par De Gheldre, Yves 
Référence Reanimation Urgences, 9, SUPPL. 1, page (5s-8s)
Publication Publié, 2000
Référence Reanimation Urgences, 9, SUPPL. 1, page (5s-8s)
Publication Publié, 2000
Article révisé par les pairs
| Résumé : | In Europe, among the Gram-positive cocci, the prevalence in the hospitals of methicillin-resistant Staphylococcus aureus (MRSA) and methicillin-resistant Staphylococcus epidermidis (MRSE), and in the community, the prevalence of pneumococci with reduced sensitivity to penicillin (PRSP) are high. Although epidemics due to glycopeptide-resistant enterococci (GRE) occur only sporadically in Europe, there is already a need for increased surveillance so that outbreaks such as those reported in hospitals in the United States do not arise. In Belgium, these bacteria still remain susceptible to ampicillin. A number of studies have demonstrated a North-South gradient for antibiotic resistance: the slope is higher in the countries of Southern Europe. However, this difference is not observed for coagulase-negative staphylococci (CNS), and the methicillin-resistance rate is also high in Northern European countries. An analysis of the differences and a comparison of the resistance rates between the various countries should take into account the severity status in the patient population studied, the duration of hospitalization, the antibiotic management policy, and the current isolation measures. (C) 2000 Editions scientifiques et medicales Elsevier SAS. |
