Table 1.
History of urinary tract infections (UTI) over a 5-year period in an elderly woman. A preventive strategy introduced in October 2016 consisting of Utipro® Plus once daily for 15 days each month reduced UTI frequency and changed the bacterial profile from persistently multiresistant E. coli to multisensitive E. coli (or other pathogens).
| Date | Bacteria | Extended-spectrum β-lactamase | Sensitive | Resistant |
|---|---|---|---|---|
| 11/08/2015 | Escherichia coli | + | Fosfomycin, carbapenems | Ampicillin, amoxicillin + clavulanic acid, cephalosporins, quinolones, trimethoprim |
| 08/09/2015 | E. coli | + | Carbapenems | Ampicillin, amoxicillin + clavulanic acid, cephalosporins, quinolones, trimethoprim, fosfomycin |
| 26/07/2016 | E. coli | + | Fosfomycin, carbapenems | Ampicillin, amoxicillin + clavulanic acid, cephalosporins, quinolones, trimethoprim |
| 27/10/2016 | E. coli | + | Fosfomycin, carbapenems | Ampicillin, amoxicillin + clavulanic acid, cephalosporins, quinolones, trimethoprim |
| 11/10/2016 | Negative | |||
| 11/01/2017 | Negative | |||
| 27/01/2017 | Proteus vulgaris | – | Amoxicillin + clavulanic acid, cephalosporins, carbapenems, quinolones, trimethoprim | Ampicillin, fosfomycin |
| 20/02/2017 | Negative | |||
| 27/06/2017 | E. coli | – | Ampicillin, amoxicillin + clavulanic acid, cephalosporins, carbapenems, quinolones, trimethoprim, fosfomycin | None |
| 19/07/2017 | Negative | |||
| 02/11/2017 | Klebsiella pneumoniae | – | Amoxicillin + clavulanic acid, cephalosporins, carbapenems, quinolones, trimethoprim | Ampicillin, fosfomycin |
| 28/12/2017 | Negative | |||
| 07/06/2018 | Negative | |||
| 20/09/2018 | Negative | |||
| 06/11/2018 | K. pneumoniae | – | Amoxicillin + clavulanic acid, cephalosporins, carbapenems, quinolones, trimethoprim | Ampicillin, fosfomycin |
| 01/02/2019 | Negative | |||
| 23/05/2019 | K. pneumoniae | Cephalosporins, carbapenems, quinolones, trimethoprim, fosfomycin | Amoxicillin + clavulanic acid, ampicillin | |
| 22/07/2019 | E. coli | – | Ampicillin, amoxicillin + clavulanic acid, cephalosporins, carbapenems, quinolones, trimethoprim, fosfomycin | None |
| 15/10/2019 | E. coli | – | Ampicillin, amoxicillin + clavulanic acid, cephalosporins, carbapenems, quinolones, trimethoprim, fosfomycin | None |
| 13/01/2020 | K. pneumoniae | – | Amoxicillin + clavulanic acid, cephalosporins, carbapenems, quinolones, trimethoprim, fosfomycin | Ampicillin |
| 21/09/2020 | Negative |