Evolution of resistance patterns and identification of risk factors for Streptococcus pneumoniae colonisation in daycare centre attendees in Athens, Greece

被引:6
作者
Volonakis, Katerina [1 ]
Souli, Maria [1 ]
Kapaskelis, Anastassios [1 ]
Baziaka, Fotini [1 ]
Grammelis, Vassilios [1 ]
Ziakas, Panayiotis D. [1 ]
Giamarellou, Helen [1 ]
机构
[1] Univ Athens, Gen Hosp Attikon, Sch Med, Dept Internal Med 4, Chaidari 12462, Greece
关键词
Streptococcus pneumoniae; surveillance; colonisation; daycare centres;
D O I
10.1016/j.ijantimicag.2006.07.002
中图分类号
R51 [传染病];
学科分类号
100401 ;
摘要
Two cross-sectional surveillance studies were conducted during the winters of 2000 and 2003 in Athens, Greece, to obtain nasopharyngeal swabs from healthy pre-school children attending kindergartens. A total of 460 strains were examined in 2000 and 485 strains in 2003, with carriage rates of 31.7% and 34.6%, respectively. Susceptibility patterns were evaluated for penicillin G, erythromycin, ceftriaxone, moxifloxacin, linezolid and telithromycin. Penicillin non-susceptibility increased from 20% to 34.9%, whereas erythromycin non-susceptibility increased from 23% to 30.5%. Resistance to both agents climbed from 7.5% to 22.3% (P < 0.001). No isolates were found to be resistant to any of the other antimicrobial agents. Risk factors for carriage and/or antimicrobial resistance were also assessed. (c) 2006 Elsevier B.V. and the International Society of Chemotherapy. All rights reserved.
引用
收藏
页码:297 / 301
页数:5
相关论文
共 16 条
[1]   Antibiotic consumption and resistance selection in Streptococcus pneumoniae [J].
Baquero, F ;
Baquero-Artigao, G ;
Cantón, R ;
García-Rey, C .
JOURNAL OF ANTIMICROBIAL CHEMOTHERAPY, 2002, 50 :27-37
[2]   Streptococcus pneumoniae colonisation:: the key to pneumococcal disease [J].
Bogaert, D ;
de Groot, R ;
Hermans, PWM .
LANCET INFECTIOUS DISEASES, 2004, 4 (03) :144-154
[3]   Carriage of penicillin-susceptible and non-susceptible pneumococci in healthy young children in Goteborg, Sweden [J].
Borres, MP ;
Alestig, K ;
Krantz, I ;
Larsson, P ;
Norvenius, G ;
Stenqvist, K .
JOURNAL OF INFECTION, 2000, 40 (02) :141-144
[4]   Trends of penicillin and erythromycin resistance among invasive Streptococcus pneumoniae in Europe [J].
Bruinsma, N ;
Kristinsson, KG ;
Bronzwaer, S ;
Schrijnemakers, P ;
Degener, J ;
Tiemersma, E ;
Hryniewicz, W ;
Monen, J ;
Grundmann, H .
JOURNAL OF ANTIMICROBIAL CHEMOTHERAPY, 2004, 54 (06) :1045-1050
[5]   Influence of population density on antibiotic resistance [J].
Bruinsma, N ;
Hutchinson, JM ;
van den Bogaard, AE ;
Giamarellou, H ;
Degener, J ;
Stobberingh, EE .
JOURNAL OF ANTIMICROBIAL CHEMOTHERAPY, 2003, 51 (02) :385-390
[6]   Nasopharyngeal carriage of antimicrobial-resistant Streptococcus pneumoniae among young children attending 79 kindergartens and day care centers in Hong Kong [J].
Chiu, SS ;
Ho, PL ;
Chow, FKH ;
Yuen, KY ;
Lau, YL .
ANTIMICROBIAL AGENTS AND CHEMOTHERAPY, 2001, 45 (10) :2765-2770
[7]   Antimicrobial resistance among clinical isolates of Streptococcus pneumoniae in the United States during 1999-2000, including a comparison of resistance rates since 1994-1995 [J].
Doern, GV ;
Heilmann, KP ;
Huynh, HK ;
Rhomberg, PR ;
Coffman, SL ;
Brueggemann, AB .
ANTIMICROBIAL AGENTS AND CHEMOTHERAPY, 2001, 45 (06) :1721-1729
[8]   Influence of child care on nasopharyngeal carriage of Streptococcus pneumoniae and Haemophilus influenzae [J].
Dunais, B ;
Pradier, C ;
Carsenti, H ;
Sabah, M ;
Mancini, G ;
Fontas, E ;
Dellamonica, P .
PEDIATRIC INFECTIOUS DISEASE JOURNAL, 2003, 22 (07) :589-592
[9]   Outpatient antibiotic use in Europe and association with resistance: a cross-national database study. [J].
Goossens, H ;
Ferech, M ;
Stichele, RV ;
Elseviers, M .
LANCET, 2005, 365 (9459) :579-587
[10]  
Marchisio P, 2002, EMERG INFECT DIS, V8, P479