| Pathogen occurrence and antimicrobial susceptibility of urinary tract infection cases during a 20-year period (1983-2002) at a single institution in Japan. | |
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MedLine Citation:
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PMID: 16249626 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Urinary tract infections are one of the most common infectious diseases diagnosed in outpatients as well as in hospitalized patients. Recently, urinary tract infections have become more complicated and difficult to treat. Therefore, the present study analyzed the occurrence and antimicrobial susceptibility of uropathogens isolated at Kobe University Hospital between 1983 and 2002. This study was performed with three patient groups: urology inpatients, urology outpatients, and inpatients of other departments. During the 20-year study period, we studied 15,925 urine isolates obtained from those patients who were diagnosed with urinary tract infection. Overall, Enterococcus faecalis was the most frequently isolated pathogen, followed by Pseudomonas aeruginosa and Escherichia coli. The frequency of Staphylococcus aureus increased over time, corresponding to an increase in the occurrence of methicillin-resistant S. aureus (MRSA). In addition, the rate of isolation of Serratia marcescens also increased over time, especially among patients with urinary tract catheters. Our results demonstrate that the uropathogens isolated at a single institution have shown a trend of increasing resistance to various classes of antimicrobial agents. In addition, serious problems should be anticipated in the treatment of multidrug-resistant P. aeruginosa, fluoroquinolone-resistant E. coli, and arbekacin-resistant MRSA. |
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Authors:
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Katsumi Shigemura; Kazushi Tanaka; Hiroshi Okada; Yuzo Nakano; Shohiro Kinoshita; Akinobu Gotoh; Soichi Arakawa; Masato Fujisawa |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Japanese journal of infectious diseases Volume: 58 ISSN: 1344-6304 ISO Abbreviation: Jpn. J. Infect. Dis. Publication Date: 2005 Oct |
Date Detail:
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Created Date: 2005-10-26 Completed Date: 2005-12-23 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 100893704 Medline TA: Jpn J Infect Dis Country: Japan |
Other Details:
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Languages: eng Pagination: 303-8 Citation Subset: IM |
Affiliation:
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Department of Organs Therapeutics, Faculty of Medicine, Kobe University Graduate School of Medicine, Kobe, Japan. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Drug Resistance, Bacterial Enterococcus faecalis / drug effects, isolation & purification Escherichia coli Infections / drug therapy, microbiology Gram-Positive Bacterial Infections / drug therapy, microbiology Humans Japan Methicillin Resistance Pseudomonas Infections / drug therapy, microbiology Serratia Infections / drug therapy, microbiology Serratia marcescens / drug effects, isolation & purification Staphylococcal Infections / drug therapy, microbiology Staphylococcus aureus / drug effects, isolation & purification Urinary Tract Infections / drug therapy, microbiology* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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