Journal article

The use of oral fosfomycin-trometamol in patients with catheter-associated urinary tract infections (CAUTI): new indications for an old antibiotic?


Authors listCai, Tommaso; Cocci, Andrea; Verze, Paolo; Rizzo, Michele; Palmieri, Alessandro; Liguori, Giovanni; Trombetta, Carlo; Adembri, Chiara; Carini, Marco; Bartoletti, Riccardo; Wagenlehner, Florian M.; Bonkat, Gernot; Mirone, Vincenzo; Johansen, Truls E. Bjerklund; Novelli, Andrea

Publication year2018

Pages290-295

JournalJournal of Chemotherapy

Volume number30

Issue number5

ISSN1120-009X

eISSN1973-9478

DOI Linkhttps://doi.org/10.1080/1120009X.2018.1500110

PublisherTaylor and Francis Group


Abstract
We present the results of a multicenter retrospective study of 35 difficult-to-treat patients with urinary tract infections associated with indwelling urinary catheters (CAUTIs). All patients received oral administration of 3g fosfomycin trometamol once a day for two days and then with a dose of 3g every 48 h for two weeks. The most commonly isolated strains were: Escherichia coli (65.7%) and Enterococcus spp. (25.7%); prevalence of Extended-Spectrum Beta-Lactamase strains was 48.5%. Six patients (17.1%) had a clinical response after a single dose of fosfomycin trometamol, 12 (34.2%) after two doses and 13 (37.1%) patients had a clinical response after three or more doses. Four patients (11.6%) failed prolonged antibiotic treatment with fosfomycin trometamol. During the follow-up period, 30 out of 35 (85.7%) patients were without symptomatic infections. No significant side effects were reported. In conclusion, fosfomycin trometamol seems to be a valid treatment option in patients with CAUTIs.



Citation Styles

Harvard Citation styleCai, T., Cocci, A., Verze, P., Rizzo, M., Palmieri, A., Liguori, G., et al. (2018) The use of oral fosfomycin-trometamol in patients with catheter-associated urinary tract infections (CAUTI): new indications for an old antibiotic?, Journal of Chemotherapy, 30(5), pp. 290-295. https://doi.org/10.1080/1120009X.2018.1500110

APA Citation styleCai, T., Cocci, A., Verze, P., Rizzo, M., Palmieri, A., Liguori, G., Trombetta, C., Adembri, C., Carini, M., Bartoletti, R., Wagenlehner, F., Bonkat, G., Mirone, V., Johansen, T., & Novelli, A. (2018). The use of oral fosfomycin-trometamol in patients with catheter-associated urinary tract infections (CAUTI): new indications for an old antibiotic?. Journal of Chemotherapy. 30(5), 290-295. https://doi.org/10.1080/1120009X.2018.1500110



Keywords


antibiotic stewardshipCAUTICLINICAL-PRACTICE GUIDELINEScomplicated urinary tract infectionDISEASES SOCIETYFosfomycin trometamolprostatitisUPDATE

Last updated on 2025-21-05 at 18:28