Source:http://linkedlifedata.com/resource/pubmed/id/12684907
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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
8
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pubmed:dateCreated |
2003-4-9
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pubmed:abstractText |
To identify factors associated with antimicrobial resistance, data were analyzed from 27,828 isolates of Streptococcus pneumoniae submitted to the Tracking Resistance in the United States Today (TRUST) surveillance program during 4 consecutive respiratory seasons. From the 1998-1999 season to the 2001-2002 season, the prevalence of azithromycin resistance increased by 4.8% to 27.5%, the prevalence of penicillin resistance increased by 3.7% to 18.4%, the prevalence of ceftriaxone resistance increased by 0.5% to 1.7%, and the prevalence of levofloxacin resistance increased by 0.3% to 0.9%. Isolates recovered from patients <18 years of age and lower respiratory tract specimens had elevated rates of penicillin, azithromycin, and trimethoprim-sulfamethoxazole resistance (P<.00001); penicillin resistance correlated with coresistance to trimethoprim-sulfamethoxazole (87.3%), azithromycin (76.3%), ceftriaxone (9.1%), and levofloxacin (1.3%) (P<.00001). Only 62 (0.2%) of 27,828 isolates were concurrently resistant to penicillin and levofloxacin. Minimum inhibitory concentrations (MICs) of penicillin correlated strongly with MICs of ceftriaxone (R2=0.90), trimethoprim-sulfamethoxazole (R2=0.53), and azithromycin (R2=0.41). Patient age, specimen source, and penicillin resistance were factors associated with antimicrobial resistance, particularly for nonfluoroquinolone antimicrobial agents.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
Apr
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pubmed:issn |
1537-6591
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pubmed:author | |
pubmed:issnType |
Electronic
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pubmed:day |
15
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pubmed:volume |
36
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
963-70
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pubmed:dateRevised |
2006-11-15
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pubmed:meshHeading |
pubmed-meshheading:12684907-Adolescent,
pubmed-meshheading:12684907-Adult,
pubmed-meshheading:12684907-Anti-Bacterial Agents,
pubmed-meshheading:12684907-Azithromycin,
pubmed-meshheading:12684907-Drug Resistance, Bacterial,
pubmed-meshheading:12684907-Humans,
pubmed-meshheading:12684907-Microbial Sensitivity Tests,
pubmed-meshheading:12684907-Middle Aged,
pubmed-meshheading:12684907-Penicillins,
pubmed-meshheading:12684907-Streptococcus pneumoniae,
pubmed-meshheading:12684907-United States
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pubmed:year |
2003
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pubmed:articleTitle |
Factors associated with relative rates of antimicrobial resistance among Streptococcus pneumoniae in the United States: results from the TRUST Surveillance Program (1998-2002).
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pubmed:affiliation |
Focus Technologies, Herndon, Virginia 20171-4603, USA. jkarlowsky@focusanswers.com
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pubmed:publicationType |
Journal Article,
Research Support, Non-U.S. Gov't
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