Community-onset Gram-negative Surveillance Program annual report, 2012

Authors

  • John D Turnidge Microbiology and Infectious Diseases, SA Pathology, Women’s and Children’s Hospital, North Adelaide, South Australia; Departments of Pathology, Paediatrics and Molecular Biosciences, University of Adelaide, South Australia
  • Thomas Gottlieb Department of Microbiology and Infectious Diseases, Concord, Concord, New South Wales
  • David H Mitchell Centre for Infectious Diseases and Microbiology, Westmead Hospital, Westmead, New South Wales
  • Geoffrey W Coombs Australian Collaborating Centre for Enterococcus and Staphylococcus Species (ACCESS) Typing and Research, School of Biomedical Sciences, Curtin University, Perth, Western Australia; Department of Microbiology and Infectious Diseases, PathWest Laboratory Medicine-WA, Royal Perth Hospital, Perth, Western Australia
  • Denise A Daley Department of Microbiology and Infectious Diseases, PathWest Laboratory Medicine-WA, Royal Perth Hospital, Perth, Western Australia
  • Jan M Bell Microbiology and Infectious Diseases, SA Pathology, Women’s and Children’s Hospital, North Adelaide, South Australia
  • Australian Group on Antimicrobial Resistance

DOI:

https://doi.org/10.33321/cdi.2014.38.11

Keywords:

antibiotic resistance, community onset, gram-negative, Escherichia coli, Enterobacter, Klebsiella

Abstract

The Australian Group on Antimicrobial Resistance performs regular period-prevalence studies to monitor changes in antimicrobial resistance in selected enteric Gram-negative pathogens. The 2012 survey focussed on community-onset infections, examining isolates from urinary tract infections from patients presenting to outpatient clinics, emergency departments or to community practitioners. In 2012, 2,025 Escherichia coli, 538 Klebsiella species and 239 Enterobacter species were tested using a commercial automated method (Vitek 2, BioMérieux) and results were analysed using Clinical and Laboratory Standards Institute breakpoints from January 2012. Of the key resistances, non-susceptibility to the third-generation cephalosporin, ceftriaxone, was found in 4.2% of E. coli and 4.6%–6.9% of Klebsiella spp. Non-susceptibility rates to ciprofloxacin were 6.9% for E. coli, 0.0%–3.5% for Klebsiella spp. and 0.8%–1.9% in Enterobacter spp, and resistance rates to piperacillin-tazobactam were 1.7%, 0.7%–9.2%, and 8.8%–11.4% for the same 3 groups respectively. Only 1 Enterobacter cloacae was shown to harbour a carbapenemase (IMP-4). Commun Dis Intell 2014;38(1):E54–E58.

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References

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Turnidge J, Gottlieb T, Mitchell D, Pearson J for the Australian Group for Antimicrobial Resistance. Gram-negative Survey, 2008 Antimicrobial Susceptibility Report. 2011. Adelaide: Australian Group for Antimicrobial Resistance. Available from: http://www.agargroup.org/files/AGAR%20GNB08%20Report%20FINAL.pdf

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Published

01/03/14

How to Cite

Turnidge, John D, Thomas Gottlieb, David H Mitchell, Geoffrey W Coombs, Denise A Daley, Jan M Bell, and Australian Group on Antimicrobial Resistance. 2014. “Community-Onset Gram-Negative Surveillance Program Annual Report, 2012”. Communicable Diseases Intelligence 38 (March):54-58. https://doi.org/10.33321/cdi.2014.38.11.

Issue

Vol. 38 (2014)

Section

Annual report

Categories

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