International comparison of prevalence of resistance to antibiotics

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Abstract
Prevalence of bacterial resistance to antibiotics was substantially different in 2 separate regions of the world. The average percent resistant to individual antibiotics was nearly 3 times greater and the percent of isolates resistant to 6 or more antibiotics 14 times greater among isolates at the Hopital St Joseph in Paris [France] than among those at the Peter Bent Brigham Hospital in Boston or at any of 6 USA hospitals. Differences were not due to culture sampling or susceptibility testing methods used in the hospitals. Differences were nearly as great between isolates from patients recently admitted to the 2 hospitals, suggesting differences in the bacterial flora of their communities. Similar systematic comparisons of resistance prevalence in different parts of the world might help to define optimal antibiotic usage practices.

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