# Antidepressants and antibiotic resistance in urine cultures: a cohort study

**Authors:** Isaac Sears, Michel Davis, Kevin Gibas, Leonard Mermel, Daithi S. Heffernan

PMC · DOI: 10.1017/ash.2025.73 · Antimicrobial Stewardship & Healthcare Epidemiology : ASHE · 2025-04-23

## TL;DR

This study finds a link between antidepressant use and antibiotic resistance in urine samples from emergency department patients.

## Contribution

The study provides epidemiological evidence supporting in vitro findings of antidepressant-induced antibiotic resistance.

## Key findings

- Antidepressant use is significantly associated with antibiotic resistance in urine cultures.
- The findings support previous in vitro evidence of antidepressant-driven resistance.
- The study raises new questions about the clinical implications of antidepressant use on antibiotic resistance.

## Abstract

In vitro evidence of antidepressant-driven antibiotic resistance has recently been described. In this retrospective cohort study, significant associations are identified between antidepressant use and antibiotic resistance on urine cultures taken in the Emergency Department. This epidemiologic data supports previous in vitro work and raises additional questions for further study.

## Full-text entities

- **Diseases:** pyelonephritis (MESH:D011704), deaths (MESH:D003643), antibiotic (MESH:D004761), infections (MESH:D007239), Urinary tract infections (MESH:D014552)
- **Chemicals:** fluoxetine (MESH:D005473), venlafaxine (MESH:D000069470), amitriptyline (MESH:D000639), trazodone (MESH:D014196), Trimethoprim-Sulfamethoxazole (MESH:D015662), Nitrofurantoin (MESH:D009582), mirtazapine (MESH:D000078785), duloxetine (MESH:D000068736), escitalopram (MESH:D000089983), bupropion (MESH:D016642), citalopram (MESH:D015283), Fluoroquinolone (MESH:D024841), sertraline (MESH:D020280)
- **Species:** Escherichia coli (E. coli, species) [taxon 562], Enterovirus D (no rank) [taxon 138951], Homo sapiens (human, species) [taxon 9606]

## Full text

_Full body text omitted from this summary view._ Fetch the complete paper as Markdown: https://tomesphere.com/paper/PMC12022929/full.md

## Figures

2 figures with captions in the complete paper: https://tomesphere.com/paper/PMC12022929/full.md

## References

10 references — full list in the complete paper: https://tomesphere.com/paper/PMC12022929/full.md

---
Source: https://tomesphere.com/paper/PMC12022929