Australian Group on Antimicrobial Resistance Community-onset Gram-negative Surveillance Program annual report, 2010

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, 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
  • Julie C Pearson 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.2013.37.33

Keywords:

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

Abstract

The Australian Group on Antimicrobial Resistance (AGAR) performs regular period-prevalence studies to monitor changes in antimicrobial resistance in selected enteric Gram-negative pathogens. The 2010 survey focussed on community-onset infections, examining isolates from urinary tract infections from patients presenting to outpatient clinics, emergency departments or to community practitioners. Two thousand and ninety-two Escherichia coli, 578 Klebsiella species and 268 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 3.2% of E. coli and 3.2%–4.0% of Klebsiella spp. Non-susceptibility rates to ciprofloxacin were 5.4% for E. coli, 1.0%–2.3% for Klebsiella spp., and 2.5%–6.6% in Enterobacter spp, and resistance rates to piperacillin-tazobactam were 2.8%, 3.2%–6.9%, and 16.8%–18.0% for the same 3 groups respectively. Only 3 strains, 2 Klebsiella spp. and 1 Enterobacter spp, were shown to harbour a carbapenemase (IMP-4). Commun Dis Intell 2013;37(3):E219–E223.

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References

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

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Published

01/09/13

How to Cite

Turnidge, John D, Thomas Gottlieb, David H Mitchell, Geoffrey W Coombs, Julie C Pearson, Jan M Bell, and Australian Group on Antimicrobial Resistance. 2013. “Australian Group on Antimicrobial Resistance Community-Onset Gram-Negative Surveillance Program Annual Report, 2010”. Communicable Diseases Intelligence 37 (September):219-23. https://doi.org/10.33321/cdi.2013.37.33.

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