PMID: 6414959Sep 1, 1983

Antibiotic resistance in intensive care unit areas

Infection Control : IC
F DaschnerB Wiedemann

Abstract

The incidence of nosocomial infections and antimicrobial resistance rates of nosocomial pathogens vary considerably among countries and even among intensive care units (ICUs) within one hospital. Such differences might be partly due to the selection pressure exerted by certain antibiotics, since intensive care patients are given more antimicrobials than any other group of patients. We therefore compared resistance rates of four important nosocomial pathogens (Staphylococcus aureus, E. coli, Klebsiella pneumoniae, Pseudomonas aeruginosa) isolated from patients in general wards and ICUs. There were few trends toward higher resistance of ICU isolates, and most differences were found with Klebsiella pneumoniae. We also tried to relate antibiotic use in ICUs and frequency of antibiotic resistance of five selected nosocomial pathogens. The ampicillin and cephalosporin resistance of E. coli and Klebsiella pneumoniae arose along with an increase in usage of both drugs. Decreasing prescription of cotrimoxazole was not reflected by decrease in resistance of Staphylococcus aureus and Staphylococcus epidermidis. Increasing prescriptions of tetracyclines were followed by an increasing resistance of E. coli, but not of Staphylococci. The oxa...Continue Reading

References

Jan 1, 1978·Scandinavian Journal of Infectious Diseases·S BernanderB Sundelöf
Nov 1, 1978·Annals of Internal Medicine·W E Stamm
Apr 1, 1974·The Journal of Infectious Diseases·John E McGowan, M Finland
Aug 1, 1974·The Journal of Infectious Diseases·John E McGowan, M Finland
Jan 1, 1982·Intensive Care Medicine·F DaschnerP Suter
Jun 1, 1982·Critical Care Medicine·L G DonowitzJ W Hoyt
Jul 1, 1981·Reviews of Infectious Diseases·C M Kunin
Feb 1, 1981·The American Journal of Medicine·W E StammR E Dixon

Citations

Jan 1, 1985·Intensive Care Medicine·F Daschner
Aug 22, 2018·Antibiotics·Jiří KratochvílOndřej Kylián
Jul 29, 2000·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·R L WhiteJ A Bosso
Feb 2, 2002·Microbial Drug Resistance : MDR : Mechanisms, Epidemiology, and Disease·P R HsuehK T Luh
Sep 5, 1988·The Medical Journal of Australia·P McIntyreD Tudehope

Related Concepts

Antibiotics
Candida albicans
Infections, Hospital
Antibiotic Resistance, Microbial
Alkalescens-Dispar Group
Intensive Care Unit
Klebsiella rhinoscleromatis
Pseudomonas aeruginosa
Genus staphylococcus

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