{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T00:09:08Z","timestamp":1791245348193,"version":"4.1.0"},"reference-count":38,"publisher":"Oxford University Press (OUP)","issue":"10","license":[{"start":{"date-parts":[[2023,1,4]],"date-time":"2023-01-04T00:00:00Z","timestamp":1672790400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"funder":[{"name":"ANRS-MIE"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2023,5,24]]},"abstract":"Abstract<\/jats:title>\n \n Background<\/jats:title>\n Severe non-AIDS bacterial infections (SBIs) are among the leading causes of hospital admissions among persons with human immunodeficiency virus (PWH) in regions with high antiretroviral therapy coverage.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n This large prospective cohort study of PWH examined the types of infections, bacterial documentation, and evolution of antibiotic resistance among PWH hospitalized with SBIs over an 18-year period.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n Between 2000 and 2017, 459 PWH had at least 1 SBI with bacterial documentation. Among the 847 SBIs, there were 280 cases of bacteremia, 269 cases of pneumonia, and 240 urinary tract infections. The 1025 isolated bacteria included Enterobacteriaceae (n = 394; mainly Escherichia coli), Staphylococcus aureus (n = 153), and Streptococcus pneumoniae (n = 82). The proportion of S. pneumoniae as the causative agent in pneumonia and bacteremia decreased sharply over time, from 34% to 8% and from 21% to 3%, respectively. The overall antibiotic resistance of S. aureus and S. pneumoniae decreased progressively but it increased for Enterobacteriaceae (from 24% to 48% for amoxicillin-clavulanate, from 4% to 18% for cefotaxime, and from 5% to 27% for ciprofloxacin). Cotrimoxazole prophylaxis was associated with higher nonsusceptibility of S. pneumoniae to amoxicillin and erythromycin, higher nonsusceptibility of Enterobacteriaceae to \u03b2-lactams and fluoroquinolones, and a higher risk of extended-spectrum \u03b2-lactamase\u2013producing Enterobacteriaceae.<\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n The bacterial resistance pattern among PWH between 2014 and 2017 was broadly similar to that in the general population, with the exception of a higher resistance profile of Enterobacteriaceae to fluoroquinolones. The use of cotrimoxazole as prophylaxis was associated with an increased risk of antibiotic resistance.<\/jats:p>\n <\/jats:sec>","DOI":"10.1093\/cid\/ciac978","type":"journal-article","created":{"date-parts":[[2023,1,2]],"date-time":"2023-01-02T17:14:30Z","timestamp":1672679670000},"page":"1814-1821","source":"Crossref","is-referenced-by-count":5,"title":["Severe Bacterial Non-AIDS Infections in Persons With Human Immunodeficiency Virus: The Epidemiology and Evolution of Antibiotic Resistance Over an 18-Year Period (2000\u20132017) in the ANRS CO3 AquiVih-Nouvelle-Aquitaine Cohort"],"prefix":"10.1093","volume":"76","author":[{"given":"Peggy","family":"Blanc","sequence":"first","affiliation":[{"name":"Centre Hospitalier Universitaire de Bordeaux, Service de M\u00e9decine Interne et Maladies Infectieuses, H\u00f4pital Saint-Andr\u00e9 , Bordeaux , 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