Antimicrobial Resistance in Staphylococcus aureus in Australian Teaching Hospitals, 1989-1999

An annual survey of antimicrobial resistance in clinical isolates of Staphylococcus aureus was conducted in 21 Australian teaching hospital microbiology laboratories in eight major cities from 1989 to 1999. A total of 19,000 isolates were tested for susceptibility to 18 antimicrobials, with 3795 bei...

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Veröffentlicht in:Microbial drug resistance (Larchmont, N.Y.) N.Y.), 2003-06, Vol.9 (2), p.155-160
Hauptverfasser: Nimmo, Graeme R., Bell, Jan M., Mitchell, David, Gosbell, Iain B., Pearman, John W., Turnidge, John D.
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container_issue 2
container_start_page 155
container_title Microbial drug resistance (Larchmont, N.Y.)
container_volume 9
creator Nimmo, Graeme R.
Bell, Jan M.
Mitchell, David
Gosbell, Iain B.
Pearman, John W.
Turnidge, John D.
description An annual survey of antimicrobial resistance in clinical isolates of Staphylococcus aureus was conducted in 21 Australian teaching hospital microbiology laboratories in eight major cities from 1989 to 1999. A total of 19,000 isolates were tested for susceptibility to 18 antimicrobials, with 3795 being methicillin-resistant (MRSA). Resistance to ciprofloxacin in MRSA increased from 4.9% to 75.9%. The proportion of MRSA resistant to erythromycin decreased significantly (99.0%-88.9%), as did that to trimethoprim (98.4%-82.4%) and to tetracycline (96.5%-80.1%). The proportion of MRSA isolated increased in Sydney, Melbourne, Canberra, Adelaide, Perth, and Darwin, but not in Brisbane. The proportion in Hobart peaked in 1994. MRSA in Perth were predominantly non-multiresistant (nmMRSA) throughout the survey ( i.e ., resistant to less than three of eight indicator antibiotics) due mainly to local strains that originated in the community. The proportion of nmMRSA increased to modest levels in the other cities. In eastern cities, this was due to the appearance of strains closely related to nmMRSA seen in other countries of the southwestern Pacific.
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subjects Anti-Infective Agents - pharmacology
Antibiotics
Antimicrobial agents
Australia - epidemiology
Cities
Cross Infection - microbiology
Drug Resistance, Bacterial
Epidemiology
Hospitals, Teaching
Humans
Methicillin Resistance
Microbial Sensitivity Tests
Microbiology
Polls & surveys
Public health
Staphylococcal Infections - epidemiology
Staphylococcal Infections - microbiology
Staphylococcus aureus - drug effects
Time Factors
title Antimicrobial Resistance in Staphylococcus aureus in Australian Teaching Hospitals, 1989-1999
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