RESISTANCE TO CEFTRIAXONE AND OTHER BETA-LACTAMS IN BACTERIA ISOLATED IN THE COMMUNITY

被引:33
作者
GOLDSTEIN, FW [1 ]
PEAN, Y [1 ]
GERTNER, J [1 ]
SCAVINER, P [1 ]
DESHAYESLARTIGUE, L [1 ]
MOUSSION, J [1 ]
MOUSSION, J [1 ]
CORTEEL, P [1 ]
GRELAT, S [1 ]
SARZIER, JM [1 ]
LEPARGNEUR, JP [1 ]
MASSON, P [1 ]
PICARD, P [1 ]
KUNZELMANN, JM [1 ]
MASSOUBRE, B [1 ]
NAPOLY, V [1 ]
FERMON, I [1 ]
LEFEBVRE, E [1 ]
MOUNARD, JL [1 ]
GOJON, U [1 ]
BLANCHON, P [1 ]
MASSET, J [1 ]
MURAINE, J [1 ]
GRIGNON, JC [1 ]
VIARDGAUDIN, R [1 ]
FORESTIER, G [1 ]
GERMAIN, X [1 ]
LAUDAT, P [1 ]
SCHUH, V [1 ]
CHRISTOPHE, AM [1 ]
BALMAYER, B [1 ]
SESTILANGE, J [1 ]
LAHIANI, F [1 ]
VALENTIN, JC [1 ]
BERT, JY [1 ]
DIESNIS, P [1 ]
FLORANGE, P [1 ]
BROSSET, C [1 ]
NAHMANI, A [1 ]
QUERCIA, C [1 ]
FRANCAIS, JL [1 ]
机构
[1] UNIV PARIS,HOP INT,BACTERIOL LAB,F-75014 PARIS,FRANCE
关键词
D O I
10.1128/AAC.39.11.2516
中图分类号
Q93 [微生物学];
学科分类号
071005 ; 100705 ;
摘要
The incidence of bacterial species and their susceptibilities to ceftriaxone and other beta-lactams from patients with community-acquired infections were evaluated in a multicenter study over a 4-month period, A total of 5,768 bacterial isolates were classified according to whether the patient had been previously hospitalized or had received antibiotic treatment. The most relevant findings were the presence of 33.8% penicillin-resistant Streptococcus pneumoniae isolates, 25% beta-lactamase-producing Haemophilus influenzae isolates, and 36.4% amoxicillin-resistant Escherichia coli isolates, All of these bacteria were fully susceptible to ceftriaxone. Nosocomial multiply-resistant bacteria, and particularly methicillin-resistant S. aureus, were found, as expected, at a higher frequency among previously hospitalized patients. However, such bacteria may be present in the community; their incidence is high in particular clinical settings, and such bacteria should be considered when one is choosing a first-line therapy for the treatment of severe infections.
引用
收藏
页码:2516 / 2519
页数:4
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