Please use this identifier to cite or link to this item: http://ahro.austin.org.au/austinjspui/handle/1/18718
Title: Vancomycin resistant enterococci in urine cultures: Antibiotic susceptibility trends over a decade at a tertiary hospital in the United Kingdom.
Authors: Toner, Liam;Papa, Nathan;Aliyu, Sani H;Dev, Harveer;Lawrentschuk, Nathan L;Al-Hayek, Samih
Affiliation: Department of Surgery, Urology Unit, University of Melbourne, Melbourne, Australia
Department of Microbiology, Addenbrookes' Hospital, Cambridge University, Cambridge, UK
Department of Urology, Addenbrookes' Hospital, Cambridge University, Cambridge, UK
Olivia Newton-John Cancer Research Institute, Heidelberg, Victoria, Australia
Department of Surgical Oncology, Peter MacCallum Cancer Centre, Melbourne, Australia
Issue Date: Mar-2016
EDate: 2016-03-11
Citation: Investigative and clinical urology 2016; 57(2): 129-34
Abstract: Enterococci are a common cause of urinary tract infection and vancomycin-resistant strains are more difficult to treat. The purpose of this surveillance program was to assess the prevalence of and determine the risk factors for vancomycin resistance in adults among urinary isolates of Enterococcus sp. and to detail the antibiotic susceptibility profile, which can be used to guide empirical treatment. From 2005 to 2014 we retrospectively reviewed 5,528 positive Enterococcus sp. urine cultures recorded in a computerized laboratory results database at a tertiary teaching hospital in Cambridge, United Kingdom. Of these cultures, 542 (9.8%) were vancomycin resistant. No longitudinal trend was observed in the proportion of vancomycin-resistant strains over the course of the study. We observed emerging resistance to nitrofurantoin with rates climbing from near zero to 40%. Ampicillin resistance fluctuated between 50% and 90%. Low resistance was observed for linezolid and quinupristin/dalfopristin. Female sex and inpatient status were identified as risk factors for vancomycin resistance. The incidence of vancomycin resistance among urinary isolates was stable over the last decade. Although resistance to nitrofurantoin has increased, it still serves as an appropriate first choice in uncomplicated urinary tract infection caused by vancomycin-resistant Enterococcus sp.
URI: http://ahro.austin.org.au/austinjspui/handle/1/18718
DOI: 10.4111/icu.2016.57.2.129
ORCID: 0000-0001-8553-5618
PubMed URL: 26981595
Type: Journal Article
Subjects: Antibiotic prophylaxis
Enterococcus
Microbial drug resistance
Urinary tract infection
Vancomycin-resistant enterococci
Appears in Collections:Journal articles

Files in This Item:
There are no files associated with this item.


Items in AHRO are protected by copyright, with all rights reserved, unless otherwise indicated.