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Coagulase‐negative staphylococci in a major Danish university hospital: diversity in antibiotic susceptibility between wards
Author(s) -
JARLØV JENS OTTO,
HØIBY NIELS
Publication year - 1998
Publication title -
apmis
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.909
H-Index - 88
eISSN - 1600-0463
pISSN - 0903-4641
DOI - 10.1111/j.1699-0463.1998.tb01365.x
Subject(s) - teicoplanin , medicine , penicillin , coagulase , microbiology and biotechnology , vancomycin , antibiotics , clindamycin , gentamicin , fusidic acid , cons , antibiotic resistance , netilmicin , ciprofloxacin , amikacin , erythromycin , biology , staphylococcus , staphylococcus aureus , tobramycin , bacteria , computer science , genetics , programming language
Over a one‐year period, all coagulase‐negative staphylococci (CoNS) from blood cultures, cerebrospinal fluids and peritoneal effluents from patients in a major Danish university hospital were investigated for susceptibility to penicillin G; methicillin; gentamicin; netilmicin; amikacin; erythromycin; clindamycin; fusidic acid; rifampicin; tetracycline; chloramphenicol; ciprofloxacin; teicoplanin; and vancomycin. Among the CoNS‐isolates, 56% were resistant to methicillin, 51% to gentamicin, 28% to ciprofloxacin, and 5% to teicoplanin. Blood culture CoNS‐isolates from patients with a central venous catheter (CVC) were more often resistant to various antibiotics compared to CoNS‐isolates from patients without a CVC, e.g. methicillin (72% vs 21%), gentamicin (65% vs 22%) (p<0.1). Great diversity in antibiotic resistance between the wards was found; methicillin resistance (in most cases multiple antibiotic resistance) was in particular associated with consumption of broad‐spectrum (β‐lactams, quinolones, and total antibiotic consumption in a ward. Thus, the antibiotic policy of a ward is an important factor for antibiotic resistance among CoNS.