{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,17]],"date-time":"2026-09-17T01:23:25Z","timestamp":1789608205798,"version":"build-2803163510"},"reference-count":38,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2025,1,1]],"date-time":"2025-01-01T00:00:00Z","timestamp":1735689600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100020950","name":"National Science and Technology Council","doi-asserted-by":"publisher","award":["112-2320-B-182-036-MY3 and 112-2320-B-182-042-MY3"],"award-info":[{"award-number":["112-2320-B-182-036-MY3 and 112-2320-B-182-042-MY3"]}],"id":[{"id":"10.13039\/501100020950","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100012553","name":"Chang Gung Memorial Hospital","doi-asserted-by":"crossref","award":["CMRPD1K0361, CMRPD1L0321, CMRPD1M0491-2, and CORPD"],"award-info":[{"award-number":["CMRPD1K0361, CMRPD1L0321, CMRPD1M0491-2, and CORPD"]}],"id":[{"id":"10.13039\/100012553","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Therapeutic Advances in Infection"],"published-print":{"date-parts":[[2025,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Urinary tract infection (UTI) is one of the most common bacterial infections in clinical practice. Given the rapid increase in antimicrobial resistance and the scarcity of new antibiotics, along with the absence of individual antibiogram testing in some countries, there is an urgent need for robust surveillance systems.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>This study aimed to provide evidence for the surveillance of resistance, a crucial component in developing national UTI treatment guidelines and guiding empirical therapy decisions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design:<\/jats:title>\n                    <jats:p>This study utilized a retrospective, serial cross-sectional design.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>Antimicrobial surveillance was conducted using data collected from January 1, 2017 to December 31, 2021. A total of 2595 patients with UTIs were recruited for this study. From these patients, 2004 bacterial isolates were identified and subjected to epidemiological and antibiotic resistance analyses.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Escherichia coli ( E. coli, 42.7%), Pseudomonas aeruginosa ( P. aeruginosa, 11.9%), and Klebsiella pneumoniae ( K. pneumoniae, 10.9%) were identified as the predominant causes of UTIs. E. coli isolates demonstrated a high level of sensitivity (80%\u201390%) to carbapenems (imipenem, ertapenem, and meropenem), aminoglycosides (amikacin), piperacillin\/tazobactam, cefoperazone\/sulbactam, and fosfomycin. The antibiotic resistance rates of K. pneumoniae strains consistently exceeded 50%, except for amikacin, ertapenem, imipenem, meropenem, and fosfomycin. Notably, all K. pneumoniae strains isolated from patients with UTIs were resistant to ampicillin. During the coronavirus disease pandemic, the E. coli and K. pneumoniae isolates exhibited reduced antibiotic resistance compared to the pre-pandemic period. The resistance rate of P. aeruginosa isolates remained consistently high (60%\u201370%).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Amikacin, ertapenem, imipenem, meropenem, and fosfomycin are promising treatment options for enterobacterial UTIs. However, their efficacy against P. aeruginosa is limited. This study revealed alarmingly high rates of primary etiological pathogen resistance to commonly prescribed empirical therapies for UTIs. These findings provide crucial data for optimizing national guidelines and implementing personalized treatment strategies to enhance the effectiveness of UTI treatments.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/20499361251315346","type":"journal-article","created":{"date-parts":[[2025,2,28]],"date-time":"2025-02-28T05:18:34Z","timestamp":1740719914000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":7,"title":["Epidemiology and antimicrobial resistance patterns of urinary tract infection: insights and strategies from a 5-year serial cross-sectional study in Vietnam"],"prefix":"10.1177","volume":"12","author":[{"given":"Anh Tram","family":"Que","sequence":"first","affiliation":[{"name":"Department of Medical Laboratory, Infectious Disease Research Center, Nghe An Friendship General Hospital, Vinh, Nghe An, Vietnam"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-5434-6276","authenticated-orcid":false,"given":"Anh Dao","family":"Tran","sequence":"additional","affiliation":[{"name":"Department of Medical Laboratory, Infectious Disease Research Center, Nghe An Friendship General Hospital, Vinh, Nghe An, Vietnam"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thi Hong Nhung","family":"Trang","sequence":"additional","affiliation":[{"name":"College of Medicine, Tra Vinh University, Tra Vinh, Vietnam"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5990-8967","authenticated-orcid":false,"given":"Thi Nhu Le","family":"Tran","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, Can Tho University of Medicine and Pharmacy, Can Tho, Vietnam"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0928-791X","authenticated-orcid":false,"given":"Ngoc-Niem","family":"Bui","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, Can Tho University of Medicine and Pharmacy, Can Tho 900000, Vietnam"},{"name":"Graduate Institute of Biomedical Sciences, College of Medicine, Chang Gung University, Taoyuan 33302, Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7145-784X","authenticated-orcid":false,"given":"Chih-Ho","family":"Lai","sequence":"additional","affiliation":[{"name":"Department of Medical Research, School of Medicine, China Medical University and Hospital, Taichung 404328, Taiwan"},{"name":"Department of Nursing, Asia University, Taichung 413305, Taiwan"},{"name":"Department of Pediatrics, Molecular Infectious Disease Research Center, Chang Gung Memorial Hospital at Linkou, Taoyuan 333423, Taiwan"},{"name":"Research Center for Emerging Viral Infections, Chang Gung University, Taoyuan 333323, Taiwan"},{"name":"Department of Microbiology and Immunology, Chang Gung University, Taoyuan, 33302, Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,2,28]]},"reference":[{"key":"bibr1-20499361251315346","doi-asserted-by":"publisher","DOI":"10.1038\/s41598-020-74834-y"},{"key":"bibr2-20499361251315346","doi-asserted-by":"publisher","DOI":"10.1086\/383029"},{"key":"bibr3-20499361251315346","doi-asserted-by":"publisher","DOI":"10.1038\/s41598-022-26547-7"},{"key":"bibr4-20499361251315346","doi-asserted-by":"publisher","DOI":"10.1093\/cid\/ciz764"},{"key":"bibr5-20499361251315346","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijid.2015.02.022"},{"key":"bibr6-20499361251315346","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajem.2020.09.061"},{"key":"bibr7-20499361251315346","doi-asserted-by":"publisher","DOI":"10.1186\/s13756-021-00937-4"},{"key":"bibr8-20499361251315346","doi-asserted-by":"publisher","DOI":"10.1016\/j.onehlt.2022.100465"},{"key":"bibr9-20499361251315346","volume":"9","author":"Kon S","year":"2022","journal-title":"Ther Adv Infect Dis"},{"key":"bibr10-20499361251315346","volume":"10","author":"Dunne MW","year":"2022","journal-title":"Enterobacterales. 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