Abstract
In our study of nursing home residents with clinically suspected urinary tract infection who did not require the use of an indwelling catheter, we identified bacteria isolated from urine samples, the resistance patterns of these isolated bacteria, and the antibiotic therapy prescribed to the residents. Escherichia coli, the predominant organism isolated, frequently was resistant to commonly prescribed oral antibiotics. Trimethoprim-sulfamethoxazole remains the best empiric antimicrobial therapy for a urinary tract infection, but nitrofurantoin should be considered if E. coli is identified.
Publication types
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Research Support, N.I.H., Extramural
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Research Support, Non-U.S. Gov't
MeSH terms
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Aged, 80 and over
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Anti-Bacterial Agents / pharmacology*
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Anti-Bacterial Agents / therapeutic use
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Drug Resistance, Bacterial
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Enterobacteriaceae / classification
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Enterobacteriaceae / drug effects*
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Enterobacteriaceae / isolation & purification
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Enterobacteriaceae Infections* / drug therapy
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Enterobacteriaceae Infections* / microbiology
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Enterobacteriaceae Infections* / urine
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Escherichia coli / classification
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Escherichia coli / drug effects
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Escherichia coli / isolation & purification
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Escherichia coli Infections / drug therapy
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Escherichia coli Infections / microbiology
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Female
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Homes for the Aged*
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Humans
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Male
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Microbial Sensitivity Tests
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Nitrofurantoin / therapeutic use
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Nursing Homes*
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Trimethoprim, Sulfamethoxazole Drug Combination / therapeutic use
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Urinary Tract Infections* / drug therapy
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Urinary Tract Infections* / microbiology
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Urinary Tract Infections* / urine
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Urine / microbiology
Substances
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Anti-Bacterial Agents
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Trimethoprim, Sulfamethoxazole Drug Combination
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Nitrofurantoin