Risk factors and economic burden for community-acquired multidrug-resistant organism-associated urinary tract infections: A retrospective analysis.
Medicine (Baltimore)
; 103(21): e38248, 2024 May 24.
Article
en En
| MEDLINE
| ID: mdl-38788007
ABSTRACT
The spread of multidrug-resistant organisms (MDROs) has resulted in a corresponding increase in the incidence of urinary tract infections (UTIs). The risk factors and hospitalization burden for community-acquired MDRO-associated UTIs are discussed herein. This retrospective study included 278 patients with community-based MDRO-associated UTIs from January 2020 to January 2022. The MDRO (nâ
=â
139) and non-MDRO groups (nâ
=â
139) were separated based on drug susceptibility results. Community-based MDRO-associated UTIs mainly occurred in the elderly and frail patients with a history of invasive urinary tract procedures. The MDRO group imposed a greater economic burden compared to the non-MDRO group. Independent risk factors for community-based MDRO-associated UTIs were as follows white blood cell (WBC) countâ
>â
10.0â
×â
109/L (ORâ
=â
2.316, 95% CIâ
=â
1.316-3.252; Pâ
=â
.018); ≥3 kinds of urinary tract obstructive diseases (ORâ
=â
1.720, 95% CIâ
=â
1.004-2.947; Pâ
=â
.048); use of 3rd generation cephalosporins (ORâ
=â
2.316, 95% CIâ
=â
1.316-4.076; Pâ
=â
.004); and a history of invasive urologic procedures (ORâ
=â
2.652, 95% CIâ
=â
1.567-4.487; Pâ
<â
.001). Days of hospitalization, antibiotic use, and bladder catheter use were significantly greater in the MDRO group than the non-MDRO group (Pâ
<â
.05).
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Infecciones Urinarias
/
Infecciones Comunitarias Adquiridas
/
Farmacorresistencia Bacteriana Múltiple
Límite:
Adult
/
Aged
/
Aged80
/
Female
/
Humans
/
Male
/
Middle aged
Idioma:
En
Revista:
Medicine (Baltimore)
Año:
2024
Tipo del documento:
Article
País de afiliación:
China