Evidence map›Paper›PMID 37495602›Full record

ArticleScientific reports2023

Escherichia coli resistance, treatment patterns and clinical outcomes among females with uUTI in Germany: a retrospective physician-based chart review study.

Kurt G Naber, Florian Wagenlehner, Michael Kresken, Wendy Y Cheng, Maryaline Catillon, Mei Sheng Duh, Louise Yu, Anamika Khanal, Aruni Mulgirigama, Ashish V Joshi and 2 more

Abstract read
In one paragraph

Article in Scientific reports, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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

14 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Global prevalence of fluoroquinolone resistance inFrontiers in cellular and infection microbiology · 2026
    Pooled it
  3. Trial
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Observational
  11. Fluoroquinolone Resistance inMicroorganisms · 2024
    Review
  12. Article
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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

12 authors.

Kurt G NaberTechnical University of Munich, Munich, Germany.
Florian WagenlehnerClinic of Urology, Pediatric Urology and Andrology, Justus Liebig University Giessen, Giessen, Germany.
Michael KreskenAntiinfectives Intelligence GmbH, Cologne, Germany.
Wendy Y ChengAnalysis Group, Inc., Boston, MA, USA.
Maryaline CatillonAnalysis Group, Inc., Boston, MA, USA.
Mei Sheng DuhAnalysis Group, Inc., Boston, MA, USA.
Louise YuAnalysis Group, Inc., Boston, MA, USA.
Anamika KhanalAnalysis Group, Inc., Boston, MA, USA.
Aruni MulgirigamaGSK, Brentford, Middlesex, UK.
Ashish V JoshiGSK, 1250 S Collegeville Road, Collegeville, PA, 19426, USA.
Shinyoung JuGSK, Brentford, Middlesex, UK.
Fanny S Mitrani-GoldGSK, 1250 S Collegeville Road, Collegeville, PA, 19426, USA. fanny.s.mitrani-gold@gsk.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Real-world data were collected to examine antimicrobial resistance (AMR) prevalence, treatment patterns, and clinical outcomes among female patients with uncomplicated urinary tract infection (uUTI) in Germany. Data were from a retrospective physician-based chart review completed by physicians treating patients with uUTI. Non-pregnant women aged ≥ 12 years, with a uUTI diagnosis, an E. coli-positive urine culture between January 2017-December 2019, and susceptibility test results for ≥ 4 drug classes were eligible. Patients were stratified into three cohorts by drug class susceptibility: susceptible to all (SUS), resistant to one or two drug classes (DR1/2), and resistant to ≥ 3 (MDR) drug classes tested. Among 386 eligible patients [SUS (67.1%); DR1/2 (29.0%); MDR (3.9%)], AMR prevalence was highest for FMIs (18.3%) and lowest for fluoroquinolones (5.2%). The most prescribed drugs were fosfomycin in SUS (44.0%), DR1/2 (41.4%), and fluoroquinolones in MDR (40.0%). Treatment for uUTI failed for 8.8% of patients; failure was more likely in MDR versus SUS [adjusted odds ratio [95% CI] = 4.21 [1.14-1.50]; P = 0.031); incidence of recurrent infection in the 6-months post-index period was higher in DR1/2 versus SUS. These findings may have implications for empiric prescribing, suggesting an unmet need for new treatments.

Indexed as

Escherichia coli InfectionsUrinary Tract InfectionsAnti-Bacterial AgentsEscherichia coliFemaleFluoroquinolonesGermanyHumansRetrospective StudiesAnti-Bacterial AgentsFluoroquinolones

Identifiers

PMID37495602
PMCPMC10372039

What OpenQuestion holds

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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.