PMID- 28378152 OWN - NLM STAT- MEDLINE DCOM- 20180315 LR - 20181113 IS - 2193-6226 (Electronic) IS - 2193-6218 (Linking) VI - 112 IP - 3 DP - 2017 Apr TI - [Development of antimicrobial resistance in Germany : What is the current situation?]. PG - 186-191 LID - 10.1007/s00063-017-0272-2 [doi] AB - BACKGROUND: The frequency of multidrug-resistant organisms (MDRO) is increasing in Germany and worldwide. OBJECTIVES: Presentation of MDRO resistance rates and prevalence in Germany MATERIALS AND METHODS: Results from the Antibiotic Resistance Surveillance (ARS) and Hospital Infection Surveillance Systems (Krankenhausinfektions-Surveillance-Systems, KISS) and from recent prevalence surveys are presented. RESULTS: MRSA-resistance rates and the prevalence of methicillin-resistant Staphylococcus aureus (MRSA) have remained at a stable level over the last few years. In contrast, vancomycin-resistant enterococci (VRE) and multidrug-resistant gramnegative (MRGN) bacteria have increased considerably. VRE prevalence has more than tripled in the past 5 years, and Escherichia coli resistant to third-generation cephalosporins, acylureidopenicillins, and fluoroquinolones increased by 43% in 2015 compared with the previous year. CONCLUSIONS: New policies to control MDRO should focus on VRE and the heterogeneous group of MRGN bacteria. In the case of the latter, the different bacterial species' characteristics should be taken into consideration. FAU - Maechler, F AU - Maechler F AD - Institut fur Hygiene und Umweltmedizin, Nationales Referenzzentrum fur die Surveillance von Nosokomialen Infektionen, Charite Universitatsmedizin Berlin, Hindenburgdamm 27, 12203, Berlin, Deutschland. friederike.maechler@charite.de. FAU - Geffers, C AU - Geffers C AD - Institut fur Hygiene und Umweltmedizin, Nationales Referenzzentrum fur die Surveillance von Nosokomialen Infektionen, Charite Universitatsmedizin Berlin, Hindenburgdamm 27, 12203, Berlin, Deutschland. FAU - Schwab, F AU - Schwab F AD - Institut fur Hygiene und Umweltmedizin, Nationales Referenzzentrum fur die Surveillance von Nosokomialen Infektionen, Charite Universitatsmedizin Berlin, Hindenburgdamm 27, 12203, Berlin, Deutschland. FAU - Pena Diaz, L-A AU - Pena Diaz LA AD - Institut fur Hygiene und Umweltmedizin, Nationales Referenzzentrum fur die Surveillance von Nosokomialen Infektionen, Charite Universitatsmedizin Berlin, Hindenburgdamm 27, 12203, Berlin, Deutschland. FAU - Behnke, M AU - Behnke M AD - Institut fur Hygiene und Umweltmedizin, Nationales Referenzzentrum fur die Surveillance von Nosokomialen Infektionen, Charite Universitatsmedizin Berlin, Hindenburgdamm 27, 12203, Berlin, Deutschland. FAU - Gastmeier, P AU - Gastmeier P AD - Institut fur Hygiene und Umweltmedizin, Nationales Referenzzentrum fur die Surveillance von Nosokomialen Infektionen, Charite Universitatsmedizin Berlin, Hindenburgdamm 27, 12203, Berlin, Deutschland. LA - ger PT - Journal Article PT - Review TT - Entwicklung der Resistenzsituation in Deutschland : Wo stehen wir wirklich? DEP - 20170404 PL - Germany TA - Med Klin Intensivmed Notfmed JT - Medizinische Klinik, Intensivmedizin und Notfallmedizin JID - 101575086 RN - 0 (Anti-Bacterial Agents) SB - IM MH - Anti-Bacterial Agents/adverse effects/*therapeutic use MH - Bacterial Infections/*drug therapy/epidemiology MH - Cross Infection/*drug therapy/epidemiology MH - *Drug Resistance, Multiple, Bacterial MH - Escherichia coli Infections/drug therapy/epidemiology MH - Germany MH - Gram-Negative Bacterial Infections/drug therapy/epidemiology/microbiology MH - Humans MH - Intensive Care Units/statistics & numerical data MH - Methicillin-Resistant Staphylococcus aureus MH - Population Surveillance MH - Staphylococcal Infections/drug therapy MH - Vancomycin-Resistant Enterococci OTO - NOTNLM OT - Infectious diseases OT - MRSA OT - Staphylococcus aureus OT - Surveillance OT - VRE EDAT- 2017/04/06 06:00 MHDA- 2018/03/16 06:00 CRDT- 2017/04/06 06:00 PHST- 2017/01/04 00:00 [received] PHST- 2017/02/13 00:00 [accepted] PHST- 2017/04/06 06:00 [pubmed] PHST- 2018/03/16 06:00 [medline] PHST- 2017/04/06 06:00 [entrez] AID - 10.1007/s00063-017-0272-2 [pii] AID - 10.1007/s00063-017-0272-2 [doi] PST - ppublish SO - Med Klin Intensivmed Notfmed. 2017 Apr;112(3):186-191. doi: 10.1007/s00063-017-0272-2. Epub 2017 Apr 4.