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Journal of Antimicrobial Chemotherapy (2001) 47, 773-780
© 2001 The British Society for Antimicrobial Chemotherapy

Antibiotic susceptibility of bacterial strains isolated from urinary tract infections in Poland

Katarzyna Hryniewicza, Katarzyna Szczypab,*, Agnieszka Sulikowskab, Krzysztof Jankowskia, Katarzyna Betlejewskab and Waleria Hryniewiczb

a Department of Internal Medicine, Warsaw University Medical School, Lindleya 1,Warsaw; b The National Reference Centre for Antibiotics, Sera and Vaccines Central Research Laboratory, Chelmska 30/34, 00-725 Warsaw, Poland

Worldwide data show that there is increasing resistance among urinary tract pathogens to conventional drugs. The aim of this study was to obtain data on susceptibility patterns of pathogens responsible for urinary tract infections (UTIs) in Poland to currently used antimicrobial agents. A multicentre study of 141 pathogens from hospital-acquired infections and 460 pathogens from community-acquired infections was carried out between July 1998 and May 1999. The most prevalent aetiological agent was Escherichia coli (73.0%), followed by Proteus spp. (8.9%) and other species of Enterobacteriaceae (9.6%). Few community infections were caused by Gram-positive bacteria (2.2%). Gram-positive cocci were isolated more frequently from a hospital setting (14.1%) and the most common were Enterococcus spp. (8.5%). Pseudomonas aeruginosa was found only among hospital isolates and was responsible for 10.7% of infections. E. coli isolates from both community and hospital infections were highly susceptible to many antimicrobial agents with the exception of those isolates producing extended-spectrum ß-lactamases (ESBLs). Of all Enterobacteriaceae tested, 38 strains (6.9%) were capable of producing ESBLs.

* Corresponding author. Tel: +48-22-841-33-67; Fax: +48-22-841-29-49; E-mail: kazbunda{at}urania.il.waw.pl


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