Journal of Antimicrobial Chemotherapy (2000) 45, 895-898
© 2000 The British Society for Antimicrobial Chemotherapy
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Antimicrobial resistance in Enterobacteriaceae in Brooklyn, NY: epidemiology and relation to antibiotic usage patterns
a Department of Medicine, Division of Infectious Diseases, State University of New York Health Science Center, 450 Clarkson Avenue, Box 77, Brooklyn, NY 11203; b Department of Microbiology, Department of Veterans Affairs Medical Center at Brooklyn, Brooklyn, NY, USA
In November 1997, all Enterobacteriaceae isolated at 15 hospitals in Brooklyn were collected. Extended-spectrum ß-lactamases (ESBLs) were present in 44% of 409 Klebsiella pneumoniae isolates. Six isolates had reduced susceptibility to carbapenems, including two that were not susceptible to any of the antibiotics tested. Pulsed field gel electrophoresis revealed a commonality of resistant isolates within and between hospitals. The occurrence of ESBLcontaining isolates was associated with cephalosporin usage (P = 0.055). ESBLs were present in 4.7% of Escherichia coli and 9.5% of Proteus mirabilis isolates. It is concluded that ESBL-producing Enterobacteriaceae are endemic in Brooklyn, are spread between hospitals, and may be associated with cephalosporin usage.
* Corresponding author. Tel: +1-718-270-1330; Fax: +1-718-270-2465; E-mail: dlandman{at}netmail.hscbklyn.edu
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