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Related Experiment Videos

Are resistance patterns in uropathogens published by microbiological laboratories valid for general practice?

A Baerheim1, A Digranes, S Hunskaar

  • 1Department of Public Health and Primary Health Care, University of Bergen, Norway.

APMIS : Acta Pathologica, Microbiologica, Et Immunologica Scandinavica
|August 10, 1999
PubMed
Summary

Local laboratory data overstate antibiotic resistance in urinary tract infections. General practice samples showed lower resistance rates for common uropathogens like Escherichia coli and Staphylococcus saprophyticus.

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Area of Science:

  • Urology
  • Microbiology
  • General Practice

Background:

  • Urinary tract infections (UTIs) are common, particularly in women.
  • Accurate antimicrobial resistance data are crucial for effective treatment.
  • Local laboratory findings may not reflect resistance patterns in general practice settings.

Purpose of the Study:

  • To compare bacteriuria rates and antimicrobial resistance patterns in urine samples from general practice versus local laboratories.
  • To assess the prevalence of common uropathogens, including Escherichia coli and Staphylococcus saprophyticus.

Main Methods:

  • A 7-month study (August 1994 onwards) collected 171 urine samples from female patients with suspected lower UTIs in general practice.
  • A predetermined system selected two additional samples from adult females per day from general practice for comparison.

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  • Treatment controls and samples from pregnant patients were excluded.

    • Main Results:

    • Bacteriuria prevalence was 59.1% in general practice samples versus 64.3% in laboratory samples.
    • General practice samples showed higher rates of Escherichia coli (83.2%) and Staphylococcus saprophyticus (11.9%).
    • Antibiotic resistance was significantly lower in general practice samples for amoxycillin, mecillinam, trimethoprim, cotrimoxazole, sulphonamide, and nitrofurantoin.

    Conclusions:

    • Local laboratory data may exaggerate antimicrobial resistance issues in UTIs.
    • General practice surveillance provides a more accurate picture of resistance patterns for key uropathogens.
    • This highlights the importance of context-specific resistance data for guiding antibiotic therapy.