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- W2183931028 abstract "Objective: To evaluate the prevalence and antimicrobial susceptibility (S) of methicillin-resistant S. aureus (MRSA) and vancomycin-resistant E. faecium (VREFM) in European hospitals. These organisms are usually multidrug-resistant (MDR) with very limited therapeutic options. Methods: Non-duplicate consecutive strains causing blood stream infections (BSI) were collected in the 2005-2008 period from 27 hospitals located in 11 European countries, Turkey and Israel. A total of 22,712 organisms (9,299 Grampositives [GP]) were collected, including 3,962 S. aureus and 1,700 Enterococcus spp. (677 E. faecium), and tested for S by CLSI broth microdilution methods in cation-adjusted Mueller-Hinton broth. Results: Overall MRSA rates decreased from 31.5% in 2005 to 23.9% in 2008. Marked decreases occurred in Turkey (from 41.0% in 2005 to 16.2% in 2008), Italy (51.1 to 29.6%), UK (52.3 to 30.9%) and Poland (25.3 to 15.4%). MRSA rates varied widely among the countries evaluated and, in 2008 were highest in Israel (50.0%) and Ireland (44.6%) and lowest in Sweden (1.8%) and Poland (15.4%). Overall, VREFM increased from 6.1% (2005) to 10.0% (2008), but occurred only in 5 countries in 2008, varying from 4.6% in Italy and 5.3% in UK to as high as 26.2% in Germany and 22.2% in Ireland. The only country with a consistent VREFM increase was Germany (from 7.7 to 26.2%). VREFM was not observed in Spain, Sweden and Switzerland during the study interval. Daptomycin (DAP) was the most active compound against these organisms (see Table), followed by linezolid (LZD), and the activity of these compounds was not negatively affected by resistant (R) to oxacillin or vancomycin (VAN). All other compounds exhibited limited activity against VREFM. Among E. faecalis (956 strains), only 0.6% were VAN-R, while 77.8% of coagulase-negative staphylococci were oxacillin-R. MATERIALS AND METHODS" @default.
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- W2183931028 date "2009-01-01" @default.
- W2183931028 modified "2023-09-26" @default.
- W2183931028 title "Prevalence and Antimicrobial Susceptibility Patterns of Methicillin-resistant S. aureus and Vancomycin-resistant E. faecium causing Bloodstream Infections in European Hospitals (2005-2008)" @default.
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