title: [Increasing trend of antimicrobial drug-resistance in organisms causing bacteremia at a tertiary-care hospital: 1995 to 2000].
abstract: We described the trends of drug-resistant organisms isolated in blood cultures from patients detected in a teaching hospital from 1995 to 2000. We found an increase in the number of clinical isolates of Pseudomonas aeruginosa, Klebsiella pneumoniae, Enterobacter spp, Serratia spp, Staphylococcus aureus, S. epidermidis and Enterococcus spp, resistant to antibiotics commonly used to treat infections caused by these organisms. The frequency of gram-negative bacilli resistant to third-generation cephalosporins and quinolones increased during the period of study, and in 2000 more than 20% of the isolates were resistant. In contrast, the frequency of resistance to aminoglycosides and carbapenems was less than 20%. The frequency of resistant staphylococci increased exuberantly fifty fold to quinolones and five fold to oxacillin during the study period, therefore in 2000, 26.1% of S. aureus isolates and 61% of S. epidermidis were resistant to oxacillin. The frequency of resistant enterococci also increased, and in 2000, 50% were resistant to ampicillin, and 37.5% to gentamicin. The increase of drug resistant organisms isolated in blood had a direct impact in the empirical treatment of severely infected patients in our hospital. It is important to continuously supervise antibiotic use, and to adopt more strict control measures to decrease the frequency of infections caused by drug resistant organisms.
authors.affiliation: Departamento de Infectología, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, México, DF.
authors.forename: Midori
authors.initials: M
authors.lastname: Kato-Maeda
authors.forename: Anabertha
authors.initials: A
authors.lastname: Bautista-Alavez
authors.forename: Ana Lilia
authors.initials: AL
authors.lastname: Rolón-Montes-de-Oca
authors.forename: Ancelmo
authors.initials: A
authors.lastname: Ramos-Hinojosa
authors.forename: Alfredo
authors.initials: A
authors.lastname: Ponce-de-León
authors.forename: Miriam
authors.initials: M
authors.lastname: Bobadilla-del-Valle
authors.forename: Guillermo
authors.initials: G
authors.lastname: Ruiz-Palacios
authors.forename: José
authors.initials: J
authors.lastname: Sifuentes-Osornio
mesh_terms: D016470:Bacteremia / Q000188:drug therapy*; D003428:Cross Infection / Q000188:drug therapy*; D024881:Drug Resistance, Bacterial; D006761:Hospitals; D006801:Humans; D012189:Retrospective Studies