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[The drug susceptibility of penicillin-resistant Streptococcus pneumoniae]
Sylwia Koiuszko1, Agata Białucha, Eugenia Gospodarek
1Katedra i Zakład Mikrobiologii Collegium Medicum w Bydgoszczy Uniwersytetu Mikołaja Kopemika w Toruniu.
Abstract:
The aim of our study was to evaluate a frequency of isolation and susceptibility to antibiotics of Streptococcus pneumoniae penicillin resistant among 154 strains S. pneumoniae isolated between 2003 and 2006 in University Hospital of Dr. A. Jurasza in Bydgoszcz. Antimicrobial susceptibility was assessed by disc-diffusion method according to the guidelines of Clinical and laboratory Standards Institute and The national Reference Centre for Antimicrobial Susceptibility. Minimal inhibitory concentrations for penicillin and cefotaxime were assessed by E-test method. Study shows increasing isolation of SPPR strains from 8,2% in 2003 to 32,0% in 2006. Strains were mostly isolated from patients ofNeurosurgery and Neurotraumatology Clinic and Rehabilitation Clinic. SPPR strains were mainly isolated from respiratory tract. Over 68% of SPPR showed intermediate resistance to penicillin and 73,3% of strains were susceptible to cefotaxime. Between 2003 and 2006 increased percentage of resistance strains to erythromycin, tetracycline and sulphometoxasol.
Insights
Penicillin-resistant Streptococcus pneumoniae (SPPR) strains increased significantly from 2003 to 2006. Most SPPR strains remained susceptible to cefotaxime, indicating a potential treatment option.
Area of Science:
- Microbiology
- Infectious Diseases
- Antimicrobial Resistance
Context:
- The study investigated antimicrobial resistance patterns of Streptococcus pneumoniae.
- Data was collected from 154 S. pneumoniae strains isolated between 2003 and 2006.
- The research was conducted at the University Hospital of Dr. A. Jurasza in Bydgoszcz.
Purpose:
- To evaluate the frequency of isolation of penicillin-resistant Streptococcus pneumoniae (SPPR) strains.
- To assess the antimicrobial susceptibility of these SPPR strains.
- To track changes in resistance over a four-year period.
Summary:
- A significant increase in SPPR strain isolation was observed, rising from 8.2% in 2003 to 32.0% in 2006.
- SPPR strains were primarily isolated from respiratory tracts, particularly in patients from Neurosurgery, Neurotraumatology, and Rehabilitation clinics.
- Over 68% of SPPR strains showed intermediate resistance to penicillin, while 73.3% remained susceptible to cefotaxime.
- Increased resistance to erythromycin, tetracycline, and sulphometoxazole was also noted between 2003 and 2006.
Impact:
- Highlights the growing challenge of penicillin resistance in Streptococcus pneumoniae.
- Identifies cefotaxime as a potentially effective antibiotic against resistant strains.
- Provides crucial data for antimicrobial stewardship and treatment guidelines in the region.
- Informs public health strategies for managing antibiotic resistance.
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