Evidence map›Paper›PMID 38179021›Full record

ReviewBJUI compass2024

Fluoroquinolone resistance in urinary tract infections: Epidemiology, mechanisms of action and management strategies.

Daryl Thompson, Jennifer Xu, Joseph Ischia, Damien Bolton

Open access · goldAbstract readReview
In one paragraph

Review in BJUI compass, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
6.4field-weighted citation impact, top 3% 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

17 citing papers in PubMed, 30 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. MappingAntibiotics (Basel, Switzerland) · 2026
    Article
  5. Article
  6. Review
  7. Article
  8. Article
  9. Review
  10. Challenges and Prospects for Eradication ofPathogens (Basel, Switzerland) · 2025
    Review
  11. Review
  12. Antibiotics (Basel, Switzerland) · 2025
    Review
  13. Article
  14. Article
  15. Article
  16. Fluoroquinolone Resistance inMicroorganisms · 2024
    Review
  17. Review
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

4 authors at 1 institution in 1 country.

Daryl ThompsonDepartment of Surgery The University of Melbourne, Austin Health Heidelberg Victoria Australia.ORCID https://orcid.org/0000-0003-3787-7933
Jennifer XuDepartment of Surgery The University of Melbourne, Austin Health Heidelberg Victoria Australia.ORCID https://orcid.org/0000-0001-8452-0713
Joseph IschiaDepartment of Surgery The University of Melbourne, Austin Health Heidelberg Victoria Australia.ORCID https://orcid.org/0000-0001-7177-3631
Damien BoltonDepartment of Surgery The University of Melbourne, Austin Health Heidelberg Victoria Australia.ORCID https://orcid.org/0000-0002-5145-6783
The University of Melbourne · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Fluoroquinolone resistance is an issue of concern amongst physicians worldwide. In urology, fluoroquinolones are often used in the treatment of acute pyelonephritis and prostatitis, as well as infections caused by multidrug-resistant pathogens. Aims: We aim to highlight the importance of antimicrobial stewardship and the need for ongoing biomedical research to discover novel agents in our losing battle against resistant pathogens. Materials and methods: In this review, we survey the literature and summarise fluoroquinolone resistance as it pertains to pyelonephritis and prostatitis, as well as alternative treatment strategies and prevention of multidrug resistance. Results: The rise of fluoroquinolone resistance in bacteria has reduced the available treatment options, often necessitating hospital admission for intravenous antibiotics, which places an additional burden on both patients and the healthcare system. Many countries such as Australia have attempted to limit fluoroquinolone resistance by imposing strict prescribing criteria, though these efforts have not been entirely successful. Solutions to overcome resistance include prevention, combination therapy and the development of novel antimicrobial agents. Conclusions: Prevention of the proliferation of resistant organisms by antimicrobial stewardship is paramount, and urologists are obliged to be aware of responsible prescribing practices such as referring to local guidelines when prescribing. By reserving fluoroquinolones for infections in which they are truly indicated and by prescribing based on both patient and local environmental factors, we can preserve this effective resource for future use.

Indexed as

acute pyelonephritischronic prostatitisfluoroquinolone resistancemultidrug resistance

Identifiers

PMID38179021
PMCPMC10764174
OpenAlexW4386326525

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.