Presence and Relevance of Emerging Microorganisms in Clinical Genitourinary Samples
Metadatos
Mostrar el registro completo del ítemAutor
Rosales Castillo, Antonio; Expósito Ruiz, Manuela; Gutiérrez-Soto, Miguel; Navarro Marí, José María; Gutiérrez Fernández, JoséEditorial
MDPI
Materia
Genital and urinary infection Emerging pathogens Clinical significance
Fecha
2023-03-31Referencia bibliográfica
Rosales-Castillo, A.; Expósito-Ruiz, M.; Gutiérrez-Soto, M.; Navarro-Marí, J.M.; Gutiérrez-Fernández, J. Presence and Relevance of Emerging Microorganisms in Clinical Genitourinary Samples. Microorganisms 2023, 11, 915. [https://doi.org/10.3390/microorganisms11040915]
Resumen
Abstract: Microorganisms responsible for genitourinary infections increasingly include species other
than conventional etiological agents that are of clinical and pathogenic relevance and therapeutic
interest. This cross-sectional descriptive study selected samples from clinical genitourinary episodes
between January 2016 and December 2019 in which emerging microbiological agents were detected.
The patients’ epidemiological characteristics, clinical presentation, antibiotic treatment, and outcome
were studied to identify their pathogenic role. The emerging microorganisms most frequently
detected in urinary tract infections were Streptococcus bovis (58.5%) and Gardnerella spp. (23.6%) in
females and S. bovis (32.3%), Aerococcus urinae (18.6%), and Corynebacterium spp. (16.9%) in males,
while the most frequently detected in genital infections were S. viridans (36.4%) in females and
C. glucuronolyticum (32.2%) and Gardnerella spp. (35.6%) in males. All cases in female children were
produced by S. bovis. Symptomatic episodes were more frequent with Aerococcus spp. and S. bovis and
the presence of leukocytosis more frequent with Aerococcus spp. Quinolones and doxycycline were
most often prescribed antibiotics for genital infections and quinolones and amoxicillin-clavulanic
acid for urinary infections. Urinary infection by Aerococcus spp. was more frequent in males of
advanced age, Corynebacterium spp. was more frequent in permanent vesical catheter carriers, and
episodes of asymptomatic bacteriuria by Gardnerella spp. were more frequent in patients with kidney
transplant and chronic consumers of corticosteroid therapy. Lactobacillus spp. should be considered in
urinary infections of patients of advanced age and with a previous antibiotic load. Genital infection
by Gardnerella spp. was significantly associated with a history of risky sexual relations.