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urinary tract infections guidelines

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https://www.readbyqxmd.com/read/29137487/emergence-of-fosfomycin-resistance-among-isolates-of-escherichia-coli-harboring-extended-spectrum-and-ampc-%C3%AE-lactamases
#1
Aghil Bahramian, Gita Eslami, Ali Hashemi, Ali Tabibi, Mohsen Heidary
Urinary tract infection (UTI) is a common type of infectious disease globally. The aim of this study was to detect the frequency of fosA3 and fosC2 genes in extended-spectrum β-lactamases (ESBL) and blaDHA, blaCMY-2, and blaCMY-42 genes in AmpC β-lactamases-producing isolates of Escherichia coli. In total, 120 isolates of E. coli were collected from three teaching hospitals between March 2014 and February 2015. Antibiotic susceptibility tests were carried out by disk diffusion method. The presence of blaCMY-2, blaCMY-42, blaDHA, fosA3, and fosC2 genes was detected by polymerase chain reaction (PCR) and sequencing...
November 15, 2017: Acta Microbiologica et Immunologica Hungarica
https://www.readbyqxmd.com/read/29109580/fosfomycin-susceptibility-in-multidrug-resistant-enterobacteriaceae-species-and-vancomycin-resistant-enterococci-urinary-isolates
#2
Linda B Ou, Lynn Nadeau
Background: Broad-spectrum antibiotics are often used to treat urinary tract infections (UTIs) due to drug-resistant species of Enterobacteriaceae and Enterococcus (e.g., organisms producing extended-spectrum β-lactamase [ESBL] or AmpC β-lactamase, as well as vancomycin-resistant enterococci [VRE]). However, this type of therapy can promote selection of resistant organisms and may necessitate venous access. Fosfomycin is an orally administered, single-dose antibiotic for the treatment of uncomplicated UTI...
September 2017: Canadian Journal of Hospital Pharmacy
https://www.readbyqxmd.com/read/29108916/an-evidence-based-protocol-for-antibiotic-use-prior-to-cystoscopy-decreases-antibiotic-usage-without-impacting-post-procedural-symptomatic-urinary-tract-infection-rates
#3
Justin R Gregg, Rohan G Bhalla, J Paul Cook, Caroline Lai, Roger Dmochowski, Thomas R Talbot, Daniel A Barocas
PURPOSE: Symptomatic urinary tract infection (UTI) is a complication of office-based cystourethroscopy. Studies are mixed regarding the efficacy of antibiotic prophylaxis for UTI prevention. Our aim was to develop and evaluate an evidence-based protocol that reduces unnecessary antibiotic use while avoiding an increase in UTI. MATERIALS AND METHODS: A clinic antibiogram was created based on all urology office visits performed during a two-year time period. Bacterial resistance rates, institutional risk-related data, and clinical guidelines were used to create a protocol for pre-cystourethroscopy antibiotic use...
November 3, 2017: Journal of Urology
https://www.readbyqxmd.com/read/29108476/intermittent-catheterization-the-devil-is-in-the-details
#4
Kathleen Christison, Matthias Walter, Jean-Jacques J M Wyndaele, Michael Kennelly, Thomas M Kessler, Vanessa K Noonan, Nader Fallah, Andrei V Krassioukov
During the last few years, the international community debated on urinary tract infection and re-use of catheters when managing neurogenic lower urinary tract dysfunction among individuals with SCI. In this respect, the 2014 Cochrane review by Prieto et al, 'Intermittent Catheterisation for Long-Term Bladder Management', became one of the leading documents that captured mind and attention of clinicians around the world. Although numerous countries switched to single-use catheters as guidelines for management of bladder following SCI, the opinion that was expressed in the 2014 Cochrane review had a strong influence on healthcare providers and agencies to recommend re-use of catheters...
November 6, 2017: Journal of Neurotrauma
https://www.readbyqxmd.com/read/29102297/the-efficacy-of-probiotics-in-prevention-of-urinary-tract-infection-in-children-a-systematic-review-and-meta-analysis
#5
REVIEW
Mostafa Hosseini, Mahmoud Yousefifard, Neamatollah Ataei, Alireza Oraii, Jalaledin Mirzay Razaz, Anahita Izadi
BACKGROUND: A consensus has not been reached yet about the efficacy of probiotics in reducing the incidence of urinary tract infections (UTIs) in children. This systematic review and meta-analysis was designed to assess the efficacy of probiotics in prevention UTI in children. METHODS: The present study was designed based on guidelines for systematic reviews of clinical trials. Two independent reviewers performed an extensive search in the Medline, Embase, Web of Science and Scopus electronic databases up to the end of 2016...
October 9, 2017: Journal of Pediatric Urology
https://www.readbyqxmd.com/read/29102120/antimicrobial-resistance-in-clinical-escherichia-coli-isolated-from-companion-animals-in-australia
#6
Sugiyono Saputra, David Jordan, Tahlia Mitchell, Hui San Wong, Rebecca J Abraham, Amanda Kidsley, John Turnidge, Darren J Trott, Sam Abraham
Multidrug-resistant (MDR) Escherichia coli have become a major public health concern to both humans and animal health. While the frequency of antimicrobial resistance (AMR) in clinical E. coli is monitored regularly in human medicine, current frequency of AMR in companion animals remains unknown in Australia. In this study we conducted antimicrobial susceptibility testing (AST) and where possible, determined potential risk factors for MDR infection among 883 clinical Escherichia coli isolated from dogs (n=514), cats (n=341) and horses (n=28)...
November 2017: Veterinary Microbiology
https://www.readbyqxmd.com/read/29091946/maternal-urogenital-schistosomiasis-monitoring-disease-morbidity-by-simple-reagent-strips
#7
Oyetunde T Oyeyemi, Alexander B Odaibo
BACKGROUND: Urine analysis is one of the recommended antenatal guidelines for early diagnosis of pregnancy-associated complications. While in practice, urine analysis by dipstick had been used to provide useful information on other urinary tract infections, its applications for early detection of urogenital schistosomiasis in pregnant women is often times not given due attention in most endemic areas. Our study therefore assessed the performance of some common urinalysis parameters in the diagnosis of maternal urogenital schistosomiasis in endemic rural communities of Nigeria...
2017: PloS One
https://www.readbyqxmd.com/read/29063210/late-onset-sepsis-due-to-urinary-tract-infection-in-very-preterm-neonates-is-not-uncommon
#8
Alexander B Mohseny, Veerle van Velze, Sylke J Steggerda, Vivianne E H J Smits-Wintjens, Vincent Bekker, Enrico Lopriore
Urinary tract infection (UTI) is a common cause of sepsis in infants. Premature infants hospitalized at a neonatal intensive care unit often have risk factors for infection. In this group, the risk of UTI is not clearly known, and guidelines for urine analysis are not unanimous. We aimed to identify the risk of UTI in premature infants with central lines, suspected of late-onset sepsis. We analyzed all 1402 infants admitted to our hospital between 2006 and 2014 with a gestational age less than 32 weeks. Six hundred sixty-two episodes of sepsis evaluations were found with an unknown source of infection based on clinical symptoms...
October 23, 2017: European Journal of Pediatrics
https://www.readbyqxmd.com/read/29038268/urinary-tract-conditions-affect-fosfomycin-activity-against-escherichia-coli-strains-harboring-chromosomal-mutations-involved-in-fosfomycin-uptake
#9
G Martín-Gutiérrez, F Docobo-Pérez, J Rodriguez-Beltrán, J M Rodríguez-Martínez, J Aznar, A Pascual, J Blázquez
The steps by which Escherichia coli strains harboring mutations related with fosfomycin (FOS) resistance arise and spread during urinary tract infections (UTI) is far to be understood. The aim of this study was to evaluate the effect of urine, pH and anaerobiosis on FOS activity against a set of isogenic strains carrying the most prevalent chromosomal mutations conferring FOS-resistance (ΔuhpT, ΔglpT, ΔcyaA and ΔptsI) and their combinations. Also, fosfomycin resistant E. coli clinical isolates from patients with UTI were studied...
October 16, 2017: Antimicrobial Agents and Chemotherapy
https://www.readbyqxmd.com/read/29037164/local-epidemiology-and-resistance-profiles-in-acute-uncomplicated-cystitis-auc-in-women-a-prospective-cohort-study-in-an-urban-urological-ambulatory-setting
#10
Michael Seitz, Christian Stief, Raphaela Waidelich
BACKGROUND: Acute uncomplicated cystitis (AUC) is a common ailment in the urological setting. Guidelines for urinary tract infections are based on large-scale multi-centre, epidemiological and international studies. The objective of this observational study was to establish whether the results of a multi-centre study on the resistance profile of Escherichia coli (E. coli) in patients with AUC could be directly applied to an urological practice in a major European city or whether there are divergences in the resistance profile...
October 16, 2017: BMC Infectious Diseases
https://www.readbyqxmd.com/read/28986090/urinary-tract-infection-in-children-diagnosis-treatment-imaging-comparison-of-current-guidelines
#11
REVIEW
M Okarska-Napierała, A Wasilewska, E Kuchar
BACKGROUND AND OBJECTIVE: Urinary tract infection (UTI) is a frequent disorder of childhood, yet the proper approach for a child with UTI is still a matter of controversy. The objective of this study was to critically compare current guidelines for the diagnosis and management of UTI in children, in light of new scientific data. METHODS: An analysis was performed of the guidelines from: American Academy of Pediatrics (AAP), National Institute for Health and Care Excellence (NICE), Italian Society of Pediatric Nephrology, Canadian Paediatric Society (CPS), Polish Society of Pediatric Nephrology, and European Association of Urology (EAU)/European Society for Pediatric Urology (ESPU)...
September 19, 2017: Journal of Pediatric Urology
https://www.readbyqxmd.com/read/28984254/yield-of-imaging-performed-as-per-indian-society-of-pediatric-nephrology-guidelines-in-children-with-urinary-tract-infection
#12
Rajiv Sinha, Devdeep Mukherjee, Jayati Sengupta, Subhasis Saha, Sushmita Banerjee
OBJECTIVE: To assess yield of imaging performed as per Indian Society of Pediatric Nephrology (ISPN) urinary tract infection (UTI) guideline. METHODS: Ultrasonography (USG), voiding cystourethrography (VCUG) and dimercaptosuccinic-acid (DMSA) scintigraphy were performed in 183 children (age 0-5y) with first episode (age 0-1y) of UTI or recurrent (age <5y) UTI, as per ISPN recommendations. RESULTS: Significant abnormalities were detected in 110 (63%), with vesicoureteric reflux (VUR) grades 3-5 in 31% and renal scars in 43%...
September 15, 2017: Indian Pediatrics
https://www.readbyqxmd.com/read/28982611/nurse-driven-protocols-and-the-prevention-of-catheter-associated-urinary-tract-infections-a-systematic-review
#13
Danielle J Durant
BACKGROUND: Catheter-associated urinary tract infections (CAUTIs) are one of the most common hospital-acquired conditions and no longer reimbursable from Medicare as of 2008. Nurse-driven protocols (NDPs), which provide a medically approved rubric for professional nurses to make autonomous care decisions, can facilitate appropriate catheter use and timely removal, as advised in the Centers for Disease Control and Prevention's 2009 CAUTI prevention guidelines. However, little attempt has been made to systematically evaluate their effect on clinical outcomes...
October 2, 2017: American Journal of Infection Control
https://www.readbyqxmd.com/read/28978286/the-clinical-diagnosis-and-management-of-urinary-tract-infections-in-children-and-adolescents
#14
Lindsey Korbel, Marianella Howell, John David Spencer
Urinary tract infections (UTI) are one of the most common and serious bacterial infections encountered by paediatricians and primary care physicians. Although the diagnosis and management of UTI appear simplistic, they remain among the most contentious issues in paediatrics. In part, UTI controversies stem from the absence of classic clinical symptoms, inappropriate urine specimen collection, modified urinary tract imaging recommendations, and diverse treatment and prevention strategies. Recently published guidelines and large clinical trials have attempted to clarify UTI diagnostic and management strategies...
October 5, 2017: Paediatrics and International Child Health
https://www.readbyqxmd.com/read/28974905/recent-advances-in-recurrent-urinary-tract-infection-from-pathogenesis-and-biomarkers-to-prevention
#15
REVIEW
Jia-Fong Jhang, Hann-Chorng Kuo
Recurrent urinary tract infection (UTI) might be one of the most common problems in urological clinics. Recent research has revealed novel evidence about recurrent UTI and it should be considered a different disease from the first infection. The pathogenesis of recurrent UTI might include two mechanisms, bacterial factors and deficiencies in host defense. Bacterial survival in the urinary bladder after antibiotic treatment and progression to form intracellular bacterial communities might be the most important bacterial factors...
July 2017: Ci Ji Yi Xue za Zhi, Tzu-chi Medical Journal
https://www.readbyqxmd.com/read/28967387/what-urinary-colony-count-indicates-a-urinary-tract-infection-in-children
#16
William Primack, Timothy Bukowski, Richard Sutherland, Lisa Gravens-Mueller, Myra Carpenter
Post-hoc analysis of the Randomized Intervention for Children with Vesicoureteral Reflux study suggests that, in concordance with European guidelines, using bacteriologic criterion of ≥10 000 colony forming units/mL of a single organism does not decrease diagnostic specificity of an urinary tract infection in children aged 2 months to 6 years in a properly collected urine if symptoms/fever and pyuria are present. TRIAL REGISTRATION: ClinicalTrials.gov: NCT00405704.
September 26, 2017: Journal of Pediatrics
https://www.readbyqxmd.com/read/28966488/changing-prevalence-and-antibiotic-drug-resistance-pattern-of-pathogens-seen-in-community-acquired-pediatric-urinary-tract-infections-at-a-tertiary-care-hospital-of-north-india
#17
Vrushali Patwardhan, Dinesh Kumar, Varun Goel, Sarman Singh
AIMS AND OBJECTIVES: The aim and objective of this study was to assess the temporal changes in the microbiological profiles and antimicrobial resistance patterns of uropathogens in pediatric community-acquired UTI. MATERIALS AND METHODS: This is a retrospective analysis of data collected over a Scattered period of 5 years. The baseline data collected were from January to December 2009, and the second period considered for comparison was from January to December 2014...
October 2017: Journal of Laboratory Physicians
https://www.readbyqxmd.com/read/28952700/-the-role-of-fosfomycin-in-the-management-of-urinary-tract-infections
#18
REVIEW
A V Zaitsev, K B Kolontarev
The article analyses major guidelines on the management of uncomplicated cystitis. The authors outline and substantiate the role of fosfomycin in the management of urinary tract infections. They provide current evidence on the resistance of uropathogens, including those producing extended-spectrum -lactamase. Combination therapy (fosfomycin + -lactams or aminoglycosides) is often used to treat infections caused by multiresistant microorganisms. The possibility of using fosfomycin for perioperative prophylaxis of UTI during endourologic operations and transrectal prostate biopsy is shown...
September 2017: Urologii︠a︡
https://www.readbyqxmd.com/read/28941917/national-trends-in-the-management-of-primary-vesicoureteral-reflux-in-children
#19
Michael Garcia-Roig, Curtis Tavers, Courtney E McCracken, Andrew J Kirsch
PURPOSE: In September 2011 the AAP (American Academy of Pediatrics) released updated guidelines for the evaluation of children 2 to 24 months old with a febrile urinary tract infection. We documented the impact of the guideline on diagnosis and surgical management of vesicoureteral reflux at U.S. children's hospitals. We hypothesized that voiding cystourethrogram studies and the vesicoureteral reflux treatment rate decreased concurrent with the national guideline release. MATERIALS AND METHODS: The Pediatric Health Information System was queried for children (younger than 18 years) with primary vesicoureteral reflux and their antireflux surgical history from January 2004 to June 2015...
September 20, 2017: Journal of Urology
https://www.readbyqxmd.com/read/28941632/professional-practice-evaluation-of-emergency-department-prescriptions-for-community-acquired-infections-in-lebanon
#20
Iqbal Fahs, Zeina Shrayteh, Rima Abdulkhalek, Pascale Salameh, Souheil Hallit, Diana Malaeb
BACKGROUND: Selecting the appropriate antibiotic regimen is extremely important in improving patient outcomes, minimizing antimicrobial resistance, and reducing costs. This study was conducted to evaluate current prescribing practices for empiric antibiotics at the time of admission to the emergency department (ED) and to assess their appropriateness in Lebanon. METHODS: A retrospective observational study was conducted at three different Lebanese hospitals between June and December 2016...
September 21, 2017: International Journal of Infectious Diseases: IJID
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