JAC Advance Access published online on April 14, 2003
Journal of Antimicrobial Chemotherapy, doi:10.1093/jac/dkg201
© 2003 by The British Society for Antimicrobial Chemotherapy
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Original article
1 Centre Hospitalier A.
Mignot, Versailles
* Corresponding author. E-mail: PALLOUCH{at}ch-versailles.fr.
Received 22 November 2002
; revised 21 December 2002
; accepted 9 February 2003
All bloodstream strains, total 1463, isolated during
a 1 month period in 105 hospitals representing all geographical
areas in France were collected to study their antimicrobial susceptibility. The
three major species were Escherichia coli, Staphylococcus
aureus and coagulase-negative staphylococci. Among the 242 S. aureus, 87 were resistant to methicillin and
among those 99% were resistant to ciprofloxacin, 11.5% to
gentamicin, 1% to quinupristin/dalfopristin and 8% were
heterogeneously resistant to vancomycin. Study of the methicillin-resistant S. aureus indicated that 12 clones had disseminated
in French hospitals, six being heterogeneously resistant to vancomycin.
Among the Streptococcus pneumoniae, 43% showed
decreased susceptibility to the penicillins and 42% to
erythromycin. One isolate was highly resistant to fluoroquinolones. Gentamicin,
cefotaxime, ciprofloxacin and gatifloxacin resistance was rare in
Enterobacteriaceae with 95% of strains susceptible. The
incidence of extended-spectrum
Keywords: bloodstream infection, antimicrobial susceptibility,
VRSA, Streptococcus pneumoniae,
France
Frequency of isolation and antimicrobial susceptibility
of bacterial pathogens isolated from patients with bloodstream infections:
a French prospective national survey
2 Institut
Pasteur, Paris
-lactamases
was quite low. Moreover more than 25% of Pseudomonas
aeruginosa strains were resistant to ciprofloxacin and gentamicin.
The magnitude of antibiotic resistance in bloodstream isolates,
in particular Gram-positive bacteria, emphasizes the importance
of hospital control measures, rational prescribing policies and
new vaccine strategies.![]()
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