title: [Respiratory infections: etiology and patterns of resistance in the hospital general of Ciudad Real].
abstract: OBJECTIVE
  Understanding the impact on our work place of increasing antibiotic resistance in respiratory infections.
  
  
  METHODS
  We have performed a retrospective observational study on patients with significant sputum culture admitted to Internal Medicine Service Hospital General in Ciudad Real from January to December 2008. Information has been collected on the epidemiological, microbiological features, resistance patterns and treatment.
  
  
  RESULTS
  The total number of patients included in this study was 60. In 83.3% there was a predisposing factor. In 43 cases the diagnosis was made in spring and summer months. The exacerbation of COPD was the most frequent diagnosis (61.7%). The most frequently isolated organism was Pseudomonas spp. (41.7%). In our hospital the most commonly used antimicrobials in the initial treatment are levofloxacin (36.7%) and amoxicillinclavulanate (26.7%). The antibiotics with the highest percentage of antibiotic resistance were ciprofloxacin in E. coli (66.7%) and Pseudomonas spp. (60%), penicillin for S. pneumoniae (100%).
  
  
  CONCLUSIONS
  The results of this study demonstrate the significant presence of resistance to most commonly used antibiotics in microorganisms which cause respiratory infections.
authors.affiliation: Servicio de Medicina Interna del Hospital General de Ciudad Real. inesclemente80@yahoo.es
authors.forename: Inés
authors.initials: I
authors.lastname: Clemente
authors.forename: María
authors.initials: M
authors.lastname: Dolores Mañas
authors.forename: Jose
authors.initials: J
authors.lastname: Martínez
authors.forename: Jose
authors.initials: J
authors.lastname: María Alarcón
authors.forename: Carmen
authors.initials: C
authors.lastname: Monroy
authors.forename: Maryam
authors.initials: M
authors.lastname: Sidahi
authors.forename: Jaime
authors.initials: J
authors.lastname: Yanes
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D015984:Causality; D060085:Coinfection; D003428:Cross Infection / Q000188:drug therapy / Q000209:etiology / Q000382:microbiology*; D024881:Drug Resistance, Bacterial; D005260:Female; D006801:Humans; D008297:Male; D008826:Microbial Sensitivity Tests; D008875:Middle Aged; D029424:Pulmonary Disease, Chronic Obstructive / Q000150:complications / Q000382:microbiology; D012141:Respiratory Tract Infections / Q000188:drug therapy / Q000209:etiology / Q000382:microbiology*; D012189:Retrospective Studies; D012621:Seasons; D013030:Spain / Q000453:epidemiology; D013183:Sputum / Q000382:microbiology; D055815:Young Adult