Risk factors for enterococcal urinary tract infections: a multinational, retrospective cohort study

被引:8
作者
Turjeman, Adi [1 ,2 ]
Babich, Tanya [1 ,2 ]
Pujol, Miquel [3 ]
Carratala, Jordi [3 ]
Shaw, Evelyn [3 ]
Gomila-Grange, Aina [3 ,4 ]
Vuong, Cuong [5 ]
Addy, Ibironke [5 ]
Wiegand, Irith [5 ]
Grier, Sally [6 ]
MacGowan, Alasdair [6 ]
Vank, Christiane [5 ]
Cuperus, Nienke [7 ]
van den Heuvel, Leo [7 ]
Leibovici, Leonard [1 ,2 ]
Eliakim-Raz, Noa [1 ,2 ]
机构
[1] Beilinson Med Ctr, Rabin Med Ctr, Dept Med E, 39 Jabotinsky Rd, IL-49100 Petah Tiqwa, Israel
[2] Tel Aviv Univ, Sackler Fac Med, Tel Aviv, Israel
[3] Inst Salud Carlos III ISCIII, Spanish Network Res Infect Dis REIPI RD12 0015, Inst Invest Biomed Bellvitge IDIBELL, Dept Infect Dis,Hosp Univ Bellvitge, Madrid, Spain
[4] Hosp Univ Parc Tauli, Dept Infect Dis, Barcelona, Spain
[5] AiCuris Antiinfect Cures GmbH, Wuppertal, Germany
[6] Southmead Hosp, North Bristol NHS Trust, Dept Infect Sci, Bristol, Avon, England
[7] Univ Med Ctr Utrecht, Julius Ctr Hlth Sci & Primary Care, Utrecht, Netherlands
关键词
Complicated urinary tract infection (UTI); Enterococcus; Antibiotic stewardship; Risk factors;
D O I
10.1007/s10096-021-04207-4
中图分类号
R51 [传染病];
学科分类号
100401 ;
摘要
Complicated urinary tract infection (cUTI) is a frequent cause of morbidity. In this multinational retrospective cohort study, we aimed to demonstrate risk factors for enterococcal UTI. Univariate and multivariate analyses of risk factors for enterococcal infection were performed. Among 791 hospitalized patients with cUTI, enterococci accounted for approximately 10% of cases (78/791). Risk factors for enterococcal UTI in multivariable analysis were male gender, age range of 55-75 years, catheter-associated UTI, and urinary retention. This information may assist treating physicians in their decision-making on prescribing empiric anti-enterococcus treatment to hospitalized patients presenting with cUTI and thus improve clinical outcomes.
引用
收藏
页码:2005 / 2010
页数:6
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