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Journal of Antimicrobial Chemotherapy (2001) 47, 211-214
© 2001 The British Society for Antimicrobial Chemotherapy


Brief report

Individual use of antibiotics and prevalence of ß-lactamase production among bacterial pathogens from middle ear fluid

Nana Thranea,b,*, Charlotte Olesena, Henrik T. Sørensenc,d and Henrik C. Schønheyderc,e

a The Danish Epidemiology Science Centre, Department of Epidemiology and Social Medicine, University of Aarhus, Aarhus C; b The Medical Research Unit, Ringkjøbing County; c The Clinical Epidemiological Research Unit, Aalborg Hospital, Aalborg; d The Department of Medicine V, Aarhus University Hospital, Aarhus C; e The Department of Clinical Microbiology, Aalborg Hospital, Aalborg, Denmark

Prescription data and clinical laboratory data were analysed to assess the influence of previous antibiotic therapy on the prevalence of ß-lactamase in isolates of Haemophilus influenzae and Moraxella catarrhalis from primary specimens of middle ear fluid from 2129 children aged 0–5 years. The prevalence of ß-lactamase-positive H. influenzae was 6.6% [95% confidence interval (CI): 3.5–9.8%] in children who received antibiotics 5–90 days before isolation of the organism compared with 7.0% (95% CI: 3.9–10.2%) in those who did not. The prevalence of ß-lactamase-positive M. catarrhalis was 90.9% (95% CI: 84.0–97.8%) in children who received antibiotics compared with 86.7% (95% CI: 79.0–94.4%) in those who did not.

* Correspondence address. The Danish Epidemiology Science Centre, University of Aarhus, Vennelyst Boulevard 6, 8000 Aarhus C, Denmark. Tel: +45-8942-6111; Fax: +45-8613-1580; E-mail: nthrane{at}dadlnet.dk


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