Evidence map›Paper›PMID 28054236›Full record

ArticleIrish journal of medical science2017

Antibiotic resistance patterns of Escherichia coli urinary isolates and comparison with antibiotic consumption data over 10 years, 2005-2014.

P J Stapleton, D J Lundon, R McWade, N Scanlon, M M Hannan, F O'Kelly, M Lynch

Registry-linked trialAbstract readHistorical Article
PubMed Publisher
In one paragraph

Article in Irish journal of medical science, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06387329 (Urinary Tract Infection Prophylaxis In Intradetrusor OnabotulinumtoxinA Procedures), which is not on this map. Cited by 27 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 2 pooled it
3.3field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT06387329 phase4recruitingnot on this mapstarted 2024, after this paper: background citation

Urinary Tract Infection Prophylaxis In Intradetrusor OnabotulinumtoxinA Procedures: A Randomized Controlled Trial

TypeinterventionalSponsorWalter Reed National Military Medical CenterRan2024 to 2025Enrolled100ConditionsOveractive Bladder, Bladder Pain SyndromeArmsNitrofurantoin 100 MG
3 · Its place in the literature

Who cites it

27 citing papers in PubMed, 2 syntheses or guidelines pooled it, 50 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. CTX-M variants on the move: Tracking resistance inOne health (Amsterdam, Netherlands) · 2026
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  7. Evidence for antimicrobial stewardship and reduced antimicrobial resistance in the Mid-West of Ireland, 2012 to 2023: findings from a One Health study.Euro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin · 2025
    Article
  8. Article
  9. Article
  10. Whole genome-based genetic insights ofMicrobiology spectrum · 2023
    Article
  11. Article
  12. Article
  13. The Prevalence of Multidrug-ResistantHealthcare (Basel, Switzerland) · 2022
    Article
  14. Article
  15. Article
  16. Observational
  17. Article
  18. Antibiotic Resistance Pattern of Extended Spectrum Beta Lactamase ProducingFrontiers in cellular and infection microbiology · 2021
    Article
  19. Article
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors at 1 institution in 1 country.

P J StapletonDepartment of Clinical Microbiology, Mater Misericordiae University Hospital, Dublin, Ireland. patstaps@gmail.com.
D J LundonDepartment of Urology and Reconstructive Surgery, Mater Misericordiae University Hospital, Dublin, Ireland.
R McWadeDepartment of Clinical Microbiology, Mater Misericordiae University Hospital, Dublin, Ireland.
N ScanlonDepartment of Pharmacy, Mater Misericordiae University Hospital, Dublin, Ireland.
M M HannanDepartment of Clinical Microbiology, Mater Misericordiae University Hospital, Dublin, Ireland.
F O'KellyDepartment of Urology and Reconstructive Surgery, Mater Misericordiae University Hospital, Dublin, Ireland.
M LynchDepartment of Clinical Microbiology, Mater Misericordiae University Hospital, Dublin, Ireland.
Mater Misericordiae University Hospital · IE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionEscherichia coli is a common cause of urinary tract infections (UTI). Reviews of antibiotic resistance of this organism can inform choice of empiric treatment of UTI and other infections and strategies for combating antimicrobial resistance. We reviewed laboratory and hospital pharmacy records to assess trends in non-susceptibility rates and the effect of antimicrobial stewardship interventions.

methodsA retrospective observational study of isolates of E. coli from MSU samples at a Dublin teaching hospital from inpatients and community, obtained from January 2005 to December 2014. Susceptibility to a panel of antibiotics was determined using the disc diffusion method, as well as extended-spectrum beta-lactamase (ESBL) production status. Trends in resistance were plotted graphically and analysed in a descriptive manner.

resultsExcept for nitrofurantoin and gentamicin, non-susceptibility increased for all antimicrobials tested. Co-amoxiclav non-susceptibility reached 48% in hospital and 32.6% in the community by 2014. Piperacillin-tazobactam non-susceptibility increased from 6.8 to 23.8% in hospital and from <1 to 12.5% in community, with similar increases for ESBL producing isolates. Ciprofloxacin non-susceptibility peaked at 25.5% in hospital in 2012 and 11.44% in the community in 2014.

conclusionEscherichia coli isolates from community MSU samples have high rates of non-susceptibility to trimethoprim and co-amoxiclav. Nitrofurantoin remains the best empiric therapy for cystitis. Increasing non-susceptibility to co-amoxiclav and piperacillin-tazobactam in hospital isolates is concerning. Ciprofloxacin non-susceptibility is increasing faster in the community than in hospital. A sharp reduction in hospital fluoroquinolone consumption did not result in a significant reduction in ciprofloxacin non-susceptibility of hospital E. coli isolates.

Indexed as

Anti-Bacterial AgentsDrug Resistance, MicrobialEscherichia coliEscherichia coli InfectionsFemaleHistory, 21st CenturyHumansRetrospective StudiesTime FactorsUrinary Tract InfectionsAnti-Bacterial AgentsAntibiotic consumptionAntibiotic resistanceE. coliEpidemiology

Identifiers

PMID28054236
OpenAlexW2563572684

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.