@misc{10481/73948,
year = {2022},
month = {3},
url = {http://hdl.handle.net/10481/73948},
abstract = {The detection of emerging pathogens responsible for genitourinary infections has increased
with technological advances. We conducted a systematic review of publications on the involvement of
these microorganisms in genitourinary samples, and we also investigated their presence and antibiotic
susceptibility in samples from patients at our regional hospital (Granada, Spain). The MEDLINE
database was searched up to 31 December 2020, and a cross-sectional descriptive study was performed
of results obtained in urine samples and genital exudates from January 2016 through December
2019. The review highlighted the frequent involvement of Neisseria meningitidis in genital infections,
while the data on other microorganisms were consistent with findings in our patient series. The
emerging microorganisms most often responsible for urinary tract infections were Streptococcus bovis
(58.5%) and Gardnerella vaginalis (23.6%) in females, and S. bovis (32.3%), Aerococcus urinae (18.6%),
and Corynebacterium spp. (16.9%) in males; those most frequently reported in genital infections were
S. viridans (36.4%) in females and C. glucuronolyticum (32.2%) and G. vaginalis (35.6%) in males. In
general, emerging pathogens are resistant to conventional antibiotics such as penicillin. However,
there has also been an increase in beta-lactam resistance by the S. bovis group and Corynebacterium
spp. The systematic review showed that emerging microorganisms are responsible for only a small
percentage of genitourinary infections but are of major clinical interest, with a predominance of
the S. bovis group, G. vaginalis, Lactobacillus spp., Aerococcus spp., and Corynebacterium spp. in urine
samples and of G. vaginalis and C. glucuronolyticum in genital samples. Given the increasing resistance
to antibiotics empirically prescribed in patients with genitourinary infections, it is recommended to
create an antibiogram in all cases.},
publisher = {MDPI},
keywords = {Urinary tract infection},
keywords = {Emerging pathogens},
keywords = {Cervix bacteria},
keywords = {Vaginitis bacteria},
keywords = {Balano-posthitis bacteria},
keywords = {Prostatitis bacteria},
keywords = {Epididymitis bacteria},
keywords = {Urethritis bacteria},
title = {Emerging Presence of Culturable Microorganisms in Clinical Samples of the Genitourinary System: Systematic Review and Experience in Specialized Care of a Regional Hospital},
doi = {10.3390/jcm11051348},
author = {Rosales Castillo, Antonio and Jiménez Guerra, Gemma and Ruiz Gómez, Lara and Expósito Ruiz, Manuela and Navarro Marí, José María and Gutiérrez Fernández, José},
}