Decreased antibiotic susceptibility of Enterobacteriaceae causing community-acquired urinary tract infections in French Amazonia |
| |
| Authors: | C Baizet S Ouar-Epelboin G Walter E Mosnier B Moreau F Djossou L Epelboin |
| |
| Institution: | 1. Service d’accueil des urgences/SAMU, centre hospitalier Andrée-Rosemon, 97300 Cayenne, French Guiana;2. Département universitaire de médecine générale, faculté de médecine Hyacinthe-Bastaraud, université des Antilles, 97157 Pointe-à-Pitre, Guadeloupe;3. Unité de médecine judiciaire, centre hospitalier Andrée-Rosemon, 97300 Cayenne, French Guiana;4. Unité des maladies infectieuses et tropicales, centre hospitalier Andrée-Rosemon, 97300 Cayenne, French Guiana;5. Équipe EA 3593, écosystèmes amazoniens et pathologie tropicale, université de la Guyane, 97300 Cayenne, French Guiana;6. Laboratoire de microbiologie, centre hospitalier Andrée-Rosemon, 97300 Cayenne, French Guiana |
| |
| Abstract: | ObjectivesUrinary tract infections (UTIs) have rarely been studied in the Amazon region. We aimed to describe the epidemiology of bacteria causing UTIs in French Guiana.Patients and methodsWe performed a monocenter retrospective study of adults consulting at the emergency department of Cayenne Hospital in 2014 with a diagnosis of UTI. The bacterial species and resistance profile were described.ResultsTwo-hundred-and-eighty-nine patients presenting with UTI were included: 82 (28.4%) presented with cystitis, 166 (57.4%) with pyelonephritis, and 41 (14.2%) with male UTI. E. coli was predominant (74.1%), and had decreased susceptibility to ampicillin, amoxicillin-clavulanic acid, fluoroquinolones, co-trimoxazole, and furans compared with data from metropolitan France. Extended-spectrum beta-lactamases (ESBL) was isolated in 3.1% of E. coli and 31.6% of K. pneumoniae.ConclusionsAntibiotic susceptibility in UTI is lower than reported in metropolitan France without evidence for an excessive consumption of antibiotics. |
| |
| Keywords: | ESBL French Guiana Urinary tract infection BLSE Guyane française Infection urinaire |
| 本文献已被 ScienceDirect 等数据库收录！ |
|
