High rates of resistance to cephalosporins among viridans-group streptococci causing bacteraemia in neutropenic cancer patients
Author(s) -
A. Marrón,
Jordi Carratalà,
Fernando Alcaide,
A. FernándezSevilla,
Francesc Gudiol
Publication year - 2001
Publication title -
journal of antimicrobial chemotherapy
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.124
H-Index - 194
eISSN - 1460-2091
pISSN - 0305-7453
DOI - 10.1093/jac/47.1.87
Subject(s) - cephalosporin , medicine , bacteremia , viridans streptococci , neutropenia , microbiology and biotechnology , cancer , antibiotics , streptococcus , biology , bacteria , chemotherapy , genetics
The prevalence of resistance to cephalosporins among viridans-group streptococci causing 88 (18%) cases among 485 bacteraemias in neutropenic cancer patients was studied. Rates of resistance to ceftriaxone, ceftazidime, cefpirome and cefepime were 22, 53, 14 and 34%, respectively. Previous administration of beta-lactam therapy was the only factor significantly associated with bacteraemia due to cephalosporin-resistant strains; only 11 (16%) of 68 patients infected with cephalosporin-susceptible bacteria had received these antibiotics compared with 10 (50%) of 20 patients infected with cephalosporin-resistant bacteria (P = 0.0052).
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