Document Detail


Antimicrobial susceptibility patterns of community-acquired uropathogens in Tehran, Iran.
MedLine Citation:
PMID:  20440056     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Antibiotic resistance of urinary tract pathogens has increased worldwide. Knowledge of the antibiotic resistance patterns of uropathogens in specific geographical locations is an important factor for choosing an appropriate empirical antimicrobial treatment. The aim of this study was to provide information regarding local resistance patterns of urinary pathogens to the commonly used antibiotics in Tehran, Iran. METHODOLOGY: Urine samples collected and submitted to two pathobiology laboratories in Tehran were identified by conventional methods over a period of three years (December 2006 to May 2009). Antimicrobial resistance testing was performed by the standard disk diffusion technique in accordance with the recommendations of the Clinical and Laboratory Standards Institute. RESULTS: Of the total 13,333 mid-stream urine samples collected from suspected cases of urinary tract infection, 840 (6.3%) were positive for pathogenic bacteria. Escherichia coli (E. coli) was the most common isolate (68.8%) followed by Proteus spp. (12.4%), and Klebsiella spp. (9.6%). E. coli isolates were mostly susceptible to nitrofurantoin (71.3%), followed by ciprofloxacin (68.1%); however, only 38.2% of E. coli isolates were susceptible to trimethoprim-sulfamethoxazole. CONCLUSION: Nitrofurantoin may be considered as a first-line empiric antibacterial agent for urinary tract infections in outpatients in Tehran, Iran.
Authors:
Nasim Kashef; Gholamreza Esmaeeli Djavid; Sahba Shahbazi
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't     Date:  2010-05-01
Journal Detail:
Title:  Journal of infection in developing countries     Volume:  4     ISSN:  1972-2680     ISO Abbreviation:  J Infect Dev Ctries     Publication Date:  2010 Apr 
Date Detail:
Created Date:  2010-05-04     Completed Date:  2010-07-22     Revised Date:  2010-09-14    
Medline Journal Info:
Nlm Unique ID:  101305410     Medline TA:  J Infect Dev Ctries     Country:  Italy    
Other Details:
Languages:  eng     Pagination:  202-6     Citation Subset:  IM    
Affiliation:
Department of Microbiology, School of Biology, College of Sciences, University of Tehran, Iran. kashefn@khayam.ut.ac.ir
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Aged
Aged, 80 and over
Anti-Bacterial Agents / pharmacology*
Bacteria / drug effects*,  isolation & purification
Child
Child, Preschool
Community-Acquired Infections / microbiology*
Female
Humans
Infant
Iran
Male
Microbial Sensitivity Tests
Middle Aged
Urinary Tract Infections / microbiology*
Urine / microbiology
Young Adult
Chemical
Reg. No./Substance:
0/Anti-Bacterial Agents

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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