2000
DOI: 10.1093/jac/45.6.895
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Antimicrobial resistance in Enterobacteriaceae in Brooklyn, NY: epidemiology and relation to antibiotic usage patterns

Abstract: In November 1997, all Enterobacteriaceae isolated at 15 hospitals in Brooklyn were collected. Extended-spectrum beta-lactamases (ESBLs) were present in 44% of 409 Klebsiella pneumoniae isolates. Six isolates had reduced susceptibility to carbapenems, including two that were not susceptible to any of the antibiotics tested. Pulsed field gel electrophoresis revealed a commonality of resistant isolates within and between hospitals. The occurrence of ESBLcontaining isolates was associated with cephalosporin usage … Show more

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Cited by 96 publications
(56 citation statements)
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“…We observed antimicrobial resistance in all strains of Entrobacteriaceae when tested against several classes of antibiotics including kanamycin, methicillin, penicillin G, cefotaxime, sulphafurazole, rifampicin and chloramphenicol (Table 2). These observations are in agreement with Saurina et al (2000) who studied on epidemiology and antibiotics usage patterns in human medicine in USA. Indiscriminate use of antibiotics and their contamination to the environment may have increased the selective pressure towards the development of multi drug resistant strains in the family to antibiotics (Narins, 2003).…”
Section: Discussionsupporting
confidence: 92%
“…We observed antimicrobial resistance in all strains of Entrobacteriaceae when tested against several classes of antibiotics including kanamycin, methicillin, penicillin G, cefotaxime, sulphafurazole, rifampicin and chloramphenicol (Table 2). These observations are in agreement with Saurina et al (2000) who studied on epidemiology and antibiotics usage patterns in human medicine in USA. Indiscriminate use of antibiotics and their contamination to the environment may have increased the selective pressure towards the development of multi drug resistant strains in the family to antibiotics (Narins, 2003).…”
Section: Discussionsupporting
confidence: 92%
“…En adultos y niños menores de 5 años está indicada la ciprofloxacina como droga de primera elección, y la azitromicina está indicada para los niños que no requieren hospitalización [8,30].…”
Section: Disusiónunclassified
“…Non-TEM-derived ESBLs such as VEB-1 (Kim et al, 2004), CTX-M b-lactamases (CTX-M-1, CTX-M-2, CTX-M-13 and CTX-M-31) (Ho et al, 2005;Karapavlidou et al, 2005) and plasmid-borne AmpC blactamases (CMY-2 and CMY-4) (Verdet et al, 1998;Park et al, 2006) have also been reported infrequently. The prevalence of ESBL-positive strains has been reported at 6.9 % in France , 7.0 % in Argentina (Quinteros et al, 2003), 8.8 % in Italy (Luzzaro et al, 2001) and 9.5 % in the US (Saurina et al, 2000). An outbreak of ESBL-producing P. mirabilis has been reported as a nosocomial infection caused by clonal spread (Nagano et al, 2003;Kim et al, 2004).…”
Section: Introductionmentioning
confidence: 99%