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Macrolide and Clindamycin Resistance in Staphylococcus aureus Isolates and Antibiotic Use in a Veterans Affairs Medical Center

Published online by Cambridge University Press:  02 January 2015

Rohit Modak
Affiliation:
Infectious Diseases Section, Medical Service, Veterans Affairs Medical Center, Washington, DC
David Ross
Affiliation:
Infectious Diseases Section, Medical Service, Veterans Affairs Medical Center, Washington, DC
Virginia L. Kan*
Affiliation:
Infectious Diseases Section, Medical Service, Veterans Affairs Medical Center, Washington, DC
*
Infectious Diseases Section, VA Medical Center (151B), 50 Irving St. N.W., Washington, DC 20422 ([email protected])

Abstract

A retrospective analysis of 13,946 Staphylococcus aureus isolates revealed a stable incidence of isolates that were resistant to both clindamycin and erythromycin, but a significantly increasing incidence of isolates that were susceptible to clindamycin and resistant to erythromycin during 1991-1995, 1996-2000, and 2001-2005. The use of macrolides and clindamycin also increased during 1996-2005. The incidence of S. aureus isolates with inducible clindamycin resistance increased steadily and significantly during the period from August 2004 through December 2005.

Type
Concise Communications
Copyright
Copyright © The Society for Healthcare Epidemiology of America 2008

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References

1.Herold, BC, Immergluck, LC, Maranan, MC, et al.Community-acquired methicillin-resistant Staphylococcus aureus in children with no identified predisposing risk. JAMA 1998;279:593598.CrossRefGoogle ScholarPubMed
2.Marcinak, JF, Frank, JL. Treatment of community-acquired methicillin-resistant Staphylococcus aureus in children. Curr Opin Infect Dis 2003;16:265269.CrossRefGoogle ScholarPubMed
3.McGehee, RF, Barrett, FF, Finland, F. Resistance of Staphylococcus aureus to lincomycin, clindamycin, and erythromycin. Antimicrob Agents Chemother (Bethesda) 1968;13:392397.Google Scholar
4.Fiebelkorn, KR, Crawford, SA, McElmeel, ML, Jorgensen, JH. Practical disk diffusion method for detection of inducible clindamycin resistance in Staphylococcus aureus and coagulase-negative staphylococci. J Clin Microbiol 2003;41:47404744.CrossRefGoogle ScholarPubMed
5.Patel, M, Waites, KB, Moser, SA, Cloud, GA, Hoesley, CJ. Prevalence of inducible clindamycin resistance among community- and hospital-associated Staphylococcus aureus isolates. J Clin Microbiol 2006;44:24812484.CrossRefGoogle ScholarPubMed
6.Shlaes, DM, Gerding, DN, John, JF, et al.Society for Healthcare Epidemiology of American and Infectious Diseases Society of America Joint Committee on the Prevention of Antimicrobial Resistance: guidelines for the prevention and treatment of antimicrobial resistance in hospitals. Clin Infect Dis 1997;25:584599.CrossRefGoogle Scholar
7.Hindler, J. Appendix (to routine disk diffusion test) clindamycin disk induction test for Staphylococcus spp. In: National Committee for Clinical Laboratory Standards (NCCLS). Performance Standards for Antimicrobial Susceptibility Testing: 14th Informational Supplement. Wayne, PA: NCCLS; 2004: M100-S14.Google Scholar
8.Azap, OK, Arslan, H, Timurkaynak, F, Yapar, G, Oruc, E, Gagir, U. Incidence of inducible clindamycin resistance in staphylococci: first results from Turkey. Clin Microbiol Infect 2005;11:582584.CrossRefGoogle ScholarPubMed
9.Van Horn, KG, Toth, C. Inducible clindamycin resistance in staphylococci in a tertiary care institution. In: Program and abstracts of the 103rd General Meeting of the American Society for Microbiology (Washington, DC). 2003:75. Abstract C-074.Google Scholar
10.Schreckenberger, PC, Ilendo, E, Ristow, KL. Incidence of constitutive and inducible clindamycin resistance in Staphylococcus aureus and coagulase-negative staphylococci in a community and tertiary care hospital. J Clin Microbiol 2004;42:27772779.CrossRefGoogle Scholar