Is High Consumption of Antibiotics Associated with Clostridium difficile Polymerase Chain Reaction-Ribotype 027 Infections in France?

被引:6
作者
Birgand, Gabriel [2 ]
Miliani, Katiuska [2 ]
Carbonne, Anne [2 ]
Astagneau, Pascal [1 ,2 ]
机构
[1] Univ Paris 06, Ctr Cordeliers, C CLIN Paris Nord, Dept Epidemiol & Publ Hlth,Sch Med, F-75006 Paris, France
[2] Reg Coordinating Ctr Nosocomial Infect Control, Paris, France
关键词
NORTH-AMERICA; RISK-FACTOR; DISEASE; EPIDEMIC; OUTBREAK; DIARRHEA; EMERGENCE; STRAIN;
D O I
10.1086/650758
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
We compared antibiotic consumption between hospitals affected by a strain of Clostridium difficile designated as polymerase chain reaction- ribotype 027 (CD-027) and those unaffected during an outbreak in northern France. The mean consumption of several beta-lactams, amikacin, and fluoroquinolones was high in affected hospitals (P < .05). However, only levofloxacin and imipenem remained associated with emerging CD-027 in the multivariate analysis, suggesting that those antibiotics should be better targeted by prevention campaigns. Infect Control Hosp Epidemiol 2010;31:302-305
引用
收藏
页码:302 / 305
页数:4
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