Evidence map›Paper›PMID 42491370›Full record

ArticleFrontiers in cellular and infection microbiology2026

Impact of pathophysiologically relevant underlying disease burden on pathogen distribution and antimicrobial resistance in patients with device-associated urinary tract infections.

Yue Jiang, Zehua Du, Liping Wang

Abstract read
In one paragraph

Article in Frontiers in cellular and infection microbiology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

3 authors.

Yue JiangDepartment of Infectious Diseases, The Affiliated Hospital of Xuzhou Medical University, Xuzhou, Jiangsu, China.
Zehua DuDepartment of Infectious Diseases, The Affiliated Hospital of Xuzhou Medical University, Xuzhou, Jiangsu, China.
Liping WangDepartment of Infectious Diseases, The Affiliated Hospital of Xuzhou Medical University, Xuzhou, Jiangsu, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: To investigate the impact of pathophysiologically relevant underlying disease burden on the distribution of pathogenic bacteria and antimicrobial resistance in patients with device-associated urinary tract infections (DA-UTIs), and to provide evidence for precise empirical therapy and infection prevention and control in high-risk populations. Methods: Only underlying diseases with known pathophysiological relevance to urinary tract infection (e.g., diabetes mellitus, urinary stones/obstruction, renal insufficiency, etc.) were considered. A retrospective study was conducted on 449 patients with DA-UTIs admitted to the Affiliated Hospital of Xuzhou Medical University from January 2020 to December 2024. Patients were stratified into three groups according to the number of underlying diseases: Group A (no underlying diseases), Group B (one underlying disease), and Group C (≥2 underlying diseases). Clinical manifestations and pathogenic spectrum composition were compared among the three groups, and the antimicrobial resistance characteristics of Results: The median age of the patients was 66 years, and most patients were admitted to the Department of Urology and Intensive Care Unit (ICU). Conclusion: In patients with DA-UTIs, pathophysiologically relevant underlying disease burden is closely associated with antimicrobial resistance of pathogenic bacteria, particularly significantly increasing the risk of fluoroquinolone resistance. Routine use of fluoroquinolones should be avoided in such high-risk patients for clinical empirical therapy. The initial treatment regimen should be optimized and etiological testing should be strengthened based on local antimicrobial resistance surveillance data and the patient's comorbidity status.

Indexed as

Anti-Bacterial AgentsBacteriaCatheter-Related InfectionsDrug Resistance, BacterialUrinary Tract InfectionsAgedAged, 80 and overEscherichia coliFemaleHumansKlebsiella pneumoniaeMaleMicrobial Sensitivity TestsMiddle AgedRetrospective StudiesAnti-Bacterial Agentsantimicrobial resistanceEscherichia coliindwelling medical deviceunderlying disease burdenurinary tract infection

Identifiers

PMID42491370
PMCPMC13376292

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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.