Fosfomycin Susceptibility among Extended-spectrum βeta Lactamase (Esbl)-Producing Escherichia coli and Klebsiella pneumoniae Isolates Causing Uti in a Tertiary Care Center in Western India Article Swipe
Shrutika R. Kumbhar
,
Aishwarya Babu
,
Meera Modak
·
YOU?
·
· 2024
· Open Access
·
· DOI: https://doi.org/10.4103/mjdrdypu.mjdrdypu_671_22
YOU?
·
· 2024
· Open Access
·
· DOI: https://doi.org/10.4103/mjdrdypu.mjdrdypu_671_22
A BSTRACT Context: At present, commonly encountered infections like urinary tract infections (UTIs) are becoming more and more difficult to treat. UTIs caused by extended-spectrum β -lactamase (ESBL) organisms tend to lead to uncertain outcomes and prolong hospitalization as these organisms are multidrug resistant. Such a situation has forced clinicians to reconsider the use of old antibiotics like fosfomycin. Aims: To determine fosfomycin susceptibility among ESBL-producing Escherichia coli and Klebsiella pneumoniae isolates causing UTI in a tertiary care center in Western India. Settings and Design: This is a cross-sectional study done in the Department of Microbiology between July 2021 and July 2022. Methods and Material: Urine samples from all outpatients and inpatients with suspected UTI which were received in the microbiology laboratory were inoculated in appropriate culture media. Pure growth of bacteria with a significant colony count was identified and antibiotic susceptibility testing was done as per standard guidelines. Statistical Analysis Used: The collected data were entered in a Microsoft Excel sheet and analyzed. Results: A total of 437 urine samples were collected from which 39 isolates of ESBL E. coli and 10 isolates of ESBL Klebsiella pneumoniae were obtained. All the E. coli isolates were sensitive to fosfomycin, while two of the Klebsiella pneumoniae isolates were resistant to fosfomycin. Conclusions: Older antibiotics like fosfomycin and nitrofurantoin attain high concentrations in the urinary tract, have a minimal impact on gastrointestinal flora, and do not develop resistance as compared to many other antibiotics. Therefore, fosfomycin should be preferred for the treatment of uncomplicated UTIs caused by resistant strains.
Related Topics
Concepts
Fosfomycin
Klebsiella pneumoniae
Microbiology
Nitrofurantoin
Antibiotics
Medicine
Antibiotic resistance
Klebsiella
Escherichia coli
Biology
Gene
Biochemistry
Metadata
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- Language
- en
- Landing Page
- https://doi.org/10.4103/mjdrdypu.mjdrdypu_671_22
- OA Status
- diamond
- References
- 17
- Related Works
- 10
- OpenAlex ID
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All OpenAlex metadata
Raw OpenAlex JSON
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https://openalex.org/W4394844004Canonical identifier for this work in OpenAlex
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https://doi.org/10.4103/mjdrdypu.mjdrdypu_671_22Digital Object Identifier
- Title
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Fosfomycin Susceptibility among Extended-spectrum βeta Lactamase (Esbl)-Producing Escherichia coli and Klebsiella pneumoniae Isolates Causing Uti in a Tertiary Care Center in Western IndiaWork title
- Type
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articleOpenAlex work type
- Language
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enPrimary language
- Publication year
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2024Year of publication
- Publication date
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2024-03-01Full publication date if available
- Authors
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Shrutika R. Kumbhar, Aishwarya Babu, Meera ModakList of authors in order
- Landing page
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https://doi.org/10.4103/mjdrdypu.mjdrdypu_671_22Publisher landing page
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YesWhether a free full text is available
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diamondOpen access status per OpenAlex
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https://doi.org/10.4103/mjdrdypu.mjdrdypu_671_22Direct OA link when available
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Fosfomycin, Klebsiella pneumoniae, Microbiology, Nitrofurantoin, Antibiotics, Medicine, Antibiotic resistance, Klebsiella, Escherichia coli, Biology, Gene, BiochemistryTop concepts (fields/topics) attached by OpenAlex
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0Total citation count in OpenAlex
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| abstract_inverted_index.Pure | 128 |
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| abstract_inverted_index.which | 115, 174 |
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| countries_distinct_count | 1 |
| institutions_distinct_count | 3 |
| corresponding_institution_ids | https://openalex.org/I887998513 |
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