Table 3. MRSA cases by spa-type and region: Dutch region (Gelderland, Brabant and Limburg) and German region (North Rhine-Westphalia).
Country region and type of physicians | MRSA spa type | Sex/age | Farmer/ Health care worker | Contact with living animals | Lives on/near farm | Hospitalization in the last six months | Health reason for which antibiotics were prescribed (previous three months) | Antibiotic group 2 | Antibiotic specification |
---|---|---|---|---|---|---|---|---|---|
Dutch region: GP 1 outpatients (n = 4) | t011 | M/80 | No | No | Yes | Yes | Respiratory tract infection | Broad-spectrum penicillin | Amoxicillin/Clavulanic acid |
t011 | F/40 | Farmer | No | Yes | No | Skin and soft tissue infection | Broad-spectrum penicillin | Amoxicillin/Clavulanic acid | |
t011 | F/69 | Farmer | Cattle | Yes | No | Respiratory tract infection | Small-spectrum penicillin | Amoxicillin | |
t011 | F/69 | Farmer | Cattle | Yes | No | Respiratory tract infection | Broad-spectrum penicillin | Amoxicillin/Clavulanic acid | |
German Region: GP outpatients (n = 3) | t034 | F/29 | HCW | No | Yes | No | Sinusitis/Pharyngitis/Laryngitis | Small-spectrum penicillin | Amoxicillin |
t034 | M/40 | Farmer/HCW | Pigs | Yes | No | Sinusitis/Pharyngitis/Laryngitis | Small-spectrum penicillin | Amoxicillin | |
t011 | F/75 | Farmer | Pigs | Yes | No | Respiratory tract infection | Small-spectrum penicillin | Amoxicillin | |
German Region: Urologist outpatients (n = 4) | t032 | F/73 | No | No | No | Yes | Urinary tract infection | Fluoroquinolones | Nitrofurantoin |
t10231 | F/43 | HCW | No | No | Yes | Urinary tract infection | Cepahlosporin | Ceftibuten | |
t003 | M/69 | No | No | No | Yes | Urinary tract infection | Cepahlosporin | Cefuroxime | |
t068 | F/66 | No | No | Yes | No | Urinary tract infection | TMP/SMZ | Cotrimoxazole |
1 GP: General Practitioner
2 Based on the first-reported antibiotic (93% of patients reported only one antibiotic in the previous 3 months): Broad-spectrum penicillin (amoxicillin/clavulanic acid); Small-spectrum penicillin (benzylpenicillin, amoxicillin, feneticillin, flucloxacillin); Cephalosporines (cefuroxime, cefpodoxime, ceftibuten, cefixime); TMP (trimethoprim) / SMZ (sulfamethoxazole)