Hostname: page-component-78c5997874-s2hrs Total loading time: 0 Render date: 2024-11-17T18:23:14.205Z Has data issue: false hasContentIssue false

Antimicrobial Susceptibility of Bacteria Isolated from Urine Samples Obtained from Nursing Home Residents

Published online by Cambridge University Press:  02 January 2015

Rituparna Das
Affiliation:
Department of Internal Medicine, Section of Infectious Diseases, Yale School of Medicine, New Haven, Connecticut
Eleanor Perrelli
Affiliation:
Department of Internal Medicine, Section of Infectious Diseases, Yale School of Medicine, New Haven, Connecticut
Virginia Towle
Affiliation:
Department of Internal Medicine, Section of Infectious Diseases, Yale School of Medicine, New Haven, Connecticut
Peter H. Van Ness
Affiliation:
Department of Internal Medicine, Section of Infectious Diseases, Yale School of Medicine, New Haven, Connecticut
Manisha Juthani-Mehta*
Affiliation:
Department of Internal Medicine, Section of Infectious Diseases, Yale School of Medicine, New Haven, Connecticut
*
Department of Internal Medicine, Section of Infectious Diseases, Yale School of Medicine, PO Box 208022, New Haven, CT 06520 ([email protected])

Abstract

In our study of nursing home residents with clinically suspected urinary tract infection who did not require the use of an indwelling catheter, we identified bacteria isolated from urine samples, the resistance patterns of these isolated bacteria, and the antibiotic therapy prescribed to the residents. Escherichia coli, the predominant organism isolated, frequently was resistant to commonly prescribed oral antibiotics. Trimethoprim-sulfamethoxazole remains the best empiric antimicrobial therapy for a urinary tract infection, but nitrofurantoin should be considered if E. coli is identified.

Type
Concise Communications
Copyright
Copyright © The Society for Healthcare Epidemiology of America 2009

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1.Nicolle, LE. Urinary tract infection in long-term-care facility residents. Clin Infect Dis 2000;31:757761.CrossRefGoogle ScholarPubMed
2.Nicolle, LE. Resistant pathogens in urinary tract infections. J Am Geriatr Soc 2002;50(7 Suppl):S230S235.CrossRefGoogle ScholarPubMed
3.Bonomo, RA. Multiple antibiotic-resistant bacteria in long-term-care facilities: an emerging problem in the practice of infectious diseases. Clin Infect Dis 2000;31:14141422.CrossRefGoogle ScholarPubMed
4.Viray, M, Linkin, D, Maslow, JN, et al.Longitudinal trends in antimicrobial susceptibilities across long-term-care facilities: emergence of fluoroquinolone resistance. Infect Control Hosp Epidemiol 2005;26:5662.CrossRefGoogle ScholarPubMed
5.Cohen, AE, Lautenbach, E, Morales, KH, Linkin, DR. Fluoroquinolone-resistant Escherichia coli in the long-term care setting. Am J Med 2006;119:958963.Google Scholar
6.Grude, N, Tveten, Y, Kristiansen, BE. Urinary tract infections in Norway: bacterial etiology and susceptibility. A retrospective study of clinical isolates. Clin Microbiol Infect 2001;7:543547.Google Scholar
7.Juthani-Mehta, M, Quagliarello, V, Perrelli, E, Towle, V, Van Ness, P, Tinetti, M. Clinical features to identify urinary tract infection in nursing home residents: a cohort study. J Am Geriatr Soc 2009;57:963970.CrossRefGoogle ScholarPubMed
8.Nicolle, LE, Bentley, D, Garibaldi, R, Neuhaus, E, Smith, P. Antimicrobial use in long-term-care facilities. Infect Control Hosp Epidemiol 1996;17:119128.Google Scholar
9.Warren, JW, Abrutyn, E, Hebel, JR, Johnson, JR, Schaeffer, AJ, Stamm, WE. Guidelines for antimicrobial treatment of uncomplicated acute bacterial cystitis and acute pyelonephritis in women. Infectious Diseases Society of America (IDSA). Clin Infect Dis 1999;29:745758.CrossRefGoogle ScholarPubMed
10.Gupta, K, Hooton, TM, Roberts, PL, Stamm, WE. Short-course nitrofurantoin for the treatment of acute uncomplicated cystitis in women. Arch Intern Med 2007;167:22072212.Google Scholar