Susceptibility of Escherichia coli from community-acquired urinary tract infection to fosfomycin, nitrofurantoin, and temocillin in Korea

Mi Ran Seo, Seong Jong Kim, Yeonjae Kim, Jieun Kim, Tae Yeal Choi, Jung Oak Kang, Seong Heon Wie, Moran Ki, Young Kyun Cho, Seung Kwan Lim, Jin Seo Lee, Ki Tae Kwon, Hyuck Lee, Hee Jin Cheong, Dae Won Park, Seong Yeol Ryu, Moon Hyun Chung, Hyunjoo Pai

Research output: Contribution to journalArticle

22 Citations (Scopus)

Abstract

With increase of multi-drug resistant Escherichia coli in community-acquired urinary tract infections (CA-UTI), other treatment option with a therapeutic efficacy and a low antibiotic selective pressure is necessary. In this study, we evaluated in vitro susceptibility of E. coli isolates from CA-UTI to fosfomycin (FM), nitrofurantoin (NI), temocillin (TMO) as well as trimethoprim-sulfamethoxazole (SMX), ciprofloxacin (CIP) and cefepime (FEP). The minimal inhibitory concentrations were determined by E-test or agar dilution method according to the Clinical and Laboratory Standards Institute guidelines, using 346 E. coli collected in 12 Korean hospitals from March 2010 to February 2011. FM, NI and TMO showed an excellent susceptibility profile; FM 100% (346/346), TMO 96.8% (335/346), and NI 99.4% (344/346). Conversely, resistance rates of CIP and SMX were 22% (76/346) and 29.2% (101/349), respectively. FEP still retained an activity of 98.5%. In Korea, NI and TMO in addition to FM are a good therapeutic option for uncomplicated CA-UTI, especially for lower UTI.

Original languageEnglish
Pages (from-to)1178-1181
Number of pages4
JournalJournal of Korean medical science
Volume29
Issue number8
DOIs
Publication statusPublished - 2014

Keywords

  • Cefepime
  • Ciprofloxacin
  • Community-acquired infections
  • Escherichia coli
  • Fosfomycin
  • Minimal inhibitory concentration
  • Nitrofurantoin
  • Temocillin
  • Trimethoprim-sulfamethoxazole combination
  • Urinary tract

ASJC Scopus subject areas

  • Medicine(all)

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    Seo, M. R., Kim, S. J., Kim, Y., Kim, J., Choi, T. Y., Kang, J. O., Wie, S. H., Ki, M., Cho, Y. K., Lim, S. K., Lee, J. S., Kwon, K. T., Lee, H., Cheong, H. J., Park, D. W., Ryu, S. Y., Chung, M. H., & Pai, H. (2014). Susceptibility of Escherichia coli from community-acquired urinary tract infection to fosfomycin, nitrofurantoin, and temocillin in Korea. Journal of Korean medical science, 29(8), 1178-1181. https://doi.org/10.3346/jkms.2014.29.8.1178