 and older who were followed and treated in our hospital between March 2010 and March 2012 were evaluated retrospectively.<\/p>\n<p> <strong>Results<\/strong>: 406 microorganisms were isolated from the urine cultures of 401 patients included in the study, because 5 (1.2%) patients harbored two microorganisms. Of the 406 microorganisms, 320 (78.8%) were Gram-negative bacilli, 72 (17.7%) were Gram-positive cocci and 14 (3.5%) were Candida spp. Escherichia coli (n=262, 64.5%), Klebsiella pneumoniae (n=27, 6.6%), and Pseudomonas aeruginosa (n=17, 4.1%) were the most common among Gram-negatives, and Enterococcus faecalis (n=36, 8.9%) and coagulase-negative staphylococci (n=25, 6.2%) were the most common among Gram-positives. Susceptibility rates of \u00a0E. coli strains were 89% for nitrofurantoin, 81% for trimethoprim-sulfamethoxazole, 77% for amoxicillin-clavulanic acid, 70% for gentamicin and 66% for ciprofloxacin.\u00a0<\/p>\n<p> <strong>Conclusions<\/strong>: Antimicrobial resistance must be monitored at each hospital in order to make correct choices for empirical antibiotic therapy. Surveillance studies are helpful for this purpose. In conclusion, nitrofurantoin and trimethoprim-sulfamethoxazole can safely be used for the empirical treatment of urinary tract infections in elderly patients.\u00a0<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Abstract Objective: Urinary tract infection is one of the most common bacterial diseases in elderly patients. The objective of this study is to determine the antibiotic resistance rates against first-line antibiotics used for the treatment of community-acquired urinary tract infections in elderly patients at our hospital, and use the results as guidance for empirical antibiotic [&hellip;]<\/p>\n","protected":false},"author":0,"featured_media":0,"comment_status":"","ping_status":"","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[5130],"tags":[2968,3191,4197,3338],"class_list":["post-16110","post","type-post","status-publish","format-standard","hentry","category-original-article","tag-antibiotic-resistance","tag-escherichia-coli","tag-geriatrics","tag-urinary-tract-infection"],"acf":[],"_links":{"self":[{"href":"https:\/\/www.klimikdergisi.org\/en\/wp-json\/wp\/v2\/posts\/16110","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.klimikdergisi.org\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.klimikdergisi.org\/en\/wp-json\/wp\/v2\/types\/post"}],"replies":[{"embeddable":true,"href":"https:\/\/www.klimikdergisi.org\/en\/wp-json\/wp\/v2\/comments?post=16110"}],"version-history":[{"count":0,"href":"https:\/\/www.klimikdergisi.org\/en\/wp-json\/wp\/v2\/posts\/16110\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.klimikdergisi.org\/en\/wp-json\/wp\/v2\/media?parent=16110"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.klimikdergisi.org\/en\/wp-json\/wp\/v2\/categories?post=16110"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.klimikdergisi.org\/en\/wp-json\/wp\/v2\/tags?post=16110"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}