UG - Université de Guyane : EA3593 (Campus de Troubiran - BP 20792- 97337 Cayenne Cedex - Guyane - French Guiana)
Abstract : Objectives: Urinary tract infections (UTIs) have rarely been studied in the Amazon region. We aimed to describe the epidemiology of bacteria causing UTIs in French Guiana.Patients and methods: We performed a monocenter retrospective study of adults consulting at the emergency department of Cayenne Hospital in 2014 with a diagnosis of UTI. The bacterial species and resistance profile were described.Results: Two-hundred-and-eighty-nine patients presenting with UTI were included: 82 (28.4%) presented with cystitis, 166 (57.4%) with pyelonephritis, and 41 (14.2%) with male UTI. E. coli was predominant (74.1%), and had decreased susceptibility to ampicillin, amoxicillin-clavulanic acid, fluoroquinolones, co-trimoxazole, and furans compared with data from metropolitan France. Extended-spectrum beta-lactamases (ESBL) was isolated in 3.1% of E. coli and 31.6% of K. pneumoniae.Conclusions: Antibiotic susceptibility in UTI is lower than reported in metropolitan France without evidence for an excessive consumption of antibiotics.
https://www.hal.inserm.fr/inserm-03066210 Contributor : Accord Elsevier CCSDConnect in order to contact the contributor Submitted on : Friday, October 22, 2021 - 8:55:06 AM Last modification on : Monday, December 13, 2021 - 10:28:08 AM Long-term archiving on: : Sunday, January 23, 2022 - 6:37:52 PM
C. Baizet, S. Ouar-Epelboin, G. Walter, E. Mosnier, B. Moreau, et al.. Decreased antibiotic susceptibility of Enterobacteriaceae causing community-acquired urinary tract infections in French Amazonia. Médecine et Maladies Infectieuses, Elsevier Masson, 2019, 49 (1), pp.63-68. ⟨10.1016/j.medmal.2018.09.009⟩. ⟨inserm-03066210⟩