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Antimicrobial resistance in Streptococcus pneumoniae, Haemophilus influenzae, Moraxella catarrhalis and group A beta-haemolytic streptococci in 2002-2003. Results of the multinational GRASP Surveillance Program

Susan E Beekmann, Kris P Heilmann, Sandra S Richter, Juan García-de-Lomas, Gary V Doern, GRASP Study Group, Bettina Lundgren

101 Citations (Scopus)

Abstract

A multinational surveillance study, GRASP, was conducted between November 2002 and April 2003 with the aim of assessing rates of antimicrobial resistance among 2656 isolates of Streptococcus pneumoniae, 2486 isolates of group A beta-haemolytic streptococci, 1358 isolates of Haemophilus influenzae and 1047 of Moraxella catarrhalis from 20 countries in Europe, eastern Asia and southern Africa. Conspicuous differences between various countries were noted in the S. pneumoniae resistance rates observed for penicillin (0-79.2%) and erythromycin (4-66%), along with other antimicrobials. The percentage of MDR strains was above 25% in 8 of the 20 countries studied. Group A streptococcal macrolide resistance rates ranged from 0% to 35% by country, while rates of beta-lactamase production ranged from 0% to 39% for H. influenzae and 80-100% for M. catarrhalis. Antibiotic resistance in S. pneumoniae remains a significant problem world wide.
Original languageEnglish
JournalInternational Journal of Antimicrobial Agents
Volume25
Issue number2
Pages (from-to)148-56
Number of pages9
ISSN0924-8579
DOIs
Publication statusPublished - Feb 2005

Keywords

  • Adult
  • Anti-Bacterial Agents
  • Bacteria
  • Community-Acquired Infections
  • Drug Resistance, Bacterial
  • Haemophilus influenzae
  • Humans
  • Internationality
  • Microbial Sensitivity Tests
  • Middle Aged
  • Moraxella (Branhamella) catarrhalis
  • Population Surveillance
  • Respiratory Tract Infections
  • Streptococcus
  • Streptococcus pneumoniae
  • Streptococcus pyogenes

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