ABSTRACT
(And with EARSS participants) The latest EARSS results (1990-2000) suggest that the rates of methicillin resistant S. aureus and Penicillin Non Susceptible S. pneumoniae are higher in southern European countries than in the North. Young children, followed by elderly people are the most at risk for an infection by PNSP. The risk to be infected by methicillin resistant S. aureus increases with age, patients hospitalised in intensive care units being more exposed to that risk.
Subject(s)
Staphylococcus aureus/drug effects , Streptococcus pneumoniae/drug effects , Drug Resistance, Microbial , Europe/epidemiology , Humans , Methicillin ResistanceABSTRACT
With travel and trade within the European Union (EU) increasing over the years, the risk of dissemination of (resistant) pathogens grows. Many studies have shown that there is a growing problem with antimicrobial resistance. For example, methicillin resistant Staphylococcus aureus (MRSA) was initially largely a problem of hospitals, but it is now increasingly reported as a community acquired infection. Certain strains have been shown to spread between European countries. Antimicrobial resistance may result in prolonged hospital stay, higher costs, and higher morbidity or even mortality.
Subject(s)
Drug Resistance, Microbial , Europe/epidemiologySubject(s)
Drug Resistance, Microbial , Population Surveillance , Staphylococcus aureus/physiology , Streptococcus pneumoniae/physiology , Europe/epidemiology , Guideline Adherence , Humans , Methicillin Resistance , Microbial Sensitivity Tests , Multicenter Studies as Topic , Penicillin Resistance , Pilot Projects , Pneumococcal Infections/epidemiology , Pneumococcal Infections/microbiology , Population Surveillance/methods , Quality Control , Staphylococcal Infections/epidemiology , Staphylococcal Infections/microbiology , Staphylococcus aureus/genetics , Streptococcus pneumoniae/genetics , Surveys and QuestionnairesABSTRACT
Over 400 laboratories participate in EARSS (European Antimicrobial Resistance Surveillance System) and send data to the National Institute of Public Health and the Environment (RIVM) in The Netherlands. Data on about 14 000 isolates of Staphylococcus aure
ABSTRACT
Effective European surveillance must have the agreement and active involvement of all participants, concluded a European Union (EU) conference on the need for surveillance of resistant microorganisms (the microbial threat), held in September 1998 in De
ABSTRACT
OBJECTIVE: To analyse the correlation of specific risk factors and measles complications in children admitted to a Philippine university medical centre. DESIGN: Retrospective cross-sectional study. SETTING: Department of Pediatrics, De La Salle University Medical Center at Dasmarinas, a suburb of Manila, the Philippines. METHOD: Information was collected on patients under 16 admitted for measles from January 1993 to May 1996, using a data collection form. RESULTS: Of the 180 patients included in this study, 8 (4%) died during the hospital stay, and 172 left the hospital in good condition. 61 Patients (34%) had complicated measles (pneumonia, gastroenteritis, and (or) encephalitis). Age under 2 years and stay in the service ward (as opposed to the private ward) were significantly related to complicated measles. No significant relation was found for the presence of associated illnesses or malnutrition. CONCLUSION: More severe complications were seen at an early age than in industrialised countries where the frequency appears to increase with age. Malnutrition possibly contributes less to severity of the disease than environmental factors such as hygiene and social class.
