J Korean Med Sci.  2019 Sep;34(34):e228. 10.3346/jkms.2019.34.e228.

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

• Kim YJ
• Lee JM
• Cho J
• Lee J

• KMID: 2455782
• DOI: http://doi.org/10.3346/jkms.2019.34.e228

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.

Keyword

Urinary Tract Infection; Escherichia coli; Antibacterial Agents

MeSH Terms

Amikacin
Anti-Bacterial Agents
Cefotaxime
Delivery of Health Care
Escherichia coli*
Escherichia*
Imipenem
Incidence
Korea*
Tertiary Healthcare*
Urinary Tract Infections*
Urinary Tract*
Amikacin
Anti-Bacterial Agents
Cefotaxime
Imipenem