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Trends in susceptibility of Escherichia coli from intra-abdominal infections to ertapenem and comparators in the United States according to data from the SMART program, 2009 to 2013
Antimicrobial resistance in Enterobacteriaceae, including resistance to carbapenems, is increasing worldwide. However, using U.S. Study for Monitoring Antimicrobial Resistance Trends (SMART) data for 2009 to 2013, no statistically significant decreasing susceptibility trends were found overall for E...
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Published in: | Antimicrobial agents and chemotherapy 2015-06, Vol.59 (6), p.3606-3610 |
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container_title | Antimicrobial agents and chemotherapy |
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creator | Lob, Sibylle H Kazmierczak, Krystyna M Badal, Robert E Hackel, Meredith A Bouchillon, Samuel K Biedenbach, Douglas J Sahm, Daniel F |
description | Antimicrobial resistance in Enterobacteriaceae, including resistance to carbapenems, is increasing worldwide. However, using U.S. Study for Monitoring Antimicrobial Resistance Trends (SMART) data for 2009 to 2013, no statistically significant decreasing susceptibility trends were found overall for Escherichia coli isolates from patients with intra-abdominal infections. In the subset of isolates from community-associated infections, susceptibility to levofloxacin decreased significantly and the increasing rate of multidrug-resistant E. coli approached statistical significance. In 2013, ertapenem, imipenem, and amikacin showed the highest susceptibility rates (≥99%) and fluoroquinolones the lowest ( |
doi_str_mv | 10.1128/aac.05186-14 |
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However, using U.S. Study for Monitoring Antimicrobial Resistance Trends (SMART) data for 2009 to 2013, no statistically significant decreasing susceptibility trends were found overall for Escherichia coli isolates from patients with intra-abdominal infections. In the subset of isolates from community-associated infections, susceptibility to levofloxacin decreased significantly and the increasing rate of multidrug-resistant E. coli approached statistical significance. In 2013, ertapenem, imipenem, and amikacin showed the highest susceptibility rates (≥99%) and fluoroquinolones the lowest (<70%). The 10 non-ertapenem-susceptible isolates (0.3% of all E. coli isolates) encoded one or more carbapenemases, extended-spectrum β-lactamases (ESBLs), AmpC β-lactamases, or non-ESBL β-lactamases.</description><identifier>ISSN: 0066-4804</identifier><identifier>EISSN: 1098-6596</identifier><identifier>DOI: 10.1128/aac.05186-14</identifier><identifier>PMID: 25801558</identifier><language>eng</language><publisher>United States: American Society for Microbiology</publisher><subject>Anti-Bacterial Agents ; Anti-Bacterial Agents - pharmacology ; beta-Lactamases - genetics ; beta-Lactamases - metabolism ; beta-Lactams ; beta-Lactams - pharmacology ; Escherichia coli ; Escherichia coli - drug effects ; Escherichia coli - enzymology ; Genotype ; Humans ; Intraabdominal Infections ; Intraabdominal Infections - microbiology ; Microbial Sensitivity Tests ; Susceptibility ; United States</subject><ispartof>Antimicrobial agents and chemotherapy, 2015-06, Vol.59 (6), p.3606-3610</ispartof><rights>Copyright © 2015, American Society for Microbiology. 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The 10 non-ertapenem-susceptible isolates (0.3% of all E. coli isolates) encoded one or more carbapenemases, extended-spectrum β-lactamases (ESBLs), AmpC β-lactamases, or non-ESBL β-lactamases.</description><subject>Anti-Bacterial Agents</subject><subject>Anti-Bacterial Agents - pharmacology</subject><subject>beta-Lactamases - genetics</subject><subject>beta-Lactamases - metabolism</subject><subject>beta-Lactams</subject><subject>beta-Lactams - pharmacology</subject><subject>Escherichia coli</subject><subject>Escherichia coli - drug effects</subject><subject>Escherichia coli - enzymology</subject><subject>Genotype</subject><subject>Humans</subject><subject>Intraabdominal Infections</subject><subject>Intraabdominal Infections - microbiology</subject><subject>Microbial Sensitivity Tests</subject><subject>Susceptibility</subject><subject>United States</subject><issn>0066-4804</issn><issn>1098-6596</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><recordid>eNp1kU9r3DAQxUVpaLZpbz0XXQtxKtmSbF8Ky5L-gZRAsjmLsTTeVbAlI2kD-WD9frWzaWgPPQ2Dfu_NaB4hHzi74LxsPgOYCyZ5owouXpEVZ21TKNmq12TFmFKFaJg4JW9TumdzL1v2hpyWsmFcymZFfm0jepuo8zQdksEpu84NLj_S0NPLZPYYndk7oCYMjvYxjDOaIxTQ2TA6D8Pc92iyCz7RHCjGDBN6HCl4O6vGCSLkEJ9G5D3SO-8yWnqbIWOiYEyI1vndorWQ4ThjAW9_rm-2dIphF2E8pyVj7QKVjFfvyEkPQ8L3z_WM3H293G6-F1fX335s1lcFiFbkosWqV51EIaGci5rPVLUtx8ZK1oMVZd1j3dSK1QKF5cBMZSUI1nFlubSqOiNfjr7ToRvRGly-PugpuhHiow7g9L8v3u31LjxoIaqS12I2OD8amBhSiti_aDnTS3x6vd7op_g0X_BPRxzSWOr7cIjzgdP_2I9_7_Zi_Cfb6jdEGqVt</recordid><startdate>20150601</startdate><enddate>20150601</enddate><creator>Lob, Sibylle H</creator><creator>Kazmierczak, Krystyna M</creator><creator>Badal, Robert E</creator><creator>Hackel, Meredith A</creator><creator>Bouchillon, Samuel K</creator><creator>Biedenbach, Douglas J</creator><creator>Sahm, Daniel F</creator><general>American Society for Microbiology</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>5PM</scope></search><sort><creationdate>20150601</creationdate><title>Trends in susceptibility of Escherichia coli from intra-abdominal infections to ertapenem and comparators in the United States according to data from the SMART program, 2009 to 2013</title><author>Lob, Sibylle H ; 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subjects | Anti-Bacterial Agents Anti-Bacterial Agents - pharmacology beta-Lactamases - genetics beta-Lactamases - metabolism beta-Lactams beta-Lactams - pharmacology Escherichia coli Escherichia coli - drug effects Escherichia coli - enzymology Genotype Humans Intraabdominal Infections Intraabdominal Infections - microbiology Microbial Sensitivity Tests Susceptibility United States |
title | Trends in susceptibility of Escherichia coli from intra-abdominal infections to ertapenem and comparators in the United States according to data from the SMART program, 2009 to 2013 |
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