Advertisement

Update 1991 pp 396-400 | Cite as

How Do We Select Bacterial Resistance in the ICU?

  • J. C. Pechère
Conference paper
Part of the Update in Intensive Care and Emergency Medicine book series (UICM, volume 14)

Abstract

In hospital practice and especially in the setting of an intensive care unit (ICU), organisms causing infections are frequently resistant to numerous antimicrobial agents. The chain of causalities leading to increased prevalence of resistant bacteria in hospital populations is difficult to demonstrate, essentially because of the great number of variables potentially involved in the process. Hence, only few causal relationships have been firmly established.

Keywords

Intensive Care Unit Resistant Bacterium Antibiotic Usage Community Bacterium Methicillin Resistant Staphylococcus 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. 1.
    McGowen JE (1983) Antimicrobial resistance in hospital organisms and its relation to antibiotic use. Rev Infect Dis 5:1033–1048CrossRefGoogle Scholar
  2. 2.
    Hare RS, Shaw KJ, Sabatelli F, et al. (1989) 29th Interscience Conf Antimicrob Agents and Chemotherapy. Amer Soc Microbiology: 675 (abstract)Google Scholar
  3. 3.
    Bulger RJ, Sherris JC (1968) Decreased incidence of antibiotic resistance among Staphylococcus aureus: a study in a university hospital over a 9 year period. Ann Intern Med 69:1099–1108PubMedGoogle Scholar
  4. 4.
    Kinin CM (1990) Problems in antibiotic usage. In: Mandell GL, Douglas RG Jr, Bennet JE (eds) Principles and practice of infectious diseases, 3rd edn. Churchill Livingstone, New York, pp 427–434Google Scholar
  5. 5.
    Michea-Hamzhepour M, Auckenthaler R, Kunz J, Peehère JC (1988) Effect of a single dose of cefotaxime on human faecal flora: a double blind study. Drugs 35 (Suppl 2):6–11CrossRefGoogle Scholar
  6. 6.
    Kotilainen P, Nikoskelainen J, Huovinen P (1990) Emergence of ciprofloxacin-resistant coagulase-negative staphylococcal skin flora in immunocompromised patients receiving ciprofloxacin. J Infect Dis 161:41–44PubMedCrossRefGoogle Scholar
  7. 7.
    Thompson RL, Cabezudo I, Wenzel RP (1982) Epidemiology of nosocomial infections caused by methicillin-resistant Staphylococcus aureus. Ann Intern Med 97:309–317PubMedGoogle Scholar
  8. 8.
    Bawdon RE, Grasse LR, Palchaudhuri S (1982) Antibiotic resistance in anaerobic bacteria: molecular biology and clinical aspects. Rev Infect Dis 4:1075–1095PubMedCrossRefGoogle Scholar
  9. 9.
    The EORTC International Antimicrobial Therapy Cooperative Group (1987) Ceftazidime combined with a short or long course of amikacin for empirical therapy of gram-negative bacteremia in cancer patients with granulocytopenia. N Engl J Med 318:1692–1698Google Scholar
  10. 10.
    Alcock SR (1989) Use of a short-term parenteral antibiotic as a supplement to SDD. In: Van Saene HKF, Stoutenbeek CP, Lavin P, McA Ledingham I (eds) Update in intensive care and emergency medicine, vol 7. Springer, Berlin Heidelberg New York Tokyo, pp 102–108Google Scholar
  11. 11.
    Levy SB, Marshall B, Schluederberg S, Rowse D, Davis J (1988) High frequency of antimicrobial resistance in human fecal flora. Antimicrobial Agents and Chemotherapy 32:1801–1806PubMedGoogle Scholar
  12. 12.
    Bronten M, Stobberingh E, Philips J, Houben A (1990) High prevalence of antibiotic resistant E. coli in fecal samples of students in the South-East of the Netherlands. J Antimicrob Chemother 26:585–592CrossRefGoogle Scholar
  13. 13.
    Col NF, O’Connor RW (1987) Estimating worldwide current antibiotic usage: report of Taskforce 1. Rev Infect Dis 9 (Suppl 3):S232–S243PubMedCrossRefGoogle Scholar
  14. 14.
    Levy SB, Fitzgerald GB, Macone AB (1976) Spread of antibiotic-resistant plasmids from chicken and from chicken to man. Nature 260:40–42PubMedCrossRefGoogle Scholar
  15. 15.
    Anderson ES (1968) The ecology of transferable drug resistance in Enterobacteria. Ann Rev Microbiology 22:131–180CrossRefGoogle Scholar

Copyright information

© Springer-Verlag Berlin, Heidelberg 1991

Authors and Affiliations

  • J. C. Pechère

There are no affiliations available

Personalised recommendations