{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,7]],"date-time":"2026-04-07T22:54:01Z","timestamp":1775602441503,"version":"3.50.1"},"reference-count":20,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2019,12,25]],"date-time":"2019-12-25T00:00:00Z","timestamp":1577232000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Geriatrics Gerontology Int"],"published-print":{"date-parts":[[2020,3]]},"abstract":"<jats:sec><jats:title>Aim<\/jats:title><jats:p>Risk factors for complicated community acquired <jats:styled-content style=\"fixed-case\"><jats:italic>Enterococcus\u2009faecalis<\/jats:italic><\/jats:styled-content> urinary tract infection (UTI) in older patients are not well known.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We identified the predictive factors for <jats:styled-content style=\"fixed-case\"><jats:italic>E. faecalis<\/jats:italic><\/jats:styled-content> on a cohort of 659 older patients admitted to hospital with complicated UTI. We also examined the adequacy of empirical antimicrobial therapy and outcomes in <jats:styled-content style=\"fixed-case\"><jats:italic>E. faecalis<\/jats:italic><\/jats:styled-content> UTI. Multivariable logistic regression was used to identify predictors of <jats:styled-content style=\"fixed-case\"><jats:italic>E. faecalis<\/jats:italic><\/jats:styled-content> UTI.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 87 (13.2%) patients had <jats:styled-content style=\"fixed-case\"><jats:italic>E. faecalis<\/jats:italic><\/jats:styled-content> UTI; of these 63.2% were men, their mean age was 82.3\u2009years and they had a great number of comorbidities. Severe sepsis or septic shock was present in 50.5%, and bacteremia was present in 26%. Indwelling urinary catheter and previous urinary instrumentation were risk factors for <jats:styled-content style=\"fixed-case\"><jats:italic>E. faecalis<\/jats:italic><\/jats:styled-content> UTI by multivariate analysis (OR 2.05; 95% CI 1.15\u20133.65 and OR 2.16; 95% CI 1.08\u20134.34, respectively). Inadequate empirical antimicrobial therapy was higher in <jats:styled-content style=\"fixed-case\"><jats:italic>E. faecalis<\/jats:italic><\/jats:styled-content> UTI than in UTI caused by Gram\u2010negative microorganisms (66.6% <jats:italic>vs<\/jats:italic> 19%, <jats:italic>P<\/jats:italic>\u2009&lt;\u20090.001). No significant differences in length of hospital stay or mortality were noted between <jats:styled-content style=\"fixed-case\"><jats:italic>E. faecalis<\/jats:italic><\/jats:styled-content> and Gram\u2010negative UTI.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>In older patients admitted to hospital with complicated community\u2010acquired UTI, <jats:styled-content style=\"fixed-case\"><jats:italic>E. faecalis<\/jats:italic><\/jats:styled-content> should be considered for empirical treatment if the patient has a urinary catheter or previous urinary tract instrumentation in order to avoid inadequate empirical antibiotic therapy. <jats:bold>Geriatr Gerontol Int 2019; \u2022\u2022: \u2022\u2022\u2013\u2022\u2022<\/jats:bold>.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ggi.13856","type":"journal-article","created":{"date-parts":[[2019,12,26]],"date-time":"2019-12-26T06:04:34Z","timestamp":1577340274000},"page":"183-186","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":12,"title":["Predictive factors for <scp><i>Enterococcus faecalis<\/i><\/scp> in complicated community\u2010acquired urinary tract infections in older patients"],"prefix":"10.1111","volume":"20","author":[{"given":"Manuel","family":"Madrazo","sequence":"first","affiliation":[{"name":"Department of Internal Medicine University Hospital Dr. Peset, University of Valencia  Valencia Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ana","family":"Esparcia","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine University Hospital Dr. Peset, University of Valencia  Valencia 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