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Infection Control & Hospital Epidemiology


was conducted in a single healthcare system, the results may not be generalizable to other dissimilar institutions. In conclusion, the results of our study demonstrate that


community-onset ESC-R EB UTIs are associated with increased odds of clinical failure and IIAT. Also, IIAT is in part, but not entirely, responsible for the worse outcomes associated with ESC-R EB UTIs. Further studies are needed to determine those patients who are at high risk for drug-resistant UTIs so that urine cultures are collected and appropriate antibiotics are prescribed promptly.


Acknowledgments. None.


Financial support. This work was supported by the Agency for Healthcare Research and Quality (grant no. R18-HS020002 to E.L.), by the National Institutes of Health (grant nos. K24-AI080942 to E.L. and K01-AI103028 to J.H.H.), by the Centers for Disease Control Cooperative Agreement Epicenters for the Prevention of Healthcare Associated Infections (grant no. FOA#CK16- 004 to E.L.), and by the Antibacterial Resistance Leadership Group (grant no. 5 UM 1AI104681-05 with a subaward fellowship grant to J.A.A.).


Conflict of interest. All authors report no conflicts of interest relevant to this article.


Supplementary material. To view supplementary material for this article, please visit https://doi.org/10.1017/ice.2018.254


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