Effect of Hospitalization on the Antibiotic Resistance of Fecal Enterococcus faecalis of Surgical Patients Over Time

The prevalence of antibiotic resistant Enterococcus faecalis was determined in fecal samples of 263 patients admitted to the surgical wards of three university-affiliated hospitals on admission, at discharge, and at 1 and 6 months after discharge. A slight increase in the prevalence of antibiotic re...

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Veröffentlicht in:Microbial drug resistance (Larchmont, N.Y.) N.Y.), 2005-06, Vol.11 (2), p.154-158
Hauptverfasser: Nys, S., Bruinsma, N., Filius, P.M.G., Bogaard, A.E. Van Den, Hoffman, L., Terporten, P.H.W., Wildeboer-Veloo, A.C.M., Degener, J., Endtz, H.P., Stobberingh, E.E.
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container_issue 2
container_start_page 154
container_title Microbial drug resistance (Larchmont, N.Y.)
container_volume 11
creator Nys, S.
Bruinsma, N.
Filius, P.M.G.
Bogaard, A.E. Van Den
Hoffman, L.
Terporten, P.H.W.
Wildeboer-Veloo, A.C.M.
Degener, J.
Endtz, H.P.
Stobberingh, E.E.
description The prevalence of antibiotic resistant Enterococcus faecalis was determined in fecal samples of 263 patients admitted to the surgical wards of three university-affiliated hospitals on admission, at discharge, and at 1 and 6 months after discharge. A slight increase in the prevalence of antibiotic resistance of E. faecalis was found at discharge for the antibiotics tested compared to those on admission, vancomycin excepted. At 6 months after discharge, the prevalence of resistance for amoxicillin (0%), ciprofloxacin (3%), erythromycin (47%), and oxytetracycline (60%) decreased to the level on admission (respectively 0%, 8%, 45%, and 64%). Gentamicin resistance was the same at discharge (10%) as 1 month later (12%), but decreased 6 months after discharge (8%) to the level on admission (7%). In conclusion, hospitalization resulted in the study population in a slight increase in the prevalence of resistant fecal E. faecalis isolates at discharge, which decreased again (slowly) to the level on admission 6 months after discharge. Thus, the influence of hospitalization on the prevalence of antibiotic resistance in the extramural situation disappears between 1 and 6 months after discharge in this population.
doi_str_mv 10.1089/mdr.2005.11.154
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Gentamicin resistance was the same at discharge (10%) as 1 month later (12%), but decreased 6 months after discharge (8%) to the level on admission (7%). In conclusion, hospitalization resulted in the study population in a slight increase in the prevalence of resistant fecal E. faecalis isolates at discharge, which decreased again (slowly) to the level on admission 6 months after discharge. 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A slight increase in the prevalence of antibiotic resistance of E. faecalis was found at discharge for the antibiotics tested compared to those on admission, vancomycin excepted. At 6 months after discharge, the prevalence of resistance for amoxicillin (0%), ciprofloxacin (3%), erythromycin (47%), and oxytetracycline (60%) decreased to the level on admission (respectively 0%, 8%, 45%, and 64%). Gentamicin resistance was the same at discharge (10%) as 1 month later (12%), but decreased 6 months after discharge (8%) to the level on admission (7%). In conclusion, hospitalization resulted in the study population in a slight increase in the prevalence of resistant fecal E. faecalis isolates at discharge, which decreased again (slowly) to the level on admission 6 months after discharge. Thus, the influence of hospitalization on the prevalence of antibiotic resistance in the extramural situation disappears between 1 and 6 months after discharge in this population.</abstract><cop>United States</cop><pub>Mary Ann Liebert, Inc</pub><pmid>15910230</pmid><doi>10.1089/mdr.2005.11.154</doi><tpages>5</tpages></addata></record>
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subjects Adult
Aged
Antibiotic resistance
Antibiotics
Bacteriology
Disease
Drug resistance
Drug Resistance, Bacterial
Enterococcus faecalis
Enterococcus faecalis - drug effects
Feces
Feces - microbiology
Hospitalization
Hospitals
Humans
Microbial Sensitivity Tests
Middle Aged
Patients
Surgery
title Effect of Hospitalization on the Antibiotic Resistance of Fecal Enterococcus faecalis of Surgical Patients Over Time
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