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https://www.arca.fiocruz.br/handle/icict/9821
ANTIMICROBIAL RESISTANCE OF ESCHERICHIA COLI STRAINS CAUSING COMMUNITY-ACQUIRED URINARY TRACT INFECTIONS AMONG INSURED AND UNINSURED POPULATIONS IN A LARGE URBAN CENTER
Antimicrobial resistance
Community-acquired
Urinary tract infection
Brazil
Author
Affilliation
Fundação Oswaldo Cruz. Centro de Pesquisas Gonçalo Moniz. Salvador, BA, Brasil / Associação Obras Sociais Irmã Dulce. Núcleo de Apoio à Pesquisa. Salvador, BA, Brasil / Hospital São Rafael. Salvador, BA, Brasil
Fundação Oswaldo Cruz. Centro de Pesquisas Gonçalo Moniz. Salvador, BA, Brasil / Associação Obras Sociais Irmã Dulce. Núcleo de Apoio à Pesquisa. Salvador, BA, Brasil
Associação Obras Sociais Irmã Dulce. Núcleo de Apoio à Pesquisa. Salvador, BA, Brasil
Associação Obras Sociais Irmã Dulce. Núcleo de Apoio à Pesquisa. Salvador, BA, Brasil
Hospital São Rafael. Salvador, BA, Brasil
University of California Berkeley. School of Public Health. Divisions of Infectious Disease and Epidemiology. California, USA
Fundação Oswaldo Cruz. Centro de Pesquisas Gonçalo Moniz. Salvador, BA, Brasil / Associação Obras Sociais Irmã Dulce. Núcleo de Apoio à Pesquisa. Salvador, BA, Brasil
Associação Obras Sociais Irmã Dulce. Núcleo de Apoio à Pesquisa. Salvador, BA, Brasil
Associação Obras Sociais Irmã Dulce. Núcleo de Apoio à Pesquisa. Salvador, BA, Brasil
Hospital São Rafael. Salvador, BA, Brasil
University of California Berkeley. School of Public Health. Divisions of Infectious Disease and Epidemiology. California, USA
Abstract
We assessed the susceptibility of Escherichia coli strains causing communityacquired
urinary tract infection (UTI) in a large urban center in Brazil, comparing
two different populations (patients with health insurance vs. uninsured). 581 nonduplicate
strains of E. coli were isolated. The prevalence of antimicrobial resistance
was greater than 20% for ampicillin (51%), trimethoprim-sulfamethoxazole (43%),
tetracycline (41%) and chloramphenicol (22%). Overall, 12% of the E. coli isolates
were resistant to ciprofloxacin. Resistance prevalences to most antimicrobials were
similar in the two study populations. Our data provide much needed information on
the prevalence of antimicrobial resistance among E. coli causing communityacquired
UTI in Brazil. Antimicrobial resistance among strains of E. coli causing
community-acquired UTIs was relatively high, particularly resistance to
ciprofloxacin.
Keywords
Escherichia coliAntimicrobial resistance
Community-acquired
Urinary tract infection
Brazil
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