Survey of Antimicrobial Resistance in Clinical Burkholderia pseudomallei Isolates over Two Decades in Northeast Thailand

被引:71
作者
Wuthiekanun, Vanaporn [1 ]
Amornchai, Premjit [1 ]
Saiprom, Natnaree [2 ]
Chantratita, Narisara [1 ,2 ]
Chierakul, Wirongrong [1 ,3 ]
Koh, Gavin C. K. W. [1 ,7 ]
Chaowagul, Wipada [5 ]
Day, Nicholas P. J. [1 ,6 ]
Limmathurotsakul, Direk [1 ,4 ]
Peacock, Sharon J. [1 ,2 ,7 ]
机构
[1] Mahidol Univ, Fac Trop Med, Mahidol Oxford Trop Med Res Unit, Bangkok 10400, Thailand
[2] Mahidol Univ, Fac Trop Med, Dept Microbiol & Immunol, Bangkok 10400, Thailand
[3] Mahidol Univ, Fac Trop Med, Dept Clin Trop Med, Bangkok 10400, Thailand
[4] Mahidol Univ, Fac Trop Med, Dept Trop Hyg, Bangkok 10400, Thailand
[5] Sappasithiprasong Hosp, Dept Med, Ubon Ratchathani, Thailand
[6] Univ Oxford, Nuffield Dept Clin Med, Churchill Hosp, Ctr Clin Vaccinol & Trop Med, Oxford, England
[7] Univ Cambridge, Addenbrookes Hosp, Dept Med, Cambridge CB2 2QQ, England
基金
英国惠康基金;
关键词
SEVERE MELIOIDOSIS; PSEUDOMONAS-PSEUDOMALLEI; CEFTAZIDIME; SUSCEPTIBILITIES; INFECTION; THERAPY;
D O I
10.1128/AAC.05517-11
中图分类号
Q93 [微生物学];
学科分类号
071005 ; 100705 ;
摘要
A 21-year survey conducted in northeast Thailand of antimicrobial resistance to parenteral antimicrobial drugs used to treat melioidosis identified 24/4,021 (0.6%) patients with one or more isolates resistant to ceftazidime (n = 8), amoxicillin-clavulanic acid (n = 4), or both drugs (n = 12). Two cases were identified at admission, and the remainder were detected a median of 15 days after starting antimicrobial therapy. Resistance to carbapenem drugs was not detected. These findings support the current prescribing recommendations for melioidosis.
引用
收藏
页码:5388 / 5391
页数:4
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