Summary
Clinical predictors of ceftriaxone resistance in microorganisms causing febrile urinary tract infections in men
Ramos Lázaro J, Smithson A, Jovè Vidal N, Batida Vila MT
Affiliation of the authors
Servicio Medicina Interna, Fundació Hospital de l’Esperit Sant, Santa Coloma de Gramenet, Barcelona, Spain.
DOI
Quote
Ramos Lázaro J, Smithson A, Jovè Vidal N, Batida Vila MT. Clinical predictors of ceftriaxone resistance in microorganisms causing febrile urinary tract infections in men. Emergencias. 2018;30:21-7
Summary
Background and objectives. Because of high rates of resistance to fluoroquinolones, ceftriaxone has become one of the main options for treating febrile urinary tract infection (FUTI). This study aimed to identify predictors of ceftriaxone resistance in community-acquired FUTIs in men.
Methods.
Results.
1.23–3.76 P = .007). Components of health care-associated FUTI were a history of admission to a long-term residence (OR, 2.90 95% CI, 1.21–7.16; P = .017) and use of penicillins with or without beta-lactamase inhibitors (OR, 2.16; 95% CI, 1.05–4.42; P = .035).
Conclusion. Cirrhosis of the liver; history of health care-associated FUTI, especially in patients residing in a long-term care facility; and recent use of antibiotics, mainly penicillins with or without beta-lactamase inhibitors, are risk factors for ceftriaxone-resistant FUTI in men.