Invasive Pneumococcal Disease in New Zealand, 2010

Invasive Pneumococcal Disease in New Zealand, 2010 Invasive Pneumococcal Disease in New Zealand, 2010

12.07.2015 Views

Trends in resistance to the non-β-lactam antibiotics for the last 10 years are shown inAppendix 12. All isolates remain susceptible to vancomycin. Moxifloxacin susceptibilityhas been tested since 2005, with no resistance identified and a maximum of one isolate perannum with intermediate resistance. Chloramphenicol resistance is uncommon and hasvaried between 1.2 and 3.4% over the last 10 years.Penicillin and cefotaxime resistance in each region and DHB is shown in Appendix 13.There were no significant differences in resistance between the four regions.Penicillin and cefotaxime resistance among isolates from the different age groups is shown inTable 11. There were no significant differences in resistance between the age groups.Table 11. Penicillin and cefotaxime resistance among isolates frominvasive pneumococcal disease cases by patient age, 2010Age group(years)Penicillinresistant 2MIC 0.12 mg/LNumber (% 1 ) isolatesintermediate 2MIC 1 mg/LCefotaximeresistant 2MIC 2 mg/L

Percent of penicillin-resistant isolates454035302520151050Figure 5. Serotype distribution among penicillin-resistant (meningitisinterpretation) pneumococci from invasive disease, 2001-20106B 9V 14 19F 23F 19A OtherSerotypeThe series of bars for each serotype represent the individual years 2001 to 2010 from left to right.Invasive pneumococcal disease 21 September 2011in NZ, 2010

Trends <strong>in</strong> resistance to the non-β-lactam antibiotics for the last 10 years are shown <strong>in</strong>Appendix 12. All isolates rema<strong>in</strong> susceptible to vancomyc<strong>in</strong>. Moxifloxac<strong>in</strong> susceptibilityhas been tested s<strong>in</strong>ce 2005, with no resistance identified and a maximum of one isolate perannum with <strong>in</strong>termediate resistance. Chloramphenicol resistance is uncommon and hasvaried between 1.2 and 3.4% over the last 10 years.Penicill<strong>in</strong> and cefotaxime resistance <strong>in</strong> each region and DHB is shown <strong>in</strong> Appendix 13.There were no significant differences <strong>in</strong> resistance between the four regions.Penicill<strong>in</strong> and cefotaxime resistance among isolates from the different age groups is shown <strong>in</strong>Table 11. There were no significant differences <strong>in</strong> resistance between the age groups.Table 11. Penicill<strong>in</strong> and cefotaxime resistance among isolates from<strong>in</strong>vasive pneumococcal disease cases by patient age, <strong>2010</strong>Age group(years)Penicill<strong>in</strong>resistant 2MIC 0.12 mg/LNumber (% 1 ) isolates<strong>in</strong>termediate 2MIC 1 mg/LCefotaximeresistant 2MIC 2 mg/L

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