Risk factors for emergence of resistance to broad-spectrum cephalosporins among Enterobacter spp.

被引:138
作者
Kaye, KS
Cosgrove, S
Harris, A
Eliopoulos, GM
Carmeli, Y
机构
[1] Harvard Univ, Sch Med, Div Infect Dis, Boston, MA 02115 USA
[2] Harvard Univ, Sch Med, Beth Israel Deaconess Med Ctr, Dept Med, Boston, MA 02115 USA
[3] Univ Maryland, Div Healthcare Outcomes, Dept Epidemiol & Prevent Med, Baltimore, MD 21201 USA
关键词
D O I
10.1128/AAC.45.9.2628-2630.2001
中图分类号
Q93 [微生物学];
学科分类号
071005 ; 100705 ;
摘要
Among 477 patients with susceptible Enterobacter spp., 49 subsequently harbored third-generation cephalosporin-resistant Enterobacter spp. Broad-spectrum cephalosporins were independent risk factors for resistance (relative risk [OR] = 2.3, P = 0.01); quinolone therapy was protective (OR = 0.4, P = 0.03). There were trends toward decreased risk for resistance among patients receiving broad-spectrum cephalosporins and either aminoglycosides or imipenem. Of the patients receiving broad-spectrum cephalosporins, 19% developed resistance.
引用
收藏
页码:2628 / 2630
页数:3
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