Causative Organisms and Antibiotics Sensitivity in Community Acquired Acute Pyelonephritis / 대한신장학회지
Korean Journal of Nephrology
;
: 688-695, 2008.
Article
in Korean
| WPRIM
| ID: wpr-161750
ABSTRACT
PURPOSE:
Ciprofloxacin has been used as one of choice antibiotics for the empirical treatment of community-acquired acute pyelonephritis (APN), of which E-coli is the main causative bacterium. Recently, however, some studies show that ciprofloxacin-resistant E.coli is increasing in APN. In this study, authors aimed to re-evaluate ciprofloxacin as one of initial antibiotics for APN according to the survey of the patients' clinical and microbiologic characteristics.METHOD:
In this single center, the records of patients diagnosed as APN were reviewed retrospectively who visited emergency room or out-patient clinic from Aug. 01, 2005 to Jul. 31, 2007.RESULT:
A total of 303 patients were enrolled. The proportion of males to females was 19.4, the average age was 49.3+/-19 years old. Complicated APNs were 121 out of 303 patients, diabetes ranked highest, 52.5% (64/121). According to the urine culture analysis, the patients with isolated microorganism reached up to 45.2% (137/303) and E.coli occupied 94.2% out of total. As the initial antibiotics, ciprofloxacin was most commonly used (64.4%, 195/303), next was the 3rd generation cephalosporin (23.8%, 72/303). The analysis of antibiotics sensitivity demonstrated ciprofloxacin susceptibility was 81.4%, whereas high over 90% in the 3rd generation cephalosporin. When the ciprofloxacin-resistant E.coli was isolated, the patients tended to have prolonged duration of antibiotics treatment, a higher proportion of complicated APNs and of treatment non-responders.CONCLUSION:
For the APNs, ciprofloxacin is clinically effective initial antibiotics; however, it should be carefully used especially in case of the patients having combined underlying disease or the aged.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Outpatients
/
Pyelonephritis
/
Ciprofloxacin
/
Retrospective Studies
/
Emergencies
/
Anti-Bacterial Agents
Type of study:
Diagnostic study
/
Observational study
Limits:
Female
/
Humans
/
Male
Language:
Korean
Journal:
Korean Journal of Nephrology
Year:
2008
Type:
Article
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