Bowel colonization with resistant gram-negative bacilli after
Jul 1, 2005 - Eur J Clin Microbiol Infect Dis (2005) 24: 443â449. DOI 10.1007/s10096-005-1356-0. ARTICLE. M. J. DiNubile · I. Friedland · C. Y. Chan ·.
M. J. DiNubile · I. Friedland · C. Y. Chan · M. R. Motyl · H. Giezek · M. Shivaprakash · R. A. Weinstein · J. P. Quinn
Bowel colonization with resistant gram-negative bacilli after antimicrobial therapy of intra-abdominal infections: observations from two randomized comparative clinical trials of ertapenem therapy Published online: 1 July 2005 C Springer-Verlag 2005
Abstract The selection of resistant gram-negative bacilli by broad-spectrum antibiotic use is a major issue in infection control. The aim of this comparative study was to assess the impact of different antimicrobial regimens commonly used to treat intra-abdominal infections on the susceptibility patterns of gram-negative bowel flora after completion of therapy. In two international randomized open-label trials with laboratory blinding, adults with complicated intra-abdominal infection requiring surgery received piperacillin-tazobactam (OASIS I) or ceftriaxone/metronidazole (OASIS II) versus ertapenem for 4–14 days. Rectal swabs were obtained at baseline, end of therapy, and 2 weeks post-therapy. Escherichia coli and Klebsiella spp. were tested for production of extended-spectrum β-lactamase (ESBL). Enterobacteriaceae resistant to the agent used were recovered from 19 of 156 (12.2%) piperacillin-tazobactam recipients at the end of therapy compared to 1 (0.6%) patient at baseline (p
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