Different trends in antibiotic resistance rates at a university teaching hospital

作者: M. SöUrberg , A. Farra , U. RansjöU , B. GÁRrdlund , M. Rylander

DOI: 10.1046/J.1469-0691.2003.00545.X

关键词: Intensive careImipenemPediatricsDrug resistanceAntibiotic resistanceInternal medicineAntibacterial agentAmpicillinCefuroximeCiprofloxacinMedicine

摘要: Objectives To investigate long-term trends in antibiotic resistance of common bacterial species isolated at a university hospital and its intensive care units (ICUs). Methods Levels pathogens were investigated the Karolinska Hospital during 12-year period 1988-99. Resistance rates analyzed for entire hospital, as well ICUs combined. Results At Hospital, we found increased ciprofloxacin among Escherichia coli isolates, from 0% 1991 to 11% 1999. In ICUs, corresponding increase was 4.8% same period. Co-trimoxazole levels 7.5% 14%, with lower ICUs. For ampicillin, cefuroxime, gentamicin, similar whole Among Pseudomonas aeruginosa imipenem higher ciprofloxacin, 2.5% 13% 1999 figures Conclusion The still generally low, but increasing some antibiotic-microbe combinations. results emphasize importance including all sectors surveillance studies, also value long periods.

参考文章(55)
G Kahlmeter, S Ringertz, B Olsson-Liljequist, G Kronvall, Antimicrobial susceptibility testing in Sweden. II. Species-related zone diameter breakpoints to avoid interpretive errors and guard against unrecognized evolution of resistance. Scandinavian Journal of Infectious Diseases. ,vol. 105, pp. 8- 12 ,(1997)
R. Wise, T. Hart, O. Cars, M. Streulens, R. Helmuth, P. Huovinen, M. Sprenger, Antimicrobial resistance is a major threat to public health BMJ. ,vol. 317, pp. 609- 610 ,(1998) , 10.1136/BMJ.317.7159.609
T. J. Mackie, J. G. Collee, J. E. McCartney, Mackie & McCartney practical medical microbiology Churchill Livingstone. ,(1996)
K P Klugman, Pneumococcal resistance to antibiotics. Clinical Microbiology Reviews. ,vol. 3, pp. 171- 196 ,(1990) , 10.1128/CMR.3.2.171
F C Tenover, R D Arbeit, R V Goering, P A Mickelsen, B E Murray, D H Persing, B Swaminathan, Interpreting chromosomal DNA restriction patterns produced by pulsed-field gel electrophoresis: criteria for bacterial strain typing. Journal of clinical microbiology. ,vol. 33, pp. 2233- 2239 ,(1995) , 10.1128/JCM.33.9.2233-2239.1995
Athanassios Tsakris, Spyros Pournaras, Neil Woodford, Marie-France I. Palepou, Gioia S. Babini, John Douboyas, David M. Livermore, Outbreak of infections caused by Pseudomonas aeruginosa producing VIM-1 carbapenemase in Greece. Journal of Clinical Microbiology. ,vol. 38, pp. 1290- 1292 ,(2000) , 10.1128/JCM.38.3.1290-1292.2000
A.P. Johnson, Antibiotic resistance among clinically important gram-positive bacteria in the UK. Journal of Hospital Infection. ,vol. 40, pp. 17- 26 ,(1998) , 10.1016/S0195-6701(98)90020-2
A. F. Widmer, Infection control and prevention strategies in the ICU Intensive Care Medicine. ,vol. 20, ,(1994) , 10.1007/BF01713976
Håkan Hanberger, José-Angel Garcia-Rodriguez, Miguel Gobernado, Herman Goossens, Lennart E Nilsson, Marc J Struelens, Antibiotic Susceptibility Among Aerobic Gram-negative Bacilli in Intensive Care Units in 5 European Countries JAMA. ,vol. 281, pp. 67- 71 ,(1999) , 10.1001/JAMA.281.1.67