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Antimicrobial susceptibility of bacterial pathogens associated with community-acquired respiratory tract infections in Asia: report from the Community-Acquired Respiratory Tract Infection Pathogen Surveillance (CARTIPS) study, 2009-2010

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单位: [1]Beijing Union Med Coll Hosp, Dept Clin Lab, Beijing, Peoples R China [2]Peking Univ, Dept Clin Lab, Peoples Hosp, Beijing 100871, Peoples R China [3]Beijing Hosp, Minist Hlth, Beijing, Peoples R China [4]Capital Med Univ, Beijing Chao Yang Hosp, Dept Infect Dis & Clin Microbiol, Beijing, Peoples R China [5]Capital Med Univ, Beijing Chao Yang Hosp, Beijing Inst Resp Med, Beijing, Peoples R China [6]China Med Univ, Dept Clin Lab, Hosp 1, Shenyang, Peoples R China [7]China Med Univ, Hosp 2, Shenyang, Peoples R China [8]Zhejiang Univ, Sch Med, Affiliated Hosp 1, Hangzhou 310003, Zhejiang, Peoples R China [9]Huazhong Univ Sci & Technol, Tongji Hosp, Tongji Med Coll, Wuhan 430074, Peoples R China [10]Guangzhou Inst Resp Dis, Guangzhou, Guangdong, Peoples R China [11]Shanghai Jiao Tong Univ, Ruijin Hosp, Sch Med, Shanghai 200030, Peoples R China [12]Fudan Univ, Zhongshan Hosp, Shanghai 200433, Peoples R China [13]Changi Gen Hosp, Div Lab Med, Singapore, Singapore [14]Natl Taiwan Univ, Coll Med, Natl Taiwan Univ Hosp, Dept Lab Med, Taipei 10764, Taiwan [15]Natl Taiwan Univ, Coll Med, Natl Taiwan Univ Hosp, Dept Internal Med, Taipei 10764, Taiwan [16]China Med Univ Hosp, Dept Internal Med, Taichung, Taiwan [17]Natl Cheng Kung Univ, Dept Internal Med, Med Coll & Hosp, Tainan 70101, Taiwan [18]Kaohsiung Med Univ Hosp, Dept Internal Med, Kaohsiung, Taiwan [19]Diponegoro Univ, Dr Kariadi Hosp, Dept Clin Microbiol, Fac Med, Semarang, Indonesia
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关键词: Antibiotic resistance Surveillance

摘要:
A multicentre resistance surveillance study [Community-Acquired Respiratory Tract Infection Pathogen Surveillance (CARTIPS)] investigating the susceptibilities of 2963 clinical isolates of Streptococcus pneumoniae, Haemophilus influenzae, Moraxella catarrhalis, Klebsiella pneumoniae, meticillin-susceptible Staphylococcus aureus (MSSA) and Streptococcus spp. from Asia against 12 antimicrobial agents was undertaken from 2009 to 2010. Based on the breakpoints for oral penicillin V recommended by the Clinical and Laboratory Standards Institute, the prevalence of penicillin-non-susceptible S. pneumoniae (PNSSP) ranged from 46% to 100%. Azithromycin and clarithromycin exhibited variable resistance rates of 0-88% against S. pneumoniae, 0-57% against MSSA and 0-76.5% against Streptococcus spp. isolates. The prevalence of extended-spectrum beta-lactamase-producing K. pneumoniae varied from 5.1% to 58.5%. beta-Lactamase production rates amongst H. influenzae isolates ranged from 15% to 46.6% and amongst M. catarrhalis isolates from 90% to 100%. Amongst M. catarrhalis isolates, macrolide resistance and cefaclor resistance rates of 5.8% and 1.2%, respectively, were found, mainly in Mainland China. Levofloxacin resistance rates of 0-3.9% with a MIC90 (minimum inhibitory concentration causing inhibition of 90% of isolates) of 1-2 mg/L and moxifloxacin resistance rates of 0-1.7% with a MIC90 of 0.125-0.5 mg/L were found amongst PNSSP isolates. Moxifloxacin was very active against Streptococcus spp., H. influenzae and M. catarrhalis isolates, with MIC90 values of 0.125-0.25, 0.032-0.5 and 0.064-0.125 mg/L, respectively. These results from the CARTIPS study have confirmed some significant regional differences in the antimicrobial susceptibilities of S. pneumoniae, MSSA, K. pneumoniae, H. influenzae and Streptococcus spp. and emphasise the importance of antimicrobial surveillance programmes for guiding empirical therapy and for focusing interventional control of antimicrobial resistance in distinct geographic areas. (C) 2011 Elsevier B.V. and the International Society of Chemotherapy. All rights reserved.

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出版当年[2010]版:
大类 | 3 区 医学
小类 | 3 区 传染病学 3 区 微生物学 3 区 药学
最新[2025]版:
大类 | 2 区 医学
小类 | 1 区 药学 2 区 传染病学 2 区 微生物学
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出版当年[2009]版:
Q2 INFECTIOUS DISEASES Q2 PHARMACOLOGY & PHARMACY Q2 MICROBIOLOGY
最新[2023]版:
Q1 INFECTIOUS DISEASES Q1 MICROBIOLOGY Q1 PHARMACOLOGY & PHARMACY

影响因子: 最新[2023版] 最新五年平均 出版当年[2009版] 出版当年五年平均 出版前一年[2008版] 出版后一年[2010版]

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第一作者单位: [1]Beijing Union Med Coll Hosp, Dept Clin Lab, Beijing, Peoples R China
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