Third nationwide surveillance of bacterial pathogens in patients with acute uncomplicated cystitis conducted by the Japanese surveillance committee during 2020 and 2021: Antimicrobial susceptibility of Escherichia coli , Klebsiella pneumoniae , and Staphylococcus saprophyticus

被引：5

作者：

Wada, Koichiro ^{[1
,2
,3
,4
]}

Tsuboi, Ichiro ^{[1
]}

Takahashi, Satoshi ^{[2
,3
,4
,6
]}

Yasuda, Mitsuru ^{[2
,3
,4
,6
]}

Miyazaki, Jun ^{[2
,3
,4
,7
,8
]}

Kobayashi, Kanao ^{[2
,3
,4
,9
]}

Matsumoto, Masahiro ^{[2
,3
,4
,10
]}

Hayami, Hiroshi ^{[2
,3
,4
,11
]}

Yamamoto, Shingo ^{[5
,12
]}

Kiyota, Hiroshi ^{[5
,13
,14
]}

Sato, Junko ^{[5
]}

Matsumoto, Tetsuya ^{[5
]}

Hasegawa, Naoki ^{[5
]}

Kobayashi, Intetsu ^{[15
]}

Masumori, Naoya ^{[16
]}

Kimura, Takahiro ^{[17
]}

Yamada, Hiroki ^{[13
]}

Matsumoto, Kazumasa ^{[18
]}

Ishikawa, Kiyohito ^{[19
]}

Fujimoto, Kiyohide ^{[20
]}

Shigemura, Katsumi ^{[21
]}

Sadahira, Takuya ^{[22
]}

Ito, Kenji ^{[23
]}

Yokoyama, Teruhiko ^{[24
]}

Izumitani, Masanobu ^{[25
]}

Sumii, Toru ^{[26
]}

Hosobe, Takahide ^{[27
]}

Hikosaka, Kazunobu ^{[28
]}

Kawahara, Motoshi ^{[29
]}

Sato, Takashi ^{[30
]}

Ito, Shin ^{[31
]}

Masue, Naruyasu ^{[32
]}

Sakurai, Takahiko ^{[33
]}

Kokura, Koji ^{[34
]}

Kadena, Hitoshi ^{[35
]}

Morikawa, Takamitsu ^{[36
]}

Minamidate, Yuzuru ^{[37
]}

Yoh, Mutsumasa ^{[38
]}

Hashimoto, Jiro ^{[39
]}

Maruyama, Takahiro ^{[40
]}

Yoshioka, Masaru ^{[41
]}

Takashima, Kenji ^{[42
]}

Kawai, Shuichi ^{[43
]}

Nishi, Shohei ^{[44
]}

Matsumoto, Tetsuro ^{[45
]}

Hirayama, Hideo ^{[46
]}

Okusa, Hiroshi ^{[47
]}

Uno, Satoshi ^{[48
]}

Inoue, Yoji ^{[49
]}

Kurimura, Yuichiro ^{[50
]}

机构：

[1] Shimane Univ, Fac Med, Dept Urol, 89-1 Enya Cho, Matsue, Shimane 6938501, Japan

[2] Japanese Soc Chemotherapy JSC, Urogenital Subcomm & Surveillance Comm, Tokyo, Japan

[3] Japanese Assoc Infect Dis JAID, Tokyo, Japan

[4] Japanese Soc Clin Microbiol JSCM, Tokyo, Japan

[5] Surveillance Comm JSC JAID & JSCM, Tokyo, Japan

[6] Sapporo Med Univ, Sch Med, Dept Infect Control & Lab Med, Sapporo, Japan

[7] Int Univ Hlth & Welf Ichikawa Hosp, Dept Urol, Chiba, Japan

[8] Int Univ Hlth & Welf Narita Hosp, Dept Urol, Chiba, Japan

[9] Chugoku Rosai Hosp, Dept Urol, Hiroshima, Japan

[10] Univ Occupat & Environm Hlth, Dept Urol, Kitakyushu, Japan

[11] Kagoshima Univ Hosp, Blood Purificat Ctr, Kagoshima, Japan

[12] Hyogo Coll Med, Dept Urol, Nishinomiya, Hyogo, Japan

[13] Jikei Univ, Katsushika Med Ctr, Sch Med, Dept Urol, Tokyo, Japan

[14] Iguchi Nephrourol & Internal Med Clin Shinkoiwa, Tokyo, Japan

[15] Toho Univ, Fac Nursing, Dept Infect Control & Prevent, Tokyo, Japan

[16] Sapporo Med Univ, Sch Med, Dept Urol, Sapporo, Hokkaido, Japan

[17] Jikei Univ, Sch Med, Dept Urol, Tokyo, Japan

[18] Kitasato Univ, Sch Med, Dept Urol, Kanagawa, Japan

[19] Fujita Hlth Univ, Sch Med, Dept Urol, Aichi, Japan

[20] Nara Med Univ, Dept Urol, Nara, Japan

[21] Kobe Univ, Div Urol, Kobe, Hyogo, Japan

[22] Okayama Univ, Grad Sch Med, Dept Urol, Okayama, Japan

[23] Ito Urol Clin, Kitakyushu, Fukuoka, Japan

[24] Yokoyama Urol Clin, Okayama, Japan

[25] Izumitani Fureai Clin, Nagoya, Aichi, Japan

[26] Sumii Clin, Hiroshima, Japan

[27] Hosobe Clin, Tokyo, Japan

[28] Hikosaka Clin, Aichi, Japan

[29] Kawahara Urol Clin, Kagoshima, Japan

[30] Nissin Urol Clin, Hokkaido, Japan

[31] iClinic, Sendai, Miyagi, Japan

[32] Masue Clin, Gifu, Japan

[33] Hanai Clin, Aichi, Japan

[34] Kokura Clin Urol, Hyogo, Japan

[35] Kadena Urol Clin, Hiroshima, Japan

[36] Mikawa Hosp, Okazaki, Aichi, Japan

[37] Fujinomori U Clin, Nagoya, Japan

[38] Yoh Urol & Dermatol Clin, Inazawa, Aichi, Japan

[39] Teine Urol Clin, Sapporo, Hokkaido, Japan

[40] Maruyama Urol Clin, Nagoya, Aichi, Japan

[41] Yoshioka Urol Clin, Nishinomiya, Hyogo, Japan

[42] Takashima Urol Clin, Nara, Japan

[43] Kawai Urol Clin, Kitakyushu, Fukuoka, Japan

[44] Nishi Urol & Dermatol Clin, Kitakyushu, Fukuoka, Japan

[45] Univ Kitakyushu, Kitakyushu, Japan

[46] Hirayama Urol Clin, Kumamoto, Japan

[47] Kanagawa Inst Technol, Atsugi, Kanagawa, Japan

[48] Hirajima Clin, Okayama, Japan

[49] Takeichi Clin, Hiroshima, Japan

[50] Hachinohe Koyo Clin, Aomori, Japan

来源：

JOURNAL OF INFECTION AND CHEMOTHERAPY | 2024年 / 30卷 / 04期

关键词：

Uncomplicated cystitis; Menopausal status; E; coli; K; pneumoniae; S; saprophyticus; URINARY-TRACT-INFECTIONS;

D O I：

10.1016/j.jiac.2024.01.011

中图分类号：

R51 [传染病];

学科分类号：

100401 ;

摘要：

The Japanese surveillance committee conducted a third nationwide surveillance of antimicrobial susceptibility of acute uncomplicated cystitis at 55 facilities throughout Japan between April 2020 and September 2021. In this surveillance, we investigated the susceptibility of Escherichia coli ( E. coli ), Klebsiella pneumoniae ( K. pneumoniae ), and Staphylococcus saprophyticus ( S. saprophyticus ) for various antimicrobial agents by isolating and culturing bacteria from urine samples. In total, 823 strains were isolated from 848 patients and 569 strains of target bacteria, including E. coli (n = 529, 92.9 %), K. pneumoniae (n = 28, 4.9 %), and S. saprophyticus (n = 12, 2.2 %) were isolated. The minimum inhibitory concentrations of 18 antibacterial agents were determined according to the Clinical and Laboratory Standards Institute manual. In premenopausal patients, there were 31 (10.5 %) and 20 (6.8 %) fluoroquinolone (FQ)-resistant E. coli and extended -spectrum beta-lactamase (ESBL)-producing E. coli , respectively. On the other hand, in postmenopausal patients, there were 75 (32.1 %) and 36 (15.4 %) FQresistant E. coli and ESBL-producing E. coli , respectively. The rate of FQ-resistant E. coli and ESBL-producing E. coli in post -menopausal women was higher than that for our previous nationwide surveillance (20.7 % and 32.1 %: p = 0.0004, 10.0 % and 15.4 %; p = 0.0259). For pre -menopausal women, there was no significant difference in the rate of FQ-resistant E. coli and ESBL-producing E. coli between this and previous reports, but the frequency of FQ-resistant E. coli and ESBL-producing E. coli exhibited a gradual increase. For appropriate antimicrobial agent selection and usage, it is essential for clinicians to be aware of the high rate of these antimicrobial -resistant bacteria in acute uncomplicated cystitis in Japan.

引用

页码：277 / 285

页数：9

共 12 条

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