Oporność na wysokie stężenia aminoglikozydów wśród szczepów Enterococcus faecalis i Enterococcus faecium wyosobnionych z materiału klinicznego
[High level of aminoglycoside resistance among Enterococcus faecalis and Enterococcus faecium strains]

Streszczenie

Przeprowadzono analizę lekowrażliwości szczepów Enterococcus sp. o fenotypie oporności na wysokie stężenia aminoglikozydów izolowanych z materiału klinicznego w latach 2007-2010. Wyosobniono 1124 szczepów w tym 597 - E. faecalis i 527 - E. faecium. Wśród izolowanych szczepów 430 (38,3%) posiadało fenotyp HLAR, 480 (42,7%) – HLGR, a 214 (19%) – HLSR.

Abstract

Enterococcus sp. strains are believed as important reason of serious nosocomial infections currently. These infections are cured by using combination of beta-lactams and aminoglycosides for their treatment. Enterococcus sp. resistant to high-level doses of aminoglycosides, beta-lactams and vancomycin are responsible for therapeutic failure. The aim of our study was to evaluate the incidence of isolation and susceptibility to antibiotics of HLAR Enterococcus sp. strains isolated between 2007
and 2010 from the patients of University Hospital No. 1 of dr A. Jurasz Collegium Medicum of L. Rydygier in Bydgoszcz Nicolaus Copernicus University in Toruń. Amongst 6137 Enterococcus sp. strains 1124 (18,3%) presented HLAR phenotype; 53,1% of them was identified as E. faecalis and 46,9% as E. faecium. The highest percentage of all examined strains was isolated from the patients of different surgery clinics, Intensive Care Units, and Pediatrics, Hematology and Oncology Clinic HLAR and HLSR phenotypes were noted in E. faecalis, for 45,7% and 27,5% strains, in E. faecium - 29,8% and 9,5%, respectively. HLGR phenotype was presented twice more often in E. faecium than E. faecalis. Highest percentages of E. faecium resistant to glycopeptides and rifampicin were observed when compared with E. faecalis. The highest percentages of strains intermediate, resistant to vancomycin and resistant to glycopeptides were noted for E. faecium strains with phenotypes HLAR, HLGR and HLSR.