Nationwide surveillance of antimicrobial resistance among Enterobacteriaceae in intensive care units in Taiwan.

European Journal of Clinical Microbiology & Infectious Diseases : Official Publication of the European Society of Clinical Microbiology
S-S JeanC-Y Liu

Abstract

To determine the antimicrobial resistance profiles among clinical isolates of Enterobacteriaceae in Taiwanese intensive care units (ICUs), a national surveillance of antibiotic resistance among important Enterobacteriaceae was conducted from September 2005 through November 2005 at the ICUs of ten major teaching hospitals in Taiwan. A total of 574 Enterobacteriaceae isolates recovered from various clinical samples of our ICU patients were submitted for in vitro test. Minimum inhibitory concentrations (MICs) of these isolates to 18 antimicrobial agents were determined by the broth microdilution method. The prevalences of Enterobacteriaceae isolates with phenotypic extended-spectrum beta-lactamase (ESBL) production were 26% in Klebsiella pneumoniae, 16% in Serratia marcescens, 14% in Escherichia coli, and 13% in Proteus mirabilis, in which a significantly rising prevalence of ESBL production among K. pneumoniae was noted (p = 0.002) when compared with a previous Taiwanese survey in 2000. Heterogeneous resistance to various fluoroquinolones was found among our Enterobacteriaceae isolates, except for Enterobacter cloacae. Emergence of ertapenem-resistant isolates of E. coli, K. pneumoniae, E. cloacae, and S. marcescens was noted. Gr...Continue Reading

References

Feb 2, 2002·Microbial Drug Resistance : MDR : Mechanisms, Epidemiology, and Disease·P R HsuehK T Luh
Jul 27, 2004·Antimicrobial Agents and Chemotherapy·George A JacobyNancy Chow

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Citations

Aug 7, 2010·Journal of Microbiology, Immunology, and Infection = Wei Mian Yu Gan Ran Za Zhi·Un-In WuShan-Chwen Chang
Oct 7, 2011·Clinical Microbiology Reviews·Steven D Mahlen
Jan 29, 2010·European Journal of Clinical Microbiology & Infectious Diseases : Official Publication of the European Society of Clinical Microbiology·S-S JeanC-Y Liu
Mar 29, 2011·Journal of Microbiology, Immunology, and Infection = Wei Mian Yu Gan Ran Za Zhi·Po-Ren HsuehYao-Shen Chen
Jun 12, 2013·Journal of Microbiology, Immunology, and Infection = Wei Mian Yu Gan Ran Za Zhi·Bo-Huang LiouUNKNOWN Taiwan Surveillance of Antimicrobial Resistance (TSAR) Hospitals
Feb 15, 2011·Journal of the Formosan Medical Association = Taiwan Yi Zhi·Shio-Shin Jean, Po-Ren Hsueh
Mar 9, 2011·International Journal of Antimicrobial Agents·Shio-Shin Jean, Po-Ren Hsueh
Nov 23, 2013·Infection & chemotherapy·Cheol-In Kang, Jae-Hoon Song
Jan 1, 2011·Asian Pacific Journal of Tropical Biomedicine·Maksum RadjiNurgani Aribinuko

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