Tracking drug-resistant Streptococcus pneumoniae in Oregon: an alternative surveillance method.

Chin, A. E.; Hedberg, K.; Cieslak, P. R.; Cassidy, M.; Stefonek, K. R.; Fleming, D. W.

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Tracking drug-resistant Streptococcus pneumoniae in Oregon: an alternative surveillance method.

Published Date:

1999 Sep-Oct

Source:

Emerg Infect Dis. 5(5):688-693.

[PDF-105.07 KB]

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Alternative Title:

Emerg Infect Dis

Personal Author:

Chin, A. E. ; Hedberg, K. ; Cieslak, P. R. ; Cassidy, M. ; Stefonek, K. R. ; ... More ▼

Description:

With the emergence of drug-resistant Streptococcus pneumoniae, community-specific antimicrobial susceptibility patterns have become valuable determinants of empiric therapy for S. pneumoniae infections. Traditionally, these patterns are tracked by active surveillance for invasive disease, collection of isolates, and centralized susceptibility testing. We investigated whether a simpler and less expensive method aggregating existing hospital antibiograms--could provide community-specific antimicrobial susceptibility data. We compared 1996 active surveillance data with antibiogram data from hospital laboratories in Portland, Oregon. Of the 178 S. pneumoniae active surveillance isolates, 153 (86% [95% confidence interval (CI) = 80% to 91%]) were susceptible to penicillin. Of the 1,092 aggregated isolates used by hospitals to generate antibiograms, 921 (84% [95% CI = 82%-87%]) were susceptible to penicillin. With the exception of one hospital's erythromycin susceptibility results, hospital-specific S. pneumoniae susceptibilities to penicillin, cefotaxime, trimethoprim-sulfamethoxazole, and erythromycin from the two methods were statistically comparable. Although yielding fewer data than active surveillance, antibiograms provided accurate, community-specific drug-resistant S. pneumoniae data in Oregon.

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Document Type:

Journal Article

Collection(s):

Emerging Infectious Diseases

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