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Antimicrobial resistance in community-acquired urinary tract infections: results from the Korean Antimicrobial Resistance Monitoring System

  • Surveillance
  • Published:
Journal of Infection and Chemotherapy

An Erratum to this article was published on 21 April 2011

Abstract

The Korean Antimicrobial Resistance Monitoring System was established and the first nationwide surveillance of bacterial uropathogens was conducted during the period from January 2008 to June 2009. With the cooperation of 34 medical centers throughout South Korea, a total of 1994 strains belonging to clinically relevant bacterial uropathogens were collected from patients with community-acquired urinary tract infections (UTIs). To compare with past data, understand a trend of antimicrobial resistance, and ultimately determine new regimens for empirical treatment of uncomplicated cystitis, the antimicrobial susceptibilities against Escherichia coli in uncomplicated cystitis to commonly prescribed drugs were investigated. In uncomplicated cystitis, the most prevalent causative organism was E. coli (72.7%), followed by Enterococcus faecalis (10.7%) and Klebsiella pneumoniae (3.5%). Among E. coli isolates from acute uncomplicated cystitis, 38.5% were susceptible to ampicillin, 80.7% to amoxicillin/clavulanate, 67.3% to trimethoprim/sulfamethoxazole, 74.6% to ciprofloxacin, 77.5% to levofloxacin, 86.0% to cefazolin, 86.1% to cefuroxime, 93.6% to cefpodoxime, 94.7% to ceftriaxone, 99.5% to amikacin, 80.9% to tobramycin, and 76.6% to gentamicin. An increasing tendency of resistance to ciprofloxacin (24.8%) has been observed compared with the similar studies in 2006 (23.4%) and 2002 (15.2%) from patients with uncomplicated cystitis. These data provide much needed information on the prevalence of antimicrobial resistance in community-acquired UTIs in South Korea and will be a useful reference for future periodic surveillance studies.

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Acknowledgments

The authors thank the following urologists for contributing case material and providing patient information: Jun Mo Kim (Soonchunhyang University, Bucheon); Seung Hun Cha (Daniel Urology Clinic, Seoul); Chang Hee Han and Hyun Rim Lee (The Catholic University of Korea, Uijeongbu St. Mary’s Hospital, Uijeongbu); Su Yeon Cho (The Catholic University of Korea, St. Paul’s Hospital, Seoul); Byung Hee Lee (The Catholic University of Korea, Yeouido St. Mary’s Hospital, Seoul); Nam Suk Lee (The Catholic University of Korea, Seoul St. Mary’s Hospital, Seoul); Je Mo Yoo (The Catholic University of Korea, Bucheon St. Mary’s Hospital, Bucheon); Moo Youl Jeong (The Catholic University of Korea, College of Medicine, St. Vincent’s Hospital, Suwon); Sang Don Lee (Pusan National University, Busan); Dong Hoon Lim (Chosun University, Gwangju); In Rae Cho (Inje University, Ilsan Paik Hospital, Ilsan); Gil Ho Lee (Dankook University, Cheonan); Yong Gil Na (Chungnam National University, Daejeon); Kyung Hwangbo (Green Hospital, Seoul); Byung Ha Chung (Yonsei University Medical School, Gangnam Severance Haspital, Seoul); Tae Hyoung Kim (Chung Ang University, Yongsan, Seoul); In Hoo Chang (Chung Ang University, Seoul); Byong Ha In (Hongik Haspital, Seoul); Seung Ki Min (National Police Hospital, Seoul); Sang Eun Lee (Seoul National University, Bundang); Duk Yoon Kim (Catholic University of Daegu, Daegu); Kee Uk Chung (Ansan Thema Clinic, Ansan); In Chul Seon (Osan Hankook Hospital, Osan); Seong Woon Park (Gwangju Christian Hospital, Gwangju); Jung Seon Lee (Good Morning Urology Clinic, Mokpo); Seung Il Jung (Chonnam National University, Gwangju); Soo Dong Kim (Dong-A University, Busan); Kook Hyeong Hwang (HwangKookHyeong Urology Clinic, Busan); Chol Jong Back (Good Morning Urology Clinic, Daejeon); Sue Yong Sung (Su Hospital, Munmak); Woong Gyo Jung (JungWoongGyo Urology Clinic, Wonju); Seong Ho Lee (Hallym University Chuncheon Sacred Heart, Chuncheon); and Jung Sik Huh (Jeju National University, Jeju). This study was supported and funded by Korea Centers for Disease Control and Prevention, Seoul, Korea. This study was approved by a central ethical committee (Catholic Medical Centre, The Catholic University of Korea College of Medicine, Seoul, Korea, No. XCMC08OT015S) and then by the respective local ethical committees.

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None declared.

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Authors and Affiliations

  1. Department of Urology, Ewha Womans University, Seoul, Korea

    Bong Suk Shim

  2. Department of Urology, Chosun University, Gwangju, Korea

    Chul Sung Kim

  3. Department of Urology, Soonchunhyang University, Bucheon, Korea

    Min Eui Kim

  4. Department of Urology, St Mary’s Hospital, The Catholic University of Korea College of Medicine, 62 Yeouido-dong, Yeongdeungpo-gu, Seoul, 150-713, South Korea

    Seung-Ju Lee, Dong Sup Lee, Hyun Sop Choe & Yong-Hyun Cho

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  1. Seung-Ju Lee
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  2. Dong Sup Lee
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  3. Hyun Sop Choe
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  4. Bong Suk Shim
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  7. Yong-Hyun Cho
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Corresponding author

Correspondence to Yong-Hyun Cho.

Additional information

An erratum to this article can be found at http://dx.doi.org/10.1007/s10156-011-0248-8

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Lee, SJ., Lee, D.S., Choe, H.S. et al. Antimicrobial resistance in community-acquired urinary tract infections: results from the Korean Antimicrobial Resistance Monitoring System. J Infect Chemother 17, 440–446 (2011). https://doi.org/10.1007/s10156-010-0178-x

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  • DOI: https://doi.org/10.1007/s10156-010-0178-x

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