Ciprofloxacin is not a better choice in the patients with diabetes suffering urinary tract infection
Öz
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.
Anahtar Kelimeler
Kaynakça
- 1. International Diabetes Federation. Diabetes Atlas. 6th edition, update 2014. http://www.idf.org/diabetes atlas
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- 4. Wang MC, Tseng CC, Wu AB, et al. Bacterial characteristics and glycemic control in diabetic patients with Escherichia coli urinary tract infection. J Microbiol Immunol Infect 2013; 46 :24-9.
- 5. Sewify M, Nair S, Warsame S, et al. Prevalence of Urinary Tract Infection and Antimicrobial Susceptibility among Diabetic Patients with Controlled and Uncontrolled Glycemia in Kuwait. J Diabetes Res. 2016; 6573215.
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Ayrıntılar
Birincil Dil
Türkçe
Konular
Sağlık Kurumları Yönetimi
Bölüm
Araştırma Makalesi
Yazarlar
Kader Ugur
*
Türkiye
İsa Ahmet Bal
Bu kişi benim
0000-0002-0893-8218
Türkiye
Ayse Sagmak Tartar
Bu kişi benim
0000-0002-9052-7986
Türkiye
Nevzat Gozel
Bu kişi benim
0000-0001-7326-6860
Türkiye
Bedrettin Orhan
Bu kişi benim
0000-0003-3970-2344
Türkiye
Emir Donder
Bu kişi benim
0000-0003-2537-6023
Türkiye
Abdullah Mubin Ozercan
Bu kişi benim
0000-0002-6968-7838
Türkiye
Yayımlanma Tarihi
3 Mart 2019
Gönderilme Tarihi
25 Ekim 2018
Kabul Tarihi
25 Ekim 2018
Yayımlandığı Sayı
Yıl 2019 Cilt: 46 Sayı: 1
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