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Antimicrobial resistance of major clinical pathogens in South Korea, May 2016 to April 2017: first one-year report from Kor-GLASS.

Authors
 Hyukmin Lee  ;  Eun-Jeong Yoon  ;  Dokyun Kim  ;  Seok Hoon Jeong  ;  Eun Jeong Won  ;  Jong Hee Shin  ;  Si Hyun Kim  ;  Jeong Hwan Shin  ;  Kyeong Seob Shin  ;  Young Ah Kim  ;  Young Uh  ;  Ji Woo Yang  ;  Il Hwan Kim  ;  Chan Park  ;  Kwang Jun Lee 
Citation
 Euro Surveillance, Vol.23(42) : 17-27, 2018 
Journal Title
 Euro Surveillance 
ISSN
 1025-496X 
Issue Date
2018
Keywords
Global Antimicrobial Resistance Surveillance System ; antimicrobial resistance ; bloodstream infection ; gastroenteritis ; multi-drug resistance ; urinary tract infection
Abstract
The Korean government established an antimicrobial resistance (AMR) surveillance system, compatible with the Global AMR Surveillance System (GLASS): Kor-GLASS. We describe results from the first year of operation of the Kor-GLASS from May 2016 to April 2017, comprising all non-duplicated clinical isolates of major pathogens from blood, urine, faeces and urethral and cervical swabs from six sentinel hospitals. Antimicrobial susceptibility tests were carried out by disk diffusion, Etest, broth microdilution and agar dilution methods. Among 67,803 blood cultures, 3,523 target pathogens were recovered. The predominant bacterial species were Escherichia coli (n = 1,536), Klebsiella pneumoniae (n = 597) and Staphylococcus aureus (n = 584). From 57,477 urine cultures, 6,394 E. coli and 1,097 K. pneumoniae were recovered. Bloodstream infections in inpatients per 10,000 patient-days (10TPD) were highest for cefotaxime-resistant E. coli with 2.1, followed by 1.6 for meticillin-resistant Sta. aureus, 1.1 for imipenem-resistant Acinetobacter baumannii, 0.8 for cefotaxime-resistant K. pneumoniae and 0.4 for vancomycin-resistant Enterococcus faecium. Urinary tract infections in inpatients were 7.7 and 2.1 per 10TPD for cefotaxime-resistant E. coli and K. pneumoniae, respectively. Kor-GLASS generated well-curated surveillance data devoid of collection bias or isolate duplication. A bacterial bank and a database for the collections are under development.
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DOI
10.2807/1560-7917.ES.2018.23.42.1800047
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Laboratory Medicine (진단검사의학교실) > 1. Journal Papers
Yonsei Authors
김도균(Kim, Dokyun) ORCID logo https://orcid.org/0000-0002-0348-5440
이혁민(Lee, Hyuk Min) ORCID logo https://orcid.org/0000-0002-8523-4126
정석훈(Jeong, Seok Hoon) ORCID logo https://orcid.org/0000-0001-9290-897X
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URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/165531
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