title: Antimicrobial resistance among commensal isolates of Escherichia coli and Staphylococcus aureus in the Indonesian population inside and outside hospitals.
abstract: The prevalence of antimicrobial resistance among the commensal microflora was examined in the Indonesian population inside and outside hospitals. A total of 3,995 individuals were screened in two major urban centers. Among Escherichia coli from rectal samples (n = 3,284) the prevalence of resistance to ciprofloxacin and other classes of antibiotics was remarkably high, especially in individuals at the time of discharge from hospital. Staphylococcus aureus isolates (n = 361) were often resistant to tetracycline (24.9%), but this was not associated with hospital stay. Two S. aureus isolates harbored the mecA gene. Regional differences in resistance rates exist, suggesting regional differences in selection pressure, i.e., antibiotic usage patterns. The results show that antimicrobial resistance among commensal E. coli and S. aureus has emerged in Indonesia.
authors.affiliation: Department of Clinical Microbiology, Dr. Kariadi Hospital - School of Medicine, Diponegoro University, Semarang, Jl. Dr. Soetomo 16-18, Semarang, 50231, Indonesia. endang_sri_lestari@yahoo.com
authors.forename: E S
authors.initials: ES
authors.lastname: Lestari
authors.forename: J A
authors.initials: JA
authors.lastname: Severin
authors.forename: P M G
authors.initials: PM
authors.lastname: Filius
authors.forename: K
authors.initials: K
authors.lastname: Kuntaman
authors.forename: D O
authors.initials: DO
authors.lastname: Duerink
authors.forename: U
authors.initials: U
authors.lastname: Hadi
authors.forename: H
authors.initials: H
authors.lastname: Wahjono
authors.forename: H A
authors.initials: HA
authors.lastname: Verbrugh
mesh_terms: D001426:Bacterial Proteins / Q000235:genetics; D017714:Community-Acquired Infections / Q000453:epidemiology / Q000382:microbiology*; D003428:Cross Infection / Q000453:epidemiology / Q000382:microbiology*; D024901:Drug Resistance, Multiple, Bacterial; D004926:Escherichia coli / Q000187:drug effects* / Q000302:isolation & purification; D004927:Escherichia coli Infections / Q000453:epidemiology / Q000382:microbiology*; D006801:Humans; D007214:Indonesia / Q000453:epidemiology; D046915:Penicillin-Binding Proteins; D013203:Staphylococcal Infections / Q000453:epidemiology / Q000382:microbiology*; D013211:Staphylococcus aureus / Q000187:drug effects* / Q000302:isolation & purification; D014505:Urban Population
chemical_list: D001426:Bacterial Proteins; D046915:Penicillin-Binding Proteins; C487789:mecA protein, Staphylococcus aureus