Araştırma Makalesi

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

Cilt: 46 Sayı: 1 3 Mart 2019
  • Kader Ugur *
  • İsa Ahmet Bal
  • Ayse Sagmak Tartar
  • Nevzat Gozel
  • Bedrettin Orhan
  • Emir Donder
  • Abdullah Mubin Ozercan
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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. 1. International Diabetes Federation. Diabetes Atlas. 6th edition, update 2014. http://www.idf.org/diabetes atlas
  2. 2. Simkhada R. Urinary tract infection and antibiotic sensitivity pattern among diabetics. Nepal Med Coll J. 2013; 15 :1-4.
  3. 3. Yu S, Fu AZ, Qiu Y, et al. Disease burden of urinary tract infections among type 2 diabetes mellitus patients in the US. J Diabetes Complications 2014; 28 :621–6.
  4. 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. 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.
  6. 6. Rawat V, Singhai M, Kumar A, et al. Bacteriological and resistance profile in isolates from diabetic patients. N Am J Med Sci. 2012; 4 :563-8.
  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.
  8. 8. American Diabetes Association. Standards of medical care in diabetes. Diabetes Care 2015; 38: 1-93.

Ayrıntılar

Birincil Dil

Türkçe

Konular

Sağlık Kurumları Yönetimi

Bölüm

Araştırma Makalesi

Yazarlar

Ayse Sagmak Tartar Bu kişi benim
0000-0002-9052-7986
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

Kaynak Göster

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, vd. Ciprofloxacin is not a better choice in the patients with diabetes suffering urinary tract infection. diclemedj. 2019;46(1):65-72. doi:10.5798/dicletip.474694
Chicago
Ugur, Kader, İsa Ahmet Bal, Ayse Sagmak Tartar, vd. 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 (01 Mart 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 vd., “Ciprofloxacin is not a better choice in the patients with diabetes suffering urinary tract infection”, diclemedj, c. 46, sy 1, ss. 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 (01 Mart 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. diclemedj. 2019;46:65–72.
MLA
Ugur, Kader, vd. “Ciprofloxacin is not a better choice in the patients with diabetes suffering urinary tract infection”. Dicle Medical Journal, c. 46, sy 1, Mart 2019, ss. 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. diclemedj. 01 Mart 2019;46(1):65-72. doi:10.5798/dicletip.474694

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