Yonsei Med J.  1998 Dec;39(6):569-577. 10.3349/ymj.1998.39.6.569.

Korean Nationwide Surveillance of Antimicrobial Resistance of bacteria in 1997

Affiliations
  • 1Korean Nationwide Surveillance of Antimicrobial Resistance Group, WHONET Korea, Seoul, Korea. whonetkor@yumc.yonsei.ac.kr
  • 2Yonsei University College of Medicine, Seoul, Korea.
  • 3Catholic University, College of Medicine, Seoul, Korea.
  • 4College of Medicine, Keimyung University, Taegu, Korea.
  • 5Kwangju Christian Hospital, Kwangju, Korea.
  • 6College of Medicine, Dongguk University, Pohang, Korea.
  • 7College of Medicine, Pusan National University, Pusan, Korea.
  • 8Seoul National University College of Medicine, Seoul, Korea.
  • 9College of Medicine, Sungkyunkwan University, Seoul, Korea.
  • 10Yongdong Severance Hospital, Yonsei University College of Medicine, Seoul, Korea.
  • 11Ewha Womans University, Seoul, Korea.
  • 12Hallym University College of Medicine, Kangdong, Seoul, Korea.
  • 13Sanggye Paik Hospital, Inje University College of Medicine, Seoul, Korea.
  • 14College of Medicine, Chonbuk National University, Chonju, Korea.
  • 15College of Medicine, Chosun University, Kwangju, Korea.
  • 16College of Medicine, Chung-Ang University, Seoul, Korea.
  • 17College of Medicine, Chung-Ang University, Yongsan, Seoul, Korea.
  • 18Hallym University College of Medicine, Chunchon, Korea.
  • 19Korea Veterans Hospital, Seoul, Korea.
  • 20Hallym University College of Medicine, Kangnam, Seoul, Korea.
  • 21Chunnam University Medical School, Kwangju, Korea.

Abstract

Antimicrobial-resistant bacteria are known to be prevalent in tertiary-care hospitals in Korea. Twenty hospitals participated to this surveillance to determine the nationwide prevalence of resistance bacteria in 1997. Seven per cent and 26% of Escherichia coli and Klebsiella pneumoniae were resistant to 3rd-generation cephalosporin. Increased resistance rates, 19% of Acinetobacter baumannii to ampicillin/sulbactam, and 17% of Pseudomonas aeruginoa to imipenem, were noted. The resistance rate to fluoroquinolone rose to 24% in E. coli, 56% in A. baumannii and 42% in P. aeruginosa. Mean resistance rates were similar in all hospital groups: about 17% of P. aeruginosa to imipenem, 50% of Haemophilus influenzae to ampicillin, 70% of Staphylococcus aureus to methicillin, and 70% of pneumococci to penicillin. In conclusion, nosocomial pathogens and problem resistant organisms are prevalent in smaller hospitals too, indicating nosocomial spread is a significant cause of the increasing prevalence of resistant bacteria in Korea.

Keyword

Antimicrobial resistance; resistance surveillance; resistance in Korea; ESBL; MRSA; VRE; PRP

MeSH Terms

Bacterial Physiology*
Drug Resistance, Microbial*
Hospitals
Human
Korea
Microbial Sensitivity Tests
Prevalence

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