KMID : 0191120140290081178
|
|
Journal of Korean Medical Science 2014 Volume.29 No. 8 p.1178 ~ p.1181
|
|
Susceptibility of Escherichia coli from Community-Acquired Urinary Tract Infection to Fosfomycin, Nitrofurantoin, and Temocillin in Korea
|
|
Seo Mi-Ran
Kim Seong-Jong Kim Yeon-Jae Kim Ji-Eun Choi Tae-Yeal Kang Jung-Oak Wie Seong-Heon Ki Mo-Ran Cho Young-Kyun Lim Seung-Kwan Lee Jin-Seo Kwon Ki-Tae Lee Hyuck Cheong Hee-Jin Park Dae-Won Ryu Seong-Yeol Chung Moon-Hyun Pai Hyun-Joo
|
|
Abstract
|
|
|
With increase of multi-drug resistant Escherichia coli in community-acquired urinary tract infections (CA-UTI), other treatment option with a therapeutic efficacy and a low antibiotic selective pressure is necessary. In this study, we evaluated in vitro susceptibility of E. coli isolates from CA-UTI to fosfomycin (FM), nitrofurantoin (NI), temocillin (TMO) as well as trimethoprim-sulfamethoxazole (SMX), ciprofloxacin (CIP) and cefepime (FEP). The minimal inhibitory concentrations were determined by E-test or agar dilution method according to the Clinical and Laboratory Standards Institute guidelines, using 346 E. coli collected in 12 Korean hospitals from March 2010 to February 2011. FM, NI and TMO showed an excellent susceptibility profile; FM 100% (346/346), TMO 96.8% (335/346), and NI 99.4% (344/346). Conversely, resistance rates of CIP and SMX were 22% (76/346) and 29.2% (101/349), respectively. FEP still retained an activity of 98.5%. In Korea, NI and TMO in addition to FM are a good therapeutic option for uncomplicated CA-UTI, especially for lower UTI.
|
|
KEYWORD
|
|
Community-Acquired Infections, Urinary Tract, Escherichia coli, Fosfomycin, Nitrofurantoin, Temocillin, Trimethoprim-Sulfamethoxazole combination, Ciprofloxacin, Cefepime, Minimal Inhibitory Concentration
|
|
FullTexts / Linksout information
|
|
|
|
Listed journal information
|
|
|
|