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Journal of Antimicrobial Chemotherapy (1999) 44, 113-116
© 1999 The British Society for Antimicrobial Chemotherapy

Brief report

Antimicrobial resistance patterns in urinary isolates from nursing home residents. Fifteen years of data reviewed

M. Vromena, A. J. A. M. Van der Venb, A. Knolsc and M. E. E. Stobberinghb,*

a Foundation Nursing Homes SVB, PO Box 522, 6460 AM Kerkrade b University Hospital Maastricht, Department of Medical Microbiology, PO Box 5800, 6202 AZ Maastricht c Nursing Home Zeven Bronnen, Lovendaalhoeve 30, 6225 AG Maastricht, The Netherlands

The antibiotic resistance patterns of Gram-negative bacteria isolated from nursing home patients between 1983 and 1997 were analysed. Escherichia coli was the most prevalent isolate (48%) followed by Proteus spp. (26%) and other Enterobacteriaceae (20%). During the study period, the susceptibility of E. coli decreased for co-trimoxazole (79% to 62%), increased for nitrofurantoin (79% to 91%) and remained unchanged for amoxycillin (41%). Susceptibility to norfloxacin, available from 1990, decreased from 87% to 71%. Similar trends were observed when the susceptibilities of all Gram-negative urinary pathogens were combined. The changes in susceptibility can probably be attributed to the empirical prescribing practices in the nursing homes studied.

* Corresponding author. Tel: +31-43-3874644; Fax: +31-43-3876643; E-mail: pter{at}lmib.azm.nl


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