Antimicrobial-resistant Invasive Escherichia coli, Spain

Oteo, Jesús; Lázaro, Edurne; de Abajo, Francisco J.; Baquero, Fernando; Campos, José

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Antimicrobial-resistant Invasive Escherichia coli, Spain

Published Date:

Apr 2005

Source:

Emerg Infect Dis. 11(4):546-553.

Language:

English

[PDF-155.39 KB]

Details:

Alternative Title:

Emerg Infect Dis

Personal Author:

Oteo, Jesús ; Lázaro, Edurne ; de Abajo, Francisco J. ; Baquero, Fernando ; Campos, José ;

Corporate Authors:

Spanish members of EARSS

Description:

Surveillance System. A network of 32 Spanish hospitals, serving approximately 9.6 million persons, submitted antimicrobial-susceptibility data on 7,098 invasive Escherichia coli species (2001-2003). Resistance to ampicillin, cotrimoxazole, ciprofloxacin, gentamicin, and tobramycin was found at rates of 59.9%, 32.6%, 19.3%, 6.8%, and 5.3%, respectively. Resistance to multiple drugs increased from 13.8% in 2001 to 20.6% in 2003 (p <0.0001). Antimicrobial consumption data were obtained from the Spanish National Health System. In spite of decreased cephalosporin and beta-lactam use, overall extended-spectrum beta-lactamase production increased from 1.6% (2001) to 4.1% (2003) (p <0.0001), mainly due to the rising prevalence of cefotaximases. Resistance to ciprofloxacin significantly increased, mostly in community-onset infections, which coincided with a rise in community quinolone use. Cotrimoxazole resistance remained stable at approximately 30%, even though its use was dramatically reduced.

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Document Type:

Journal Article

Collection(s):

Emerging Infectious Diseases

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Antimicrobial-resistant Invasive Escherichia coli, Spain

Antimicrobial-resistant Invasive Escherichia coli, Spain

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