Table 2.
Identified ESBL-E coli Community-Acquired Urinary Tract Infection Risk Factors
Risk Factors (Reference) | Adjusted OR | CI | Sample Size |
---|---|---|---|
Care related factors | |||
Prior use of antibiotics | |||
In the last 30 days27 | 1.8 | [1.0–3.1] | n=449 |
[39] | 3.1 | [1.4–6.7] | n=172 |
In the last 3 months34 | 4.0 | [1.6–10.0] | n=484 |
In the previous year30 | 4.6 | [1.9–11.0] | n=300 |
Time NS28 | 5.6 | [2.1–14.8] | n=140 |
Prior use of broad spectrum antibiotic | |||
Any, 31–365 days before index date38 | 0.9 | [0.5–1.7] | n=7,170 |
Penicillin, 31–365 days before index date38 | 1.0 | [0.7–1.5] | n=7,170 |
Prior use of beta-lactams | |||
In the last 90 days35 | 4.5 | [1.8–11.0] | n=290 |
[37] | 4.6 | [2.0–10.7] | n=510 |
Prior use of penicillin | |||
Any, time NS29 | 2.7 | [1.2–6.3] | n=408 |
Prior use of cephalosporine | |||
Cefuroxime, time NS36 | 21.4 | [5.4–85.2] | n=74 |
2GC, time NS33 | 3.9 | [1.8–8.5] | n=200 |
Cephalosporin, time NS29 | 2.2 | [1.1–4.5] | n=408 |
3GC, time NS33 | 2.2 | [1.01–5.0] | n=200 |
Prior use of Macrolide | |||
Any, 31–365 days before index date38 | 1.5 | [1.1–2.2] | n=7,170 |
Prior use of nitrofurantoin | |||
31–365 days before index date38 | 1.54 | [1.1–2.3] | n=7,170 |
Prior use of fluoroquinolones | |||
Any, in the last 30 days27 | 2.1 | [0.6–7.3] | n=449 |
Any, in the last 90 days35 | 19.0 | [3.3–111.4] | n=290 |
Any, time NS33 | 2.6 | [1.3–5.1] | n=200 |
[28] | 9.9 | [2.2–44.6] | n=140 |
Prior hospitalization | |||
Any, in the last 30 days27 | 3.9 | [1.2–12.7] | n=449 |
Any, in the last 3–12 months39 | 2.9 | [1.3–6.6] | n=172 |
1–2 hospitalizations, in the previous year38 | 1.7 | [1.3–2.3] | n=7,170 |
> 3 hospitalizations, in the previous year38 | 3.9 | [2.6–5.8] | n=7,170 |
Prior surgery, in the last 3–12 months39 | 2.8 | [1.9–8.0] | n=172 |
History of UTIs | |||
Any, in the previous year38 | 1.3 | [1.01–1.6] | n=7,170 |
≥3 episodes of UTI, in the previous year37 | 3.8 | [1.8–8.1] | n=510 |
History of UTI due to E. coli, time NS29 | 3.4 | [1.8–6.7] | n=408 |
Renal or urological disorder | |||
History of recurrent acute pyelonephritis30 | 1.7 | [0.7–3.9] | n=300 |
Recurrent acute pyelonephritis + history of diabetes30 | 4.2 | [1.3–16.9] | n=300 |
Renal disease38 | 1.6 | [1.0–2.5] | n=7,170 |
Urological abnormality34 | 3.5 | [1.0–11.5] | n=484 |
Prior urinary catheterization29 | 3.3 | [1.7–6.6] | n=408 |
History of prostatic disease37 | 9.6 | [2.1–44.8] | n=510 |
Diabetes | |||
[35] | 3.7 | [1.1–12.7] | n=290 |
[34] | 3.0 | [1.1–8.0] | n=484 |
[30] | 1.7 | [0.8–3.4] | n=300 |
Prior medication | |||
Prior immunosuppressive therapy38 | 1.5 | [1.1–2.1] | n=7,170 |
Chronic treatment with corticosteroids39 | 24.3 | [2.4–246.9] | n=172 |
Demographic characteristics | |||
Male sex | |||
[38] | 1.6 | [1.2–2.1] | n=7,170 |
Age >55 years | |||
[30] | 2.0 | [1.02–3.5] | n=300 |
Citizenship | |||
Northern Europe vs other countries38 | 0.4 | [0.2–0.7] | n=7,170 |
Environmental factors | |||
Travelling abroad (Asia, Middle East, Africa) | |||
In the previous 6 weeks35 | 16.4 | [3.4–78.8] | n=290 |
Same regions between 6 weeks and 2 years before35 | 2.2 | [1.1–4.3] | n=290 |
Swimming in freshwater | |||
[35] | 2.1 | [1.02–4.2] | n=290 |
Number of fish meals per week | |||
[35] | 0.6 | [0.5–0.9] | n=290 |