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Prevalence and Predictors of Trimethoprim‐Sulfamethoxazole Resistance among Uropathogenic Escherichia coli Isolates in Michigan
Abstract
Resistance among uropathogenic Escherichia coli to trimethoprim-sulfamethoxazole (TMP-SMX) has increased. Risk factors for resistance and the impact on clinical failure have been poorly described. We performed a retrospective cohort study of women with acute uncomplicated cystitis seen at a university health center and at primary care clinics in southeastern Michigan from 1992 to 1999. The prevalence of TMP-SMX resistance increased from 8.1% to 15.8% (P=.01). Women who had taken TMP-SMX recently were >16 times as likely as women who had not taken antibiotics recently to be infected with an isolate resistant to this agent; those who had taken any other antibiotic were more than twice as likely to be infected with a resistant isolate. Women infected with a TMP-SMX-resistant isolate who were treated with TMP-SMX were >17 times as likely to have treatment failure. Recent antibiotic use is a risk factor for infection with a TMP-SMX-resistant isolate; patients who are infected with a TMP-SMX-resistant isolate and who are treated with this agent are at a higher risk for clinical failure.
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Even short-term exposure to TMP-SMX can be associated with the emergence of TMP-SMX resistance in patients with acute cystitis caused by Escherichia coli.
“Even short-term exposure to TMP-SMX can be associated with the emergence of TMP-SMX resistance, as has been demonstrated in patients with acute cystitis caused by Escherichia coli (5).”
From Dihydropteroate Synthase Gene Mutations in Pneumocystis and Sulfa Resistance (2004) · cites this paper as [5]
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Cited by
Sorted by citations
Dihydropteroate Synthase Gene Mutations in Pneumocystis and Sulfa Resistance
Huang, L., Crothers, K., Atzori, C., Benfield, T., Miller, R., Rabodonirina, M., & Helweg-Larsen, J. (2004) · Emerging Infectious Diseases · doi:10.3201/eid1010.030994 · Cited by 131
“Even short-term exposure to TMP-SMX can be associated with the emergence of TMPSMX resistance, as has been demonstrated in patients with acute cystitis caused by Escherichia coli (5).”
Background
Metadata
- Authors
- Brown, P. D., Freeman, A., & Foxman, B.
- Affiliations
- Wayne State University (US)
- University of Michigan (US)
- Corresponding author
- Brown, Patricia D.
- ORCID
- Foxman, Betsy
- Venue
- Clinical Infectious Diseases
- Publisher
- Oxford University Press (OUP)
- Published
- 2002-04-15
- Volume
- 34
- Issue
- 8
- Pages
- 1061-1066
- ISSN
- 1058-4838 (ISSN-L)
- 1537-6591
- OpenAlex
- W2160334804
- Cited by
- 132
- References
- 0
- Citations by year
- 2024: 1 · 2023: 3 · 2022: 6 · 2021: 4 · 2020: 2 · 2019: 5 · 2018: 2 · 2017: 4 · 2016: 4 · 2015: 4 · 2014: 3 · 2013: 3 · 2012: 9
- FWCI
- 10.11
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Clinical Infectious Diseases (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Urology › Urinary Tract Infections Management
- Health Sciences › Medicine › Microbiology (medical) › Antibiotic Resistance in Bacteria
- Health Sciences › Medicine › Infectious Diseases › Antibiotic Use and Resistance
- Keywords
- trimethoprim-sulfamethoxazole resistance, uropathogenic Escherichia coli, acute uncomplicated cystitis, antibiotic resistance prevalence, recent antibiotic use, risk factors for resistance, treatment failure, women, Michigan
- MeSH terms
- Adolescent, Adult, Aged, Anti-Infective Agents, Urinary, Drug Combinations, Escherichia coli, Escherichia coli Infections, Female, Humans, Michigan, Middle Aged, Retrospective Studies, Risk Factors, Sulfamethoxazole, Trimethoprim, Urinary Tract Infections, Cohort Studies, Prevalence, Treatment Outcome, Drug Resistance, Bacterial
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