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Development of erythromycin-resistance inStaphylococcus aureusas a consequence of high erythromycin consumption

Authors
Journal
Journal of Hospital Infection
0195-6701
Publisher
Elsevier
Publication Date
Volume
14
Issue
2
Identifiers
DOI: 10.1016/0195-6701(89)90113-8
Keywords
  • Staphylococcus Aureus
  • Plasmids
  • Erythromycin-Resistance

Abstract

Abstract In a mixed ward for skin and venereology patients the erythromycin consumption was 6–8 fold higher than in other wards at the same hospital. Erythromycin-resistance occurred in 15·5% of the infecting Staphylococcus aureus strains isolated from this ward, compared with 3·5% in other wards of the hospital and 2·3% in Denmark as a whole. The resistant strains belonged to different phage-type patterns, but 18 out of 19 strains contained a 1·5 MDa plasmid and had an erythromycin-inducible resistance mechanism. Erythromycin resistance was frequent (approximately 10%) among Danish S. aureus strains in the years 1963 to 1969, mainly due to the spread of multiply-resistant strains of the 83A complex. During the last ten years, however, only 1–2% of the strains have been resistant, but a slow increase in resistance has taken place during the last three years among strains of all phage patterns including strains of group II, the 94, 96 complex and type 95.

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