Antimicrobial Resistance and Spread of Multi Drug Resistant Escherichia coli Isolates Collected from Nine Urology Services in the Euregion Meuse-Rhine 英文参考文献.docVIP
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Antimicrobial Resistance and Spread of Multi Drug Resistant Escherichia coli Isolates Collected from Nine Urology Services in the Euregion Meuse-Rhine 英文参考文献
AntimicrobialResistanceandSpreadofMultiDrug
ResistantEscherichiacoliIsolatesCollectedfromNine
UrologyServicesintheEuregionMeuse-Rhine
ChristinaF.M.vanderDonk1,2,JeroenH.B.vandeBovenkamp3,ElsI.G.B.DeBrauwer4,PatrickDe
Mol5,Karl-HeinzFeldhoff6,WiltrudM.Kalka-Moll7,SitaNys8,IngeThoelen9,TheraA.M.Trienekens10,
EllenE.Stobberingh1,2
*
1MaastrichtUniversityMedicalCentre,DepartmentofMedicalMicrobiology,Maastricht,TheNetherlands,2MaastrichtUniversity,CAPHRISchoolforPublicHealthand
PrimaryCare,Maastricht,TheNetherlands,3PAMM,LaboratoryofMedicalMicrobiology,Veldhoven,TheNetherlands,4AtriumMedicalCentre,DepartmentofMedical
Microbiology, Heerlen, The Netherlands, 5Centre Hospitalier Universitaire de Lie`ge, Laboratoire de Microbiologie, Lie`ge, Belgium, 6Gesundheitsamt des Kreises
Heinsberg, Heinsberg, Germany, 7Medical Care Centre Dr. Stein and Colleagues, Moenchengladbach, Germany, 8Jessa Hospital, Campus Virga Jesse, Department of
Clinical Biology, Hasselt, Belgium, 9General Hospital Vesalius, Department of Clinical Biology, Tongeren, Belgium, 10VieCuri Medical Centre, Department of Medical
Microbiology,Venlo,TheNetherlands
Abstract
WedeterminedtheprevalenceandspreadofantibioticresistanceandthecharacteristicsofESBLproducingand/ormulti
drugresistant(MDR)EscherichiacoliisolatescollectedfromurinesamplesfromurologyservicesintheEuregioMeuse-Rhine,
theborderregionoftheNetherlands(n=176),Belgium(n=126)andGermay(n=119).Significantdifferencesinresistance
between thethree regions wereobserved. Amoxicillin-clavulanic acid resistance rangedfrom 24% inthe Netherlands to
39%inBelgium(p=0.018),from20%to40%(p,0.004)forthefluoroquinolonesandfrom20%to40%(p=0.018)forthe
folateantagonists.Resistancetonitrofurantoinwaslessthan5%.TheprevalenceofESBLproducingisolatesvariedfrom2%
amongtheDutchisolatesto8%amongtheGermanones(p=0.012)andweremainlyCTX-M15.TheprevalenceofMDR
isolatesamongtheDutch,GermanandBelgianisolateswas11%,17%and27%,respectively(p,=0.001fortheBelgian
comparedwiththeDutchisolates).
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