Korean Nationwide Surveillance of Antimicrobial Resistance in 2000 with special reference to vancomycin resistance in enterococci, and expanded-spectrum cephalosporin and imipenem resistance in gram-negative bacilli

Kyungwon Lee, Moon Yeun Kim, Sung Ha Kang, Jung Oak Kang, Eui Chong Kim, Tae Yeal Choi, Yunsop Chong, Hyun Chan Cho, Namhee Ryoo, Seok Hoon Jeong, Gyoung Yim Ha, Gy Hyung Park, Nam Yong Lee, Woo Seok Kim, Wee Gyo Lee, Myungshin Kim, Kyung Soon Song, Jihyun Cho, Seok Il Hong, Young UhKi Sook Hong, In Ki Paik, Soo Hwan Pai, Hye Soo Lee, Sook Jin Jang, Ae Ja Park, Chang Hyun Rhim, Myung Hee Lee, Wonkeun Song, Yeon Joon Park, Jong Hee Shin, Seong Geun Hong, Young Kyu Sun, Hee Joo Lee

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Abstract

Antimicrobial resistance surveillance is necessary to determine the size of the problem and to guide empirical selection of antimicrobial agents for treating infected patients. The aim of this study was to analyze the results of susceptibility tests performed by hospitals participating in the Korean Nationwide Surveillance of Antimicrobial Resistance (KONSAR) program. The rates of oxacillin-resistant staphylococci, penicillin-non-susceptible pneumococci, and ampicillin-resistant E. faecium were over 70%. Ampicillin-resistant H. influenzae increased to 68%. Expanded-spectrum cephalosporin-resistant K. pneumoniae, fluoroquinolone-resistant E. coli, and imipenem-resistant P. aeruginosa remained at 16% through 27%, depending on the species. The proportions of vancomycin- resistant E. faecium and imipenem-resistant P. aeruginosa were 18 - 24% and 19-21%, respectively, indicating the seriousness of antimicrobial resistance. In conclusion, the increasing prevalence of resistant bacteria indicates that more concerted effort is required to conserve the usefulness of precious new antimicrobial agents.

Original languageEnglish
Pages (from-to)571-578
Number of pages8
JournalYonsei medical journal
Volume44
Issue number4
DOIs
Publication statusPublished - 2003 Aug 30

All Science Journal Classification (ASJC) codes

  • Medicine(all)

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    Lee, K., Kim, M. Y., Kang, S. H., Kang, J. O., Kim, E. C., Choi, T. Y., Chong, Y., Cho, H. C., Ryoo, N., Jeong, S. H., Ha, G. Y., Park, G. H., Lee, N. Y., Kim, W. S., Lee, W. G., Kim, M., Song, K. S., Cho, J., Hong, S. I., ... Lee, H. J. (2003). Korean Nationwide Surveillance of Antimicrobial Resistance in 2000 with special reference to vancomycin resistance in enterococci, and expanded-spectrum cephalosporin and imipenem resistance in gram-negative bacilli. Yonsei medical journal, 44(4), 571-578. https://doi.org/10.3349/ymj.2003.44.4.571