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Czasopismo
2008 | 3 | 4 | 446-452
Tytuł artykułu

Cross-resistance and associated resistance in Escherichia coli isolates from nosocomial urinary tract infections between 2004–2006 in a Turkish Hospital

Treść / Zawartość
Warianty tytułu
Języki publikacji
EN
Abstrakty
EN
In this study, antimicrobial resistance profiles were determined for 748 isolates of Escherichia coli from patients with acute nosocomial urinary tract infections (UTIs) at a Turkish Training Hospital. Thirteen antibiotics were included. Resistance to ampicillin alone (45.1%) and ciprofloxacin alone (20.6%) were the most commonly identified ‘single resistances’. Multiple resistance was found in 49.7% of the strains. The most common multiple antibiotic resistance profiles included ampicillin-sulbactam/amoxycilline-clavulonate (4.0%) and ampicillin-sulbactam/trimethoprim-sulfamethoxazole/amoxycilline-clavulonate (2.8%). From 2004 to 2006, ampicillin, trimethoprim-sulfamethoxazole and ciprofloxacin resistant strains increased to 76% from 57%, 53% from 43% and 55% from 41%, respectively. The percentage of extended-spectrum β-lactamase (ESBL) producing strains was 7.8% and imipenem resistance was seen in 5.2% of ESBL positive strains. We conclude that clinically important E.coli strains have now emerged with broader multidrug resistance. Periodical evaluation of laboratory results and clinical surveillance are crucially important for optimal antibiotic management of UTIs and infection control policies.
Wydawca
Czasopismo
Rocznik
Tom
3
Numer
4
Strony
446-452
Opis fizyczny
Daty
wydano
2008-12-01
online
2008-10-22
Twórcy
  • Haydarpasa Training Hospital, Department of Microbiology and Clinical Microbiology, Gulhane Military Medical Academy, 34100, Uskudar, Istanbul, Turkey , ozyurtm2002@yahoo.com
autor
  • Haydarpasa Training Hospital, Department of Infectious Diseases and Clinical Microbiology, Gulhane Military Medical Academy, 34100, Uskudar, Istanbul, Turkey
  • Haydarpasa Training Hospital, Department of Epidemiology, Gulhane Military Medical Academy, 34100, Uskudar, Istanbul, Turkey
  • Haydarpasa Training Hospital, Department of Microbiology and Clinical Microbiology, Gulhane Military Medical Academy, 34100, Uskudar, Istanbul, Turkey
  • Haydarpasa Training Hospital, Department of Microbiology and Clinical Microbiology, Gulhane Military Medical Academy, 34100, Uskudar, Istanbul, Turkey
  • Haydarpasa Training Hospital, Department of Microbiology and Clinical Microbiology, Gulhane Military Medical Academy, 34100, Uskudar, Istanbul, Turkey
Bibliografia
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Typ dokumentu
Bibliografia
Identyfikatory
Identyfikator YADDA
bwmeta1.element.-psjd-doi-10_2478_s11536-008-0012-3
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