title: Antibiotic resistance patterns of bacterial isolates from blood in San Francisco County, California, 1996-1999.
abstract: Countywide antibiotic resistance patterns may provide additional information from that obtained from national sampling or individual hospitals. We reviewed susceptibility patterns of selected bacterial strains isolated from blood in San Francisco County from January 1996 to March 1999. We found substantial hospital-to-hospital variability in proportional resistance to antibiotics in multiple organisms. This variability was not correlated with hospital indices such as number of intensive care unit or total beds, annual admissions, or average length of stay. We also found a significant increase in methicillin-resistant Staphylococcus aureus, vancomycin-resistant Enterococcus, and proportional resistance to multiple antipseudomonal antibiotics. We describe the utility, difficulties, and limitations of countywide surveillance.
authors.affiliation: University of California San Francisco, USA. sshuang@partners.org
authors.forename: Susan S
authors.initials: SS
authors.lastname: Huang
authors.forename: Brian J
authors.initials: BJ
authors.lastname: Labus
authors.forename: Michael C
authors.initials: MC
authors.lastname: Samuel
authors.forename: Dairian T
authors.initials: DT
authors.lastname: Wan
authors.forename: Arthur L
authors.initials: AL
authors.lastname: Reingold
mesh_terms: D000293:Adolescent; D000328:Adult; D017677:Age Distribution; D000368:Aged; D000369:Aged, 80 and over; D016470:Bacteremia / Q000188:drug therapy* / Q000382:microbiology*; D002140:California / Q000453:epidemiology; D002648:Child; D024881:Drug Resistance, Bacterial; D005260:Female; D006090:Gram-Negative Bacteria / Q000187:drug effects*; D006094:Gram-Positive Bacteria / Q000187:drug effects*; D006760:Hospitalization / Q000706:statistics & numerical data*; D006801:Humans; D007902:Length of Stay / Q000706:statistics & numerical data; D008297:Male; D016106:Methicillin Resistance; D008875:Middle Aged; D010343:Patient Admission / Q000706:statistics & numerical data; D010403:Penicillin Resistance; D011159:Population Surveillance; D012495:San Francisco / Q000453:epidemiology; D020713:Vancomycin Resistance