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Chong, Lee, Park, Jeon, Lee, Kim, Chang, Kim, Lee, Kim, Kang, Cho, Paik, Lee, Jang, Park, Cha, Kang, Lee, Song, and Shin: Korean Nationwide Surveillance of Antimicrobial Resistance of bacteria in 1997
Original Article
Yonsei Medical Journal

Yonsei Medical Journal 1998; 39(6): 569-577.

Published online: 20 February 2002

DOI: https://doi.org/10.3349/ymj.1998.39.6.569

Korean Nationwide Surveillance of Antimicrobial Resistance of bacteria in 1997

Yunsop Chong1, Kyungwon Lee1, Yeon Joon Park2, Dong Seok Jeon3, Myung Hee Lee4, Moon Yeun Kim5, Chul Hun Chang6, Eui Chong Kim7, Nam Yong Lee8, Hyon Suk Kim9, Eun Suk Kang10, Hyun Chan Cho11, In Ki Paik12, Hye Soo Lee13, Sook Jin Jang14, Ae Ja Park15, Young Joo Cha16, Sung Ha Kang17, Myung Hee Lee18, Wonkeun Song19, Jong Hee Shin20

Korean Nationwide Surveillance of Antimicrobial Resistance Group, WHONET Korea, Seoul, Korea.

1Yonsei University College of Medicine, Seoul, Korea.

2Catholic University, College of Medicine, Seoul, Korea.

3College of Medicine, Keimyung University, Taegu, Korea.

4Kwangju Christian Hospital, Kwangju, Korea.

5College of Medicine, Dongguk University, Pohang, Korea.

6College of Medicine, Pusan National University, Pusan, Korea.

7Seoul National University College of Medicine, Seoul, Korea.

8College of Medicine, Sungkyunkwan University, Seoul, Korea.

9Yongdong Severance Hospital, Yonsei University College of Medicine, Seoul, Korea.

10Ewha Womans University, Seoul, Korea.

11Hallym University College of Medicine, Kangdong, Seoul, Korea.

12Sanggye Paik Hospital, Inje University College of Medicine, Seoul, Korea.

13College of Medicine, Chonbuk National University, Chonju, Korea.

14College of Medicine, Chosun University, Kwangju, Korea.

15College of Medicine, Chung-Ang University, Seoul, Korea.

16College of Medicine, Chung-Ang University, Yongsan, Seoul, Korea.

17Hallym University College of Medicine, Chunchon, Korea.

18Korea Veterans Hospital, Seoul, Korea.

19Hallym University College of Medicine, Kangnam, Seoul, Korea.

20Chunnam University Medical School, Kwangju, Korea.

whonetkor@yumc.yonsei.ac.kr

Copyright © 1998 The Yonsei University College of Medicine

Abstract

Antimicrobial-resistant bacteria are known to be prevalent in tertiary-care hospitals in Korea. Twenty hospitals participated to this surveillance to determine the nationwide prevalence of resistance bacteria in 1997. Seven per cent and 26% of Escherichia coli and Klebsiella pneumoniae were resistant to 3rd-generation cephalosporin. Increased resistance rates, 19% of Acinetobacter baumannii to ampicillin/sulbactam, and 17% of Pseudomonas aeruginoa to imipenem, were noted. The resistance rate to fluoroquinolone rose to 24% in E. coli, 56% in A. baumannii and 42% in P. aeruginosa. Mean resistance rates were similar in all hospital groups: about 17% of P. aeruginosa to imipenem, 50% of Haemophilus influenzae to ampicillin, 70% of Staphylococcus aureus to methicillin, and 70% of pneumococci to penicillin. In conclusion, nosocomial pathogens and problem resistant organisms are prevalent in smaller hospitals too, indicating nosocomial spread is a significant cause of the increasing prevalence of resistant bacteria in Korea.

Keywords: Antimicrobial resistance, resistance surveillance, resistance in Korea, ESBL, MRSA, VRE, PRP

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