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Urinary tract infection in infants caused by extended-spectrum beta-lactamase-producing Escherichia coli: comparison between urban and rural hospitals.
- Source :
-
Pediatric Nephrology . Aug2016, Vol. 31 Issue 8, p1305-1312. 8p. 1 Black and White Photograph, 1 Chart, 1 Graph. - Publication Year :
- 2016
-
Abstract
- Background: Community-acquired urinary tract infection (UTI) caused by extended-spectrum beta-lactamase (ESBL)-producing Escherichia coli is an emerging problem. Compared with urban infants, rural infants may encounter different distributions of community-acquired resistant strains and various barriers to efficient management. Methods: A retrospective survey and comparison was conducted for infants with UTI caused by ESBL-producing E. coli admitted to an urban hospital ( n = 111) and a rural hospital ( n = 48) in southern Taiwan from 2009 to 2012. Results: Compared with 2009 and 2010, the total number of cases at both hospitals significantly increased in 2011 and 2012 ( p < 0.001). Compared with the rural patients, the urban patients were significantly younger, and they had fewer days of fever before and after admission, fewer presentations of poor activity and poor appetite, and a lower serum creatinine level. Most of the patients had no prior history of illness, and we could not identify any significant different risk factors for acquiring ESBL-producing E. coli, such as past antimicrobial use, hospitalization, UTI, and underlying renal diseases, between the urban and rural populations. Conclusions: The increase in community-acquired UTI in infants caused by ESBL-producing E. coli was similar between the urban and rural populations. Our preliminary data suggest that the rural-urban disparities were probably related to easy access to health care by the urban population. ESBL complicates disease management, and the increase in the prevalence of ESBL producers is a major health concern and requires further healthy carrier and environmental surveillance. [ABSTRACT FROM AUTHOR]
- Subjects :
- *ESCHERICHIA coli physiology
*COMMUNITY-acquired infections
*CLINICAL pathology
*ESCHERICHIA coli diseases
*FISHER exact test
*HEALTH services accessibility
*HEALTH status indicators
*HOSPITAL care
*LENGTH of stay in hospitals
*HYDROLASES
*MEDICAL cooperation
*MICROBIAL sensitivity tests
*POPULATION geography
*PROBABILITY theory
*RESEARCH
*RESEARCH funding
*RURAL hospitals
*STATISTICAL hypothesis testing
*STATISTICS
*URBAN hospitals
*URINARY tract infections
*CROSS-sectional method
*RETROSPECTIVE studies
*SEVERITY of illness index
*DATA analysis software
*DESCRIPTIVE statistics
*DISEASE complications
*SYMPTOMS
*CHILDREN
*PSYCHOLOGY
*DISEASE risk factors
Subjects
Details
- Language :
- English
- ISSN :
- 0931041X
- Volume :
- 31
- Issue :
- 8
- Database :
- Academic Search Index
- Journal :
- Pediatric Nephrology
- Publication Type :
- Academic Journal
- Accession number :
- 116328005
- Full Text :
- https://doi.org/10.1007/s00467-016-3338-0