Author/Editor		Kolman, Jana; Štorman, Alenka; Žohar-Čretnik, Tjaša; Robnik, Slavica; Štrumbelj, Iztok; Zrimšek, Romana; Fišer, Jerneja; Harlander, Tatjana; Kavčič, Martina
Title		Pogled v odpornost beta-hemolitičnih streptokokov in zunajbolnišničnih sevov Staphylococcus aureus
Translated title		Insight in antimicrobial resistance in beta-haemolytic streptococci and outpatient isolates of Staphylococcus aureus
Type		članek
Source		Med Razgl
Vol. and No.		Letnik 38, št. Suppl 2
Publication year		1999
Volume		str. 7-23
Language		slo
Abstract		Computer data on the antimicrobial resistence of beta-haemolytic streptococci and the outpatient isolates of Staphylococcus aureus during 1998, colleced from eight regional microbiological laboratories in Slovenia are shown. The data were collected from daily routine work in laboratories. Susceptibility testing was mainly performed using the disc diffusion method. The overall resistance to erythromycin among group A beta-haemolytic streptococci was 5.8% (1349 tested), in group B it was 4.9% (1799) and in group C 8% (28B). The higher overalI rate of resistance among group G streptococci 13.9% (418) reflects its notably high rate of 46.9% (81 ) in Murska Sobota in the Pomurje region, as the rate in other regions was a mere 5.9% (337). Intermediate isolates are shown separately The results of susceptibility to other antibiotics are also shown, but susceptibility testing was not performed regularly. As a rule, the frequency of methicillin resistant S. aureus isolates from the nose and throat among healthy carriers in the community were 2 out of 2181. The resistance rate among outpatient isolates was 2.15% (1022), but possible strains isolated from previously hospitalised patients were not excluded. From the data obtained, it seems that in Slovenia methicillin-resistant S. aureus (MRSA) strains have remained predominantly nosocomial pathogens. The colleded data provide a broad insight into the present situation, and an important basis for further activities involving bacterial susceptibility testing.
Summary		Prikazujemo računalniške podatke o odpornosti beta-hemolitičnih streptokokov in zunajbolnišničnih sevov Staphylococcus aureus za leto 1998, zbrane iz osmih regionalnih mikrobioložkih laboratorijev v Sloveniji. Gre za retrospektivne podatke rednega dela laboratorijev, ki določajo občutljivost predvsem z metodo difuzije v agarju z diski. Skupni delež proti eritromicinu odpomih beta-hemolitičnih streptokokov skupine A je bil 5,8 % (1349 testiranih). Pri streptokokih skupine B je bil ta delež 4,9 % (1799) in pri skupini C 8 % (28B). Višji delež odpomih sevov skupine G-13,9 % (418) je odraz 46,9 % (81 ) deleža le-teh v Murski Soboti, v ostalih laboratorijih je bilo odpornih le 5,9 % (337). Intermediarni sevi so prikazani ločeno. Za določanje občutljivosti za ostale antibiotike so se laboratoriji zelo različno odločali. Pri praviloma zdravih nosilcih bakterije S. aureus v nosu ali žrelu sta bila 2 seva od 2181 odpoma proti meticilinu. V vzorcih iz zunajbolnišničnih ustanov je bil ta delež 2,15 oh (1022). Možni sevi predhodno bolnišnično zdravljenih oseb niso bili izključeni. Zdi se, da proti meticilinu odpomi S. eureus ostaja pri nas predvsem bolnišnična bakterija. Zbrani podatki so posnetek stanja in pomembna osnova za nadljnje aktivnosti pri dolodanju občutljivosti bakterij za antibiotike.
Descriptors		COMMUNICABLE DISEASES DRUG RESISTANCE, MICROBIAL STREPTOCOCCUS PYOGENES STAPHYLOCOCCUS AUREUS STREPTOCOCCUS AGALACTIAE PENICILLIN G OXACILLIN MACROLIDES