Pays de la Loire pneumococcus observatory: Antimicrobial resistance of Streptococcus pneumoniae in 2007

被引：0

作者：

Kempf, M. ^{[1
]}

Kowalczyk, F. ^{[1
]}

du Perray, C. Gaultier ^{[1
]}

Andorin, P. ^{[2
]}

Bichier, E. ^{[3
]}

Bonnaudet, G. ^{[4
]}

Chambreuil, G. ^{[5
]}

Cheviet, G. ^{[6
]}

Darreau, J. -Y. ^{[7
]}

De Gastines, G. ^{[8
]}

Jan, D. ^{[9
]}

Jaouen, E. ^{[10
]}

Jouble, F. ^{[11
]}

Juvin, M-E ^{[12
]}

Langeard, M. -M. ^{[13
]}

Le Brun, C. ^{[14
]}

Le Reste, J. -Y. ^{[15
]}

Lureau, B. ^{[16
]}

Mir, E. ^{[17
]}

Mozas, M. ^{[18
]}

Tharreau, T. ^{[19
]}

Varache, C. ^{[20
]}

Cottin, J. ^{[1
]}

Joly-Guillou, M-L ^{[1
]}

机构：

[1] CHU Angers, Ctr Coordinateur ORP Pays Loire, Lab Bacteriol Hyg Hosp, F-49933 Angers 8, France

[2] Theil Bereiziat Andorin, LAM, F-53200 Chateau Gontier, France

[3] Ctr Hosp Saumur, Biol Lab, F-49403 Saumur, France

[4] LAM Medisci, F-85000 La Roche Sur Yon, France

[5] Ctr Hosp Departemental Les Oudairies, Dept Biol, F-85925 La Roche Sur Yon, France

[6] Ctr Biol Med Specialisee, F-44104 Nantes, France

[7] LAM Andebio, F-49100 Angers, France

[8] LAM Dr Allaire de Gastines, F-85000 La Roche Sur Yon, France

[9] Ctr Hosp Laval, Dept Med Biol, F-53015 Laval, France

[10] Ctr Hosp Pole Sante Sarthe & Loire, Biol Lab, F-72200 Chasse Du Point Du Johr, Bailleul, France

[11] Ctr Hosp Nord Mayenne, Biol Lab, F-53103 Mayenne, France

[12] CHU Nantes, Hotel Dieu, Bacteriol Lab, F-44093 Nantes, France

[13] LAM Biomedilam, F-44110 Chateaubriant, France

[14] Ctr Hosp Cholet, Unite Fonct Microbiol, F-49325 Cholet, France

[15] LAM Le Reste, F-85100 Les Sables Dolonne, France

[16] Ctr Hosp Fontenay le Comte, Med Biol Lab, F-85201 Fontenay Le Comte, France

[17] LAM Isosel, F-44155 Ancenis, France

[18] Ctr Hosp Loire Vendee Ocean, Lab Anal, F-85302 Challans, France

[19] LAM, F-49500 Segre, France

[20] Ctr Hosp Le Mans, Microbiol Lab, F-72037 Le Mans, France

来源：

PATHOLOGIE BIOLOGIE | 2010年 / 58卷 / 01期

关键词：

Antibiotic resistance; Epidemiology; Regional network observatory; ANTIBIOTIC USE; REDUCTION;

D O I：

10.1016/j.patbio.2009.06.009

中图分类号：

R36 [病理学];

学科分类号：

100104 ;

摘要：

Objectives. - Between 1st January and 31st December 2007, 331 Streptococcus pneumoniae strains were collected from 20 participating laboratories in the Pneumococcus Network Pays de la Loire county to assess their susceptibility to antibiotics and to evaluate serogroups of strains. Method. - The coordinating centre performed MICs of penicillin G, amoxicillin and cefotaxime by the reference agar dilution method. Results were interpreted according to CA-SFM breakpoints. Sensitivity to other antibiotics were studied and serotyping of each strain performed. Results. - Three hundred and thirty one strains were isolated in 2007. They were collected from 30 cerebrospinal fluids, 239 blood samples, 53 middle ear fluids and nine pleural fluids. The percentage of pneumococci with decreased susceptibility to penicillin G (PDSP) was 39% and was higher in children (51%) than in adults (35%). The PDSP were often multidrug resistants especially with a high percentage of resistance to erythromycin (87.6% versus 8.4% for pneumococci sensitive to penicillin G). Finally, the most prevalent serogroup was the serogroup 19 (29.6% of isolates). Conclusion. - A decrease of PDSP was observed since 2001 and high-level resistant strains to beta-lactams remain low. The rate of PDSP in Pays de la Loire is in the national average. (C) 2009 Elsevier Masson SAS. All rights reserved.

引用

页码：89 / 94

页数：6

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