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. 2003 Feb;9(2):211-6.
doi: 10.3201/eid0902.020123.

Using hospital antibiogram data to assess regional pneumococcal resistance to antibiotics

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Using hospital antibiogram data to assess regional pneumococcal resistance to antibiotics

Cheryl R Stein et al. Emerg Infect Dis. 2003 Feb.

Abstract

Antimicrobial resistance to penicillin and macrolides in Streptococcus pneumoniae has increased in the United States over the past decade. Considerable geographic variation in susceptibility necessitates regional resistance tracking. Traditional active surveillance is labor intensive and costly. We collected antibiogram reports from North Carolina hospitals and assessed pneumococcal susceptibility to multiple agents from 1996 through 2000. Susceptibility in North Carolina was consistently lower than the national average. Aggregating antibiogram data is a feasible and timely method of monitoring regional susceptibility patterns and may also prove beneficial in measuring the effects of interventions to decrease antimicrobial resistance.

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Figures

Figure 1
Figure 1
Streptococcus pneumoniae penicillin susceptibility, North Carolina, 1996–2000. Error bars represent 95% confidence intervals.
Figure 2
Figure 2
Streptococcus pneumoniae penicillin susceptibility by geographic region, North Carolina, 1996–2000. Error bars represent 95% confidence intervals.
Figure 3
Figure 3
Streptococcus pneumoniae penicillin susceptibility among isolates differentiating nonsusceptibility levels, North Carolina, 1996–2000.

References

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    1. Centers for Disease Control and Prevention. Active bacterial core surveillance (ABCs) report. Emerging Infections Program Network. Streptococcus pneumoniae (preliminary). Atlanta: The Centers; 2000.

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