Antibiotic Resistance in Urinary Tract Infections in College Students

Autor/inn/en	Olson, Ronald P.; Haith, Karen
Titel	Antibiotic Resistance in Urinary Tract Infections in College Students
Quelle	In: Journal of American College Health, 60 (2012) 6, S.471-474 (4 Seiten) PDF als Volltext Verfügbarkeit
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	0744-8481
DOI	10.1080/07448481.2012.681410
Schlagwörter	Sexuality; Females; Public Health; Microbiology; Drug Therapy; College Students; Patients; Symptoms (Individual Disorders); Diagnostic Tests; Prediction + Suchen Sie Ihr Suchwort? Sexualität; Weibliches Geschlecht; Gesundheitswesen; Mikrobiologie; Collegestudent; Patient; Psychiatrische Symptomatik; Diagnostic test; Diagnostischer Test; Vorhersage
Abstract	Objective: To determine resistance to antibiotics of "Escherichia coli" in uncomplicated urinary tract infections (uUTIs) in female college students. Participants: Symptomatic patients presenting to a student health service from September 2008 to December 2009. Methods: Clean catch midstream urine samples were tested for urinalysis (UA) and culture and sensitivity. Results: Of 168 students enrolled in the study, 138 had positive UA, and 94 of these grew greater than 100,000 colonies/mL of "E. coli". Ampicillin resistance was 31.9%, trimethoprim-sulfamethoxazole (TMP-SMX) resistance 16.0%, ciprofloxacin resistance 4.3%, amoxicillin/clavulanate resistance 3.2%, and nitrofurantoin resistance 1.1%. The sensitivity of UA was 95.4% and the positive predictive value was 87.0% (p [less than or equal to] 0.001). Specificity was 77.5% and negative predictive value 92.9%. Conclusions: In healthy college women with uUTI symptoms, TMP-SMX should not be universally used for empirical therapy, whereas use of ciprofloxacin, amoxicillin/clavulanate, and nitrofurantoin are appropriate. (As Provided).
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Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2017/4/10