Resistance to ceftriaxone and other beta-lactams in bacteria isolated in the community. The Vigil'Roc Study Group

Antimicrob Agents Chemother. 1995 Nov;39(11):2516-9. doi: 10.1128/AAC.39.11.2516.

Abstract

The incidence of bacterial species and their susceptibilities to ceftriaxone and other beta-lactams from patients with community-acquired infections were evaluated in a multicenter study over a 4-month period. A total of 5,768 bacterial isolates were classified according to whether the patient had been previously hospitalized or had received antibiotic treatment. The most relevant findings were the presence of 33.8% penicillin-resistant Streptococcus pneumoniae isolates, 25% beta-lactamase-producing Haemophilus influenzae isolates, and 36.4% amoxicillin-resistant Escherichia coli isolates. All of these bacteria were fully susceptible to ceftriaxone. Nosocomial multiply-resistant bacteria, and particularly methicillin-resistant S. aureus, were found, as expected, at a higher frequency among previously hospitalized patients. However, such bacteria may be present in the community; their incidence is high in particular clinical settings, and such bacteria should be considered when one is choosing a first-line therapy for the treatment of severe infections.

Publication types

  • Multicenter Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Anti-Bacterial Agents / pharmacology*
  • Bacteria / drug effects*
  • Ceftriaxone / pharmacology*
  • Cephalosporins / pharmacology*
  • Community-Acquired Infections / microbiology*
  • Enterobacteriaceae / drug effects
  • Enterobacteriaceae / enzymology
  • Haemophilus influenzae / drug effects
  • Haemophilus influenzae / enzymology
  • Hospitalization
  • Humans
  • Microbial Sensitivity Tests
  • Quality Control
  • Staphylococcus / drug effects
  • Staphylococcus / enzymology
  • Streptococcus pneumoniae / drug effects
  • Streptococcus pneumoniae / enzymology
  • beta-Lactam Resistance
  • beta-Lactamases / metabolism

Substances

  • Anti-Bacterial Agents
  • Cephalosporins
  • Ceftriaxone
  • beta-Lactamases