Differences in antimicrobial susceptibility among hospitals in an integrated health system

被引：5

作者：

Lubowski, TJ ^{[1
]}

Woon, JL ^{[1
]}

Hogan, P ^{[1
]}

Hwang, CC ^{[1
]}

机构：

[1] Pfizer Inc, New York, NY 10017 USA

来源：

INFECTION CONTROL AND HOSPITAL EPIDEMIOLOGY | 2001年 / 22卷 / 06期

关键词：

D O I：

10.1086/501918

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

We evaluated the differences in antimicrobial susceptibility among hospitals in three different integrated healthcare systems. Each system provided antibiogram-susceptibility reports from representative hospitals. Reports were analyzed for statistically significant differences between hospitals in a given system for nine important organisms. We found numerous significant interhospital differences in antimicrobial-susceptibility patterns within health systems. For this reason, the practice of combining antibiotic-susceptibility data into a systemwide antibiogram should be discouraged.

引用

收藏

页码：379 / 382

页数：4

相关论文

共 11 条

[1]

BRYCE EA, 1995, INFECT CONT HOSP EP, V16, P331

[2] Computer-assisted evaluation of antibiotic regimen coverage and cost [J].

Day, D ;

Lubowski, TJ ;

Yamaga, CC ;

Main, J ;

Van Vleet, J ;

Ambegaonkar, A .

CLINICAL THERAPEUTICS, 1999, 21 (08) :1418-1425

[3] Multicenter laboratory evaluation of the bioMerieux Vitek antimicrobial susceptibility testing system with 11 antimicrobial agents versus members of the family Enterobacteriaceae and Pseudomonas aeruginosa [J].

Doern, GV ;

Brueggemann, AB ;

Perla, R ;

Daly, J ;

Halkias, D ;

Jones, RN ;

Saubolle, MA .

JOURNAL OF CLINICAL MICROBIOLOGY, 1997, 35 (08) :2115-2119

[4] Antimicrobial resistance with Streptococcus pneumoniae in the United States, 1997-98 [J].

Doern, GV ;

Brueggemann, AB ;

Huynh, H ;

Wingert, E ;

Rhomberg, P .

EMERGING INFECTIOUS DISEASES, 1999, 5 (06) :757-765

[5] Surveillance of antimicrobial use and antimicrobial resistance in United States hospitals: Project ICARE phase 2 [J].

Fridkin, SK ;

Steward, CD ;

Edwards, JR ;

Pryor, ER ;

McGowan, JE ;

Archibald, LK ;

Gaynes, RP ;

Tenover, FC .

CLINICAL INFECTIOUS DISEASES, 1999, 29 (02) :245-252

[6] Impact of use of multiple antimicrobials on changes in susceptibility of gram-negative aerobes [J].

Friedrich, LV ;

White, RL ;

Bosso, JA .

CLINICAL INFECTIOUS DISEASES, 1999, 28 (05) :1017-1024

[7] PREDICTIVE VALUE OF SUSCEPTIBILITY TESTS FOR THE OUTCOME OF ANTIBACTERIAL THERAPY [J].

LORIAN, V ;

BURNS, L .

JOURNAL OF ANTIMICROBIAL CHEMOTHERAPY, 1990, 25 (01) :175-181

[8]

*NAT COMM CLIN LAB, 2000, AN PRES CUM ANT SUSC

[9] PSEUDOMONAS-AERUGINOSA OUTBREAK IN A BURN UNIT - ROLE OF ANTIMICROBIALS IN THE EMERGENCE OF MULTIPLY RESISTANT STRAINS [J].

RICHARD, P ;

LEFLOCH, R ;

CHAMOUX, C ;

PANNIER, M ;

ESPAZE, E ;

RICHET, H .

JOURNAL OF INFECTIOUS DISEASES, 1994, 170 (02) :377-383

[10] Evaluation of 500 gram negative isolates to determine the number of major susceptibility interpretation discrepancies between the Vitek and MicroScan Walkaway for 9 antimicrobial agents [J].

Rittenhouse, SF ;

Miller, LA ;

Utrup, LJ ;

Poupard, JA .

DIAGNOSTIC MICROBIOLOGY AND INFECTIOUS DISEASE, 1996, 26 (01) :1-6