[Risk factors for extended espectrum beta-lactamase producer E.coli bacteremia from urinary origin].
OBJECTIVE
Although risk factors for extended spectrum beta lactamase E. coli (EBLE) infection have been explored, specific risk factors for bacteremic urinary tract infection by EBLE have been hardly analyzed.


METHODS
We collected data from all patients with bacteremic urinary tract infection by E. coli attended in our hospital during 2006. Logistic regression was performed to explore predictors for EBLE bloodstream infection in this group of patients.


RESULTS
EBLE was present in 19 cases (17,9%) out of 106 bacteraemia from urinary origin. Patients with bloodstream infection by EBLE were male, older, demented, living in a nursing home, with previous urologic diseases and urologic manipulation, with a higher percentage of previous urinary tract infection, previous antibiotic use, more frequent nosocomial infection, and hospital admission in the previous month. In the logistic regression analysis, only previous urologic diseases (OR 13,9; IC95% 2,5-78,2) and living in a nursing home (OR 6,5; IC95% 1,4-0,9) were associated with EBLE bacteremic urinary tract infection.


CONCLUSIONS
Previous urologic disease and living in a nursing home are independent risk factors for EBLE bacteremic urinary tract infection.
Velasco Arribas
María
M
Sección de Infecciosas, Medicina Interna, Hospital Universitario Fundación Alcorcón, Madrid, España. mvelasco@fhalcorcon.es
Barrena Puerta
Ruth
R
Asenjo Mota
Angel
A
Valverde Cánovas
José F
JF
Delgado-Iribarren
Alberto
A
Losa García
Juan E
JE
D000368:Aged; D016470:Bacteremia / Q000382:microbiology*; D004926:Escherichia coli / Q000201:enzymology*; D004927:Escherichia coli Infections / Q000382:microbiology*; D005260:Female; D006801:Humans; D008297:Male; D012189:Retrospective Studies; D012307:Risk Factors; D014552:Urinary Tract Infections / Q000382:microbiology*; D001618:beta-Lactamases
D001618:beta-Lactamases