Using Hospital Antibiogram Data to Assess Regional Pneumococcal Resistance to Antibiotics

Stein, Cheryl R.; Weber, David J.; Kelley, Meera

doi:10.3201/eid0902.020123

Cited by 20 publications

(16 citation statements)

References 24 publications

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“…Although this information would have been useful to comment on antibiotic resistance in our patient populations, these patterns are often institution and region specific [14]. The resistance profile would not be universally applicable, nor would it be an appropriate basis for transgeographic antibiotic therapy recommendations.…”

Section: Discussionmentioning

confidence: 95%

Microbiology of middle ear effusions from 292 patients undergoing tympanostomy tube placement for middle ear disease

Poetker

Lindstrom

Edmiston

et al. 2005

International Journal of Pediatric Otorhinolaryngology

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Section: Discussionmentioning

confidence: 95%

Microbiology of middle ear effusions from 292 patients undergoing tympanostomy tube placement for middle ear disease

Poetker

Lindstrom

Edmiston

et al. 2005

International Journal of Pediatric Otorhinolaryngology

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“…8 Based on Table 2, antibiotics that are still sensitive to Staphylococcus aureus in tonsillar core swabs are Gentamycin and Tigecycline (80%) as well as Clindamycin and Inezolid (70%). According to Stein et al (2003) and Elsherif (2011) the rate of antibiotic resistance can be reduced by using antibiotics wisely, using empirical antibiotic therapy and drug combinations from different groups. 9,4 Based on Table 3, the most type of aerobic bacteria from surface swab was Staphylococcus aureus (33.3%).…”

Section: Discussionmentioning

confidence: 99%

Bacteria Pattern Aerobic and Anaerobic From Surface Swab and Tonsillar Core Culture in Patients With Recurrent Tonsillitis

Ginting¹,

Rachman²,

Adenin³

et al. 2019

IJPTR

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Backgrounds: Tonsillitis is the most common disease in otorhinolaryngology both acute and chronic, especially in children. Recurrent tonsillitis is a chronic inflammatory process in the palatine tonsils. Several studies have shown differences in pathogenic flora on surface and tonsillar core. This also causes an increase failure of eradicating germs in acute tonsillitis. Therefore, it falls into chronic stage. Identifying the bacterial organism in acute tonsillitis will guide appropriate antibiotic therapy that can revolutionize the management of chronic tonsillitis.Objectives: To determine the bacteria pattern from surface and tonsillar core in patients with recurrent tonsillitis. Methods: The research is a descriptive with cross sectional study. The sample of the study was patients with recurrent tonsillitis who underwent tonsillectomy surgery at Adam Malik General Hospital Medan and several satellite hospitals in Medan that met the inclusion criterias. Results:This study was attended by 33 recurrent tonsillitis subjects with more male(66,7%) and most of them below 20 years (66.7%).The most type of aerobic bacteria from surface and tonsillar core swabs was Staphylococcus aureus. Antibiotics that are still sensitive to Staphylococcus aureus in tonsillar core swabs are Gentamycin, Tigecycline, Clindamycin, and Inezolid. Antibiotics that are still sensitive to Staphylococcus aureus on surface smears are Tigecycline, Vancomycin, and Erythromycin. The bacteria form surface did not present bacteria from tonsillar core. The most anaerobic bacteria found on both ofthe surface and tonsillar core were Bacteroides fragilis.Conclusions:The swab cultures taken from the tonsillar surface may not always reveal the real pathogen of the tonsils. In addition, the estimated probability of tonsillar bacteriology by surface swabs varies with the type of the pathogen.

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“…This lack of ABGM preparation may be due to the fact that these small institutions have limited resources available or that their cultures are sent to outside laboratories, given that there is low demand for this service (23).…”

Section: Discussionmentioning

confidence: 99%

Nationwide Antibiogram Analysis Using NCCLS M39-A Guidelines

et al. 2005

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Lack of standardization in antibiogram (ABGM) preparation (the overall profile of antimicrobial susceptibility results of a microbial species to a battery of antimicrobial agents) has not been addressed until recently. The objective of this study was to analyze current antibiograms using the recently published NCCLS M39-A guidelines for preparation of antibiograms to identify areas for improvement in the reporting of antibiogram susceptibility data. Antibiograms from across the United States were obtained by various methods, including direct mailings, Internet searches, and professional contacts. Each ABGM collected was analyzed using prospectively defined elements from the M39-A guidelines. Additionally, seven quality indicators were also evaluated to look for the reporting of any atypical or inappropriate susceptibility data. The 209 antibiograms collected from 149 institutions showed at least 85% compliance to 5 of the 10 M39-A elements analyzed. Clinically relevant elements not met included annual analysis, duplicate isolate notation, and the exclusion of organisms with fewer than 10 isolates. As for the quality indicators evaluated, unexpected results included the 7% of antibiograms that reported <100% vancomycin susceptibility for Staphylococcus aureus, 24% that had inconsistent betalactam susceptibility for Staphylococcus aureus, 20% that reported <100% imipenem susceptibility for Escherichia coli, and 37% that reported >0% ampicillin susceptibility for Klebsiella pneumoniae. These findings suggest that antibiograms should be reviewed thoroughly by infectious disease specialists (physicians and pharmacists), clinical microbiologists, and infection control personnel for identification of abnormal findings prior to distribution.

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Using Hospital Antibiogram Data to Assess Regional Pneumococcal Resistance to Antibiotics

Cited by 20 publications

References 24 publications

Microbiology of middle ear effusions from 292 patients undergoing tympanostomy tube placement for middle ear disease

Microbiology of middle ear effusions from 292 patients undergoing tympanostomy tube placement for middle ear disease

Bacteria Pattern Aerobic and Anaerobic From Surface Swab and Tonsillar Core Culture in Patients With Recurrent Tonsillitis

Nationwide Antibiogram Analysis Using NCCLS M39-A Guidelines

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