Author/Editor		Kolman, Jana; Štorman, Alenka; Robnik, Slavica; Novak, Dušan; Žohar-Čretnik, Tjaša; Smole, Alenka; Harlander, Tatjana; Kavčič, Martina; Štrumbelj, Iztok; Fišer, Jerneja
Title		Pogled v pogostnost in občutljivost bakterije Escherichie coli, osamljene iz hemokultur seča
Translated title		Insight in frequency of occurrence and antimicrobial susceptibility in Escherichia coli from blood cultures and urine
Type		članek
Source		Med Razgl
Vol. and No.		Letnik 39, št. Suppl 1
Publication year		2000
Volume		str. 29-38
Language		slo
Abstract		Computer data on the antimicrobial resistance of Escherichia coli from blood cultures of patients in paediatric and adult words of most Slovenian hospitals and from urine of children up to 19 years and adults, separately from outpatient and hospital health care during 1999 were collected. The data were collected from daily routine work in eight regional microbiology laboratories in Slovenia. Susceptibility testing was mainly performed using the disc diffusion method. The rate of isolation of E. coli from blood cultures was 16,4% (157 strains). It was far most important isolate from urine samples with 42,6% rate (9717 strains). The overall susceptibility of E. coli from urine to ampicillin was 49,7% (10115 tested), to amoxicillin with clavulanic acid 75,6% (10332) and to gentamicin 95,8% (9823). The susceptibility to ciprofloxacin was 89,6% (7672) with notably higher resistance in adults than in children. To trimethoprim-sulfamethoxazole 80,7% (9918) isolates were susceptible. The results of susceptibility to other antibiotics are also shown but susceptibility testing was not performed regularly.
Summary		Avtorji prikazujejo računalniške podatke o odpornosti bakterije Escherichia coli, osamljene iz hemokultur, ki so bile odvzete na otroških in odraslih oddelkih večine slovenskih bolnišnic ter iz seča otrok do 19 let in odraslih, ločeno iz ambulant in bolnišnic s specialističnimi ambulantami, za leto 1999. Gre za retrospektivne podatke rednega dela osmih regionalnih mikrobioloških laboratorijev v Sloveniji, ki določajo občutljivost predvsem z metodo difuzije v agarju z diski. E. coli smo iz hemokultur osamili v 16,4 % (157 sevov), iz seča pa v 42,6 % (9.717 sevov) in je bila tako daleč najpogostejša povzročiteljica okužb sečil. Skupni delež za ampicilin občutljivih sevov E. coli iz seča je bil 49,7 % (10.115 testiranih), za amoksicilin s klavulansko kislino 75,6 % (10.332) in za gentamicin 95,8 % (9.823). Za ciprofloksacin je bilo občutIjivih 89,6 % (7.672), z opazno večjim deležem odpornih sevov pri odraslih v primerjavi z otroki. Za trimetoprim s sulfametoksazolom je bilo 80,7 % (9.918) sevov občutljivih. Za določanje občutljivosti za ostale antibiotike so se laboratoriji različno odločali.
Descriptors		ESCHERICHIA COLI URINARY TRACT INFECTIONS MICROBIAL SENSITIVITY TESTS ANTIBIOTICS URINE AMPICILLIN AMOXICILLIN GENTAMICINS CEPHALOTHIN CIPROFLOXACIN TRIMETHOPRIM