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Change in the Annual Antibiotic Susceptibility of Escherichia coli in Community-Onset Urinary Tract Infection between 2008 and 2017 in a Tertiary Care Hospital in Korea

Journal of Korean Medical Science 2019년 34권 34호 p.228 ~ 228
 ( Kim Young-Jun ) - Wonkwang University School of Medicine Department of Internal Medicine

 ( Lee Jeong-Mi ) - Wonkwang University School of Medicine Department of Public Health
 ( Cho Ji-Hyun ) - Wonkwang University School of Medicine Department of Laboratory Medicine
 ( Lee Jae-Hoon ) - Wonkwang University School of Medicine Department of Internal Medicine

Abstract


The susceptibility of Escherichia coli from community onset urinary tract infection (UTI) was evaluated by dividing community onset UTI into the simple community acquired-UTI (CA-UTI) and healthcare associated UTI (HCA-UTI) groups for a period of 10 years. The susceptibility of E. coli to most antibiotics, except amikacin and imipenem, continued to decrease. In the CA-UTI group, the susceptibility to cefotaxime was 88% in 2015, but rapidly decreased to 79.3% in 2017. The susceptibility to cefepime and piperacillin-tazobactam were 88.8% and 90.5% in 2017, respectively. In the HCA-UTI group, the susceptibility to most antibiotics markedly decreased to less than 60% by 2017. The incidence of ESBL-producing E. coli increased to 23.3% in the CA-UTI group in 2017.

키워드

Urinary Tract Infection; Escherichia coli; Antibacterial Agents
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