Resistenzepidemiologie 2015

Transkript

1 Resistenzepidemiologie 215 Arne C. Rodloff

2 Erreger Chirurgie Escherichia coli 386 Staphylococcus aureus 39 Enterococcus faecalis 31 Staphylococcus epidermidis 227 Proteus mirabilis 134 Pseudomonas aeruginosa Klebsiella pneumoniae 114 Candida albicans 93 Enterobacter cloacae 84 Enterococcus faecium 74 Escherichia coli (ESBL) 74 Clostridium difficile 63 Bacteroides fragilis 48 Staphylococcus aureus ***MRSA*** 43 Proteus vulgaris 42 Pseudomonas aeruginosa (MBL) 36 Klebsiella pneumoniae (ESBL) 33 Candida glabrata Klebsiella oxytoca 28 Serratia marcescens 27 Morganella morganii 24 Streptococcus anginosus 23 Enterococcus faecium (VRE2) 22 Staphylococcus hominis 22 Streptococcus agalactiae 22 Staphylococcus haemolyticus 21 Staphylococcus capitis 18 Streptococcus pyogenes 18 Acinetobacter baumannii 17 Finegoldia magna 16 Stenotrophomonas maltophilia 16 Citrobacter freundii 15 Enterobacter aerogenes 13 Streptococcus dysgalactiae ssp. equisimilis 13 Corynebacterium striatum 12 Propionibacterium acnes 12 Streptococcus intermedius 12 Candida tropicalis 11 Peptoniphilus asaccharolyticus 11 Bacillus cereus 1 Streptococcus mitis-gruppe 1 Candida parapsilosis 9 Staphylococcus lugdunensis 9 Streptococcus constellatus 9 Anaerococcus prevotii 8 Citrobacter koseri 8 Enterobacter cloacae (ESBL) 8 Enterococcus avium 8 Bacteroides thetaiotaomicron 7 Haemophilus parainfluenzae 7 koagulase-negative Staphylokokken 7

3 ,15, Escherichia coli AMP ASU PIP PIT AZT CFB CXM CTX CAZ CTA IMP MER ERT COL AMK GEN TOB FOS SXT CIP LEV MOX DOX n S I R

4 ,15,31,62,125, Klebsiella pneumoniae AMP ASU PIP PIT AZT CFB CXM CTX CAZ CTA IMP MER ERT COL AMK GEN TOB FOS SXT CIP LEV MOX DOX n S I R

5 ,15,31,62,125, Enterobacter cloacae AMP ASU PIP PIT AZT CFB CXM CTX CAZ CTA IMP MER ERT COL AMK GEN TOB FOS SXT CIP LEV MOX DOX n S I R

6 ,15,31,62,125, Proteus mirabilis AMP ASU PIP PIT AZT CFB CXM CTX CAZ CTA IMP MER ERT COL AMK GEN TOB FOS SXT CIP LEV MOX DOX n S I R

7 ,15,31,62,125, Pseudomonas aeruginosa AMP ASU PIP PIT AZT CFB CXM CTX CAZ CTA IMP MER ERT COL AMK GEN TOB FOS SXT CIP LEV MOX DOX n S I R

8 Enterococcus faecalis ASU PIT IMP SXT CIP LEV DAP LIN VAN TPL n S ? 99 I 1 84? R ? 1 % 5,15625,3125,625,125,5 12 Teicoplanin Vancomycin Linezolid Clindamycin Roxythromycin Daptomycin Rifampicin Doxycyclin Moxifloxacin Levofloxacin Ciprofloxacin Cotrimoxazol Fosfomycin Gentamicin Amikacin Meropenem Imipenem Ceftarolin Cefotaxim Cefuroxim Piperacillin/ Tazobactam Ampicillin/ Sulbactam Oxacillin Penicillin G mg/l

9 16 Enterococcus faecium ASU PIT IMP SXT CIP LEV DAP LIN VAN TPL n S ? I ? R ? %,15625,3125,625,125, Vancomycin Teicoplanin Linezolid Clindamycin Roxythromycin Daptomycin Rifampicin Doxycyclin Moxifloxacin Levofloxacin Ciprofloxacin Cotrimoxazol Fosfomycin Gentamicin Amikacin Meropenem Imipenem Ceftarolin Cefotaxim Cefuroxim Piperacillin/ Tazobactam Ampicillin/ Sulbactam Oxacillin Penicillin G mg/l

10 16 Staphylococcus aureus PEN OXA ASU PIT CXM CTX CTA IMP MER AMK GEN FOS SXT CIP LEV MOX DOX RIF DAP ROX CLI LIN VAN TPL n S I R %,15625,3125,625,125, Teicoplanin Vancomycin Linezolid Clindamycin Roxythromycin Daptomycin Rifampicin Doxycyclin Moxifloxacin Levofloxacin Ciprofloxacin Cotrimoxazol Fosfomycin Gentamicin Amikacin Meropenem Imipenem Ceftarolin Cefotaxim Cefuroxim Piperacillin/ Tazobactam Ampicillin/ Sulbactam Oxacillin Penicillin G mg/l

11 16 Staphylococcus epidermidis PEN OXA ASU PIT CXM CTX CTA IMP MER AMK GEN FOS SXT CIP LEV MOX DOX RIF DAP ROX CLI LIN VAN TPL n S I R %,15625,3125,625,125, Teicoplanin Vancomycin Linezolid Clindamycin Roxythromycin Daptomycin Rifampicin Doxycyclin Moxifloxacin Levofloxacin Ciprofloxacin Cotrimoxazol Fosfomycin Gentamicin Amikacin Meropenem Imipenem Ceftarolin Cefotaxim Cefuroxim Piperacillin/ Tazobactam Ampicillin/ Sulbactam Oxacillin Penicillin G mg/l