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81st Annual Meeting of the German Society of Oto-Rhino-Laryngology, Head and Neck Surgery

German Society of Oto-Rhino-Laryngology, Head and Neck Surgery

12.05. - 16.05.2010, Wiesbaden

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Temporal resistance development of selected bacteria in the years 2003/2004 and 2007/2008

Meeting Abstract

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  • corresponding author Marit Sladczyk - HNO-Klinik Halberstadt, Germany
  • Klaus Begall - HNO-Klinik Halberstadt, Germany

German Society of Oto-Rhino-Laryngology, Head and Neck Surgery. 81st Annual Meeting of the German Society of Oto-Rhino-Laryngology, Head and Neck Surgery. Wiesbaden, 12.-16.05.2010. Düsseldorf: German Medical Science GMS Publishing House; 2010. Doc10hno022

doi: 10.3205/10hno022, urn:nbn:de:0183-10hno0227

Published: July 6, 2010

© 2010 Sladczyk et al.
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Outline

Text

The increasing resistance to antibiotics is a worldwide observed phenomenon and requires measures to stop this process. The analysis of resistance data from the routine diagnostics shows the actual regional development.

649 specimen in 2003/2004 and 322 in 2007/2008 were studied at the department for ENT surgery in Halberstadt. All specimen of in-patients which were suspected of bacterial infection were included before the beginning of the antibiotic therapy. Following diseases were considered: otitis (312), sinusitis (196), tonsillitis or peritonsillar abscess (277), stomatitis (30), infected tracheostoma (59), skin and soft tissue infections (97).

The resistance of S.aureus, S.pyogenes, P.mirabilis, P.aeruginosa and E.faecalis were investigated in the years 2003/2004 and 2007/2008. The resistance of S.aureus to oxacillin increased from 1.4% to 5.5%, the resistance to penicillin showed an increase from 68% to 76% and for clindamycin from 3% to 11%. A decrease in the resistance of S.pyogenes could be observed. In contrast the resistance of E.faecalis to doxycyclin, gentamicin, ciprofloxacin and cotrimoxazol revealed a clear increase in resistance level. An unchanged resistance rate of P.mirabilis could be proved. The ciprofloxacin resistance of P.aeruginosa was 13% and 17% and the aminoglykosid resistance was unchanged high.

The study could prove a increase of the resistance of S.aureus and E.faecalis although the general level is quite low.