Evidence map›Paper›PMID 34854120›Full record

ArticleJournal of clinical laboratory analysis2022

Gender differences in the microbial spectrum and antibiotic sensitivity of uropathogens isolated from patients with urinary stones.

Jie Gu, Xiong Chen, Zhiming Yang, Yao Bai, Xiaobo Zhang

Open access · goldAbstract read
In one paragraph

Article in Journal of clinical laboratory analysis, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 2 pooled it
2.1field-weighted citation impact, top 12% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 2 syntheses or guidelines pooled it, 25 citations in OpenAlex.

  1. Pooled it
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 2 countries.

Jie GuDepartment of Geriatric Urology, Xiangya International Medical Center, Xiangya Hospital, Central South University, Changsha, China.
Xiong ChenDepartment of Geriatric Urology, Xiangya International Medical Center, Xiangya Hospital, Central South University, Changsha, China.
Zhiming YangDepartment of Geriatric Urology, Xiangya International Medical Center, Xiangya Hospital, Central South University, Changsha, China.
Yao BaiDepartment of Urology, Hunan Provincial People's Hospital, The First Affiliated Hospital of Hunan Normal University, Changsha, China.
Xiaobo ZhangDepartment of Geriatric Urology, Xiangya International Medical Center, Xiangya Hospital, Central South University, Changsha, China.ORCID https://orcid.org/0000-0002-7238-0386
Central South University · CNHunan Normal University · CN

Funding

Natural Science Foundation of Hunan Province 2019JJ40506Natural Science Foundation of Hunan Province 2020JJ4135Natural Science Foundation of Hunan Province 2020JJ5940
6 · The paper itself

Abstract

purposeThe characteristics and resistance patterns of urine bacteriology urolithiasis patients between male and female have not been extensively studied. This study aims to investigate the gender differences in microbial spectrum and antibiotic susceptibility of uropathogens isolated from urolithiasis patients and provide insights for appropriate antimicrobial therapies. MATERIALS AND

methodsWe retrospectively collected clinical microbiology data from urine culture in urolithiasis patients between March 2014 and December 2018 in Xiangya Hospital. Then the patients were divided into male and female groups. The microbial spectrum and frequency of susceptibility to antibiotics were compared.

resultsA total of 359 uropathogen isolates were collected from 335 patients, including 144 males (43.0%) and 191 females (57.0%). E. coli dominated in both groups, indicating higher frequency in females (53.2%) than in males (26.6%, p < 0.001), followed by E. faecalis, with higher frequency in males (15.6%) than in females (2.9%, p < 0.001). Major Gram-negative (E. coli and K. pneumoniae) bacteria showed high sensitivity to cefoperazone/sulbactam, cefotetan, piperacillin/ tazobactam, and amikacin. In contrast, the resistance level was high to penicillin, tetracycline, and vancomycin in both groups. Gram-positive (E. faecalis and E. faecium) isolates demonstrated high sensitivity to gentamicin and vancomycin in both groups. Furthermore, uropathogens isolated from female urolithiasis patients were more susceptible to antimicrobials than males.

conclusionsUropathogen microbial spectrum in female urolithiasis patients is different from males. High susceptibility antibiotics should be used empirically according to gender to avoid multidrug-resistant bacteria increase.

Indexed as

Drug Resistance, BacterialUrinary Tract InfectionsUrolithiasisAdultAgedAnti-Bacterial AgentsBacteriaFemaleHumansMaleMiddle AgedRetrospective StudiesSex FactorsAnti-Bacterial Agentsantibiotics susceptibilitybacterial spectrumgenderurinary stonesurinary tract infection

Identifiers

PMID34854120
PMCPMC8761408
OpenAlexW3217215554

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.