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Related Experiment Videos

Enterococcus species in urinary tract infection.

D Felmingham1, A P Wilson, A I Quintana

  • 1Department of Clinical Microbiology, University College Hospital, London, United Kingdom.

Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America
|August 1, 1992
PubMed
Summary

Enterococcus species are increasingly causing urinary tract infections. Teicoplanin shows promise for treating these infections, as all tested strains were susceptible.

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Area of Science:

  • Microbiology
  • Infectious Diseases
  • Clinical Pharmacy

Background:

  • Enterococcus species are a significant cause of nosocomial urinary tract infections.
  • Urinary tract infections (UTIs) due to Enterococcus have shown a steady increase in prevalence since 1971.
  • Factors such as increased catheterization and broad-spectrum antibiotic use likely contribute to this rise.

Purpose of the Study:

  • To analyze the trends in Enterococcus species isolation from urinary samples.
  • To determine the antibiotic susceptibility patterns of Enterococcus isolates, with a focus on glycopeptides.
  • To evaluate the potential of teicoplanin as a treatment option for enterococcal UTIs.

Main Methods:

  • Prospective recording of significant urinary isolates since 1971.

Related Experiment Videos

  • Identification of Enterococcus species and determination of antibiotic susceptibilities.
  • Breakpoint susceptibility testing for vancomycin and teicoplanin on 1988 isolates.
  • Main Results:

    • Isolation of Enterococcus species increased from 4% (1971) to 12.6% (1990) in hospitals and 2% to 5.6% in general practice.
    • All Enterococcus species isolates remained sensitive to ampicillin.
    • Teicoplanin (2 µg/mL) inhibited all 526 tested strains, while vancomycin inhibited only 70%.

    Conclusions:

    • The rising prevalence of enterococcal UTIs necessitates effective treatment strategies.
    • Teicoplanin demonstrates potent in vitro activity against Enterococcus species relevant to UTIs.
    • Teicoplanin's high urinary levels suggest its potential as an alternative therapeutic agent for enterococcal UTIs.