Research Article

Ciprofloxacin is not a better choice in the patients with diabetes suffering urinary tract infection

Volume: 46 Number: 1 March 3, 2019
  • Kader Ugur *
  • İsa Ahmet Bal
  • Ayse Sagmak Tartar
  • Nevzat Gozel
  • Bedrettin Orhan
  • Emir Donder
  • Abdullah Mubin Ozercan

Ciprofloxacin is not a better choice in the patients with diabetes suffering urinary tract infection

Abstract

Objective: The aim of this study is to determine antibacterial susceptibilities of Gram-negative bacteria isolated from diabetic and non-diabetic patients as infectious agents of community-acquired urinary tract infections (UTI) and to compare their rates of resistance to the antibiotics frequently used in empirical treatment.

Methods: Ninety-six diabetic and sixty-eight non-diabetic (total n=164) patients’ data were evaluated retrospectively who diagnosed as community-acquired urinary system infection and consulted to outpatient clinics of Department of Endocrinology and Infectious Diseases of Firat University School of Medicine between January 1st , 2014 and December 31st, 2014 whose urine cultures demonstrated Gram-negative bacteria were included in the study. Antibiotic susceptibilities of the isolated bacteria were determined using Vitek 2 automated system and the results were evaluated as sensitive and resistant.

Results: In both diabetic and non-diabetic patient groups, most frequently Escherichia coli (88.5% in diabetic and 85.3% in non-diabetic groups) were isolated. In the diabetic group, microorganisms mostly demonstrated the highest rates of resistance against ampicillin, cephalosporins, ciprofloxacin, amoxicillin-clavulanic acid and in the non-diabetic group ampicillin, amoxicillin-clavulanic acid, cefuroxime and trimethoprim-sulfamethoxazole.

Conclusion: Resistance to ciprofloxacin was at a significantly higher rate in the diabetic group. In diabetic patients, it will be more appropriate to give antibiotherapy in urinary system infections based on the antibacterial susceptibility test results.

Keywords

References

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  7. 7. Nitzan O, Elias M, Chazan B, et al. Urinary tract infections in patients with type 2 diabetes mellitus: review of prevalence, diagnosis, and management. Diabetes Metab Syndr Obes 2015; 8: 129-36.
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Details

Primary Language

Turkish

Subjects

Health Care Administration

Journal Section

Research Article

Authors

İsa Ahmet Bal This is me
0000-0002-0893-8218
Türkiye

Ayse Sagmak Tartar This is me
0000-0002-9052-7986
Türkiye

Bedrettin Orhan This is me
0000-0003-3970-2344
Türkiye

Abdullah Mubin Ozercan This is me
0000-0002-6968-7838
Türkiye

Publication Date

March 3, 2019

Submission Date

October 25, 2018

Acceptance Date

October 25, 2018

Published in Issue

Year 2019 Volume: 46 Number: 1

APA
Ugur, K., Bal, İ. A., Tartar, A. S., Gozel, N., Orhan, B., Donder, E., & Ozercan, A. M. (2019). Ciprofloxacin is not a better choice in the patients with diabetes suffering urinary tract infection. Dicle Medical Journal, 46(1), 65-72. https://doi.org/10.5798/dicletip.474694
AMA
1.Ugur K, Bal İA, Tartar AS, et al. Ciprofloxacin is not a better choice in the patients with diabetes suffering urinary tract infection. Dicle Medical Journal. 2019;46(1):65-72. doi:10.5798/dicletip.474694
Chicago
Ugur, Kader, İsa Ahmet Bal, Ayse Sagmak Tartar, et al. 2019. “Ciprofloxacin Is Not a Better Choice in the Patients With Diabetes Suffering Urinary Tract Infection”. Dicle Medical Journal 46 (1): 65-72. https://doi.org/10.5798/dicletip.474694.
EndNote
Ugur K, Bal İA, Tartar AS, Gozel N, Orhan B, Donder E, Ozercan AM (March 1, 2019) Ciprofloxacin is not a better choice in the patients with diabetes suffering urinary tract infection. Dicle Medical Journal 46 1 65–72.
IEEE
[1]K. Ugur et al., “Ciprofloxacin is not a better choice in the patients with diabetes suffering urinary tract infection”, Dicle Medical Journal, vol. 46, no. 1, pp. 65–72, Mar. 2019, doi: 10.5798/dicletip.474694.
ISNAD
Ugur, Kader - Bal, İsa Ahmet - Tartar, Ayse Sagmak - Gozel, Nevzat - Orhan, Bedrettin - Donder, Emir - Ozercan, Abdullah Mubin. “Ciprofloxacin Is Not a Better Choice in the Patients With Diabetes Suffering Urinary Tract Infection”. Dicle Medical Journal 46/1 (March 1, 2019): 65-72. https://doi.org/10.5798/dicletip.474694.
JAMA
1.Ugur K, Bal İA, Tartar AS, Gozel N, Orhan B, Donder E, Ozercan AM. Ciprofloxacin is not a better choice in the patients with diabetes suffering urinary tract infection. Dicle Medical Journal. 2019;46:65–72.
MLA
Ugur, Kader, et al. “Ciprofloxacin Is Not a Better Choice in the Patients With Diabetes Suffering Urinary Tract Infection”. Dicle Medical Journal, vol. 46, no. 1, Mar. 2019, pp. 65-72, doi:10.5798/dicletip.474694.
Vancouver
1.Kader Ugur, İsa Ahmet Bal, Ayse Sagmak Tartar, Nevzat Gozel, Bedrettin Orhan, Emir Donder, Abdullah Mubin Ozercan. Ciprofloxacin is not a better choice in the patients with diabetes suffering urinary tract infection. Dicle Medical Journal. 2019 Mar. 1;46(1):65-72. doi:10.5798/dicletip.474694

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