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. 2020 Nov 3;13:3945–3955. doi: 10.2147/IDR.S269033

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