Multi-resistant Gram-negative bacilli:: from epidemics to endemics

被引：101
作者：
Cantón, R [1 ]
Coque, TM [1 ]
Baquero, F [1 ]
机构：
[1] Hosp Univ Ramon & Cajal, Microbiol Serv, Dept Microbiol, Madrid 28034, Spain
来源：
CURRENT OPINION IN INFECTIOUS DISEASES | 2003年 / 16卷 / 04期
关键词：
multi-drug resistant bacilli; nosocomial outbreaks; resistance genes; gene-capture units;
D O I：
10.1097/00001432-200308000-00003
中图分类号：
R51 [传染病];
学科分类号：
100401 ;
摘要：
The emergence and spread of multi-drug resistant bacilli in the nosocomial setting should be understood in terms of a complex interplay of bacterial clonality, resistance genes and genetic structures promoting rapid dissemination of antimicrobial resistance. Intervention strategies in the forthcoming scenario should identify existing epidemic and/or endemic situations involving clonal organisms or resistance genes carried by epidemic gene capture units.
引用
收藏
页码：315 / 325
页数：11
相关论文
共 70 条
  • [1] Impact of antibiotic changes in empirical therapy on antimicrobial resistance in intensive care unit-acquired infections
    Allegranzi, B
    Luzzati, R
    Luzzani, A
    Girardini, F
    Antozzi, L
    Raiteri, R
    Di Perri, G
    Concia, E
    [J]. JOURNAL OF HOSPITAL INFECTION, 2002, 52 (02) : 136 - 140
  • [2] Allodemics
    Baquero, F
    Coque, TM
    Cantón, R
    [J]. LANCET INFECTIOUS DISEASES, 2002, 2 (10) : 591 - 592
  • [3] Baughman Robert P, 2002, Curr Opin Crit Care, V8, P430, DOI 10.1097/00075198-200210000-00010
  • [4] Prevalence of extended spectrum β-lactamases among Enterobacteriaceae:: an Italian survey
    Bonfiglio, G
    Perilli, M
    Stefani, S
    Amicosante, G
    Nicoletti, G
    [J]. INTERNATIONAL JOURNAL OF ANTIMICROBIAL AGENTS, 2002, 19 (03) : 213 - 217
  • [5] Imipenem and expression of multidrug efflux pump in Enterobacter aerogenes
    Bornet, C
    Chollet, R
    Malléa, M
    Chevalier, J
    Davin-Regli, A
    Pagès, JM
    Bollet, C
    [J]. BIOCHEMICAL AND BIOPHYSICAL RESEARCH COMMUNICATIONS, 2003, 301 (04) : 985 - 990
  • [6] Identification and broad dissemination of the CTX-M-14 β-lactamase in different Escherichia coli strains in the northwest area of Spain
    Bou, G
    Cartelle, M
    Tomas, M
    Canle, D
    Molina, F
    Moure, R
    Eiros, JM
    Guerrero, A
    [J]. JOURNAL OF CLINICAL MICROBIOLOGY, 2002, 40 (11) : 4030 - 4036
  • [7] Bouza Emilio, 2002, Semin Respir Infect, V17, P215, DOI 10.1053/srin.2002.34693
  • [8] Epidemiology of extended-spectrum β-lactamase-producing Enterobacter isolates in a Spanish hospital during a 12-year period
    Cantón, R
    Oliver, A
    Coque, TM
    Varela, MD
    Pérez-Díaz, JC
    Baquero, F
    [J]. JOURNAL OF CLINICAL MICROBIOLOGY, 2002, 40 (04) : 1237 - 1243
  • [9] ColE1-Like plasmid pIP843 of Klebsiella pneumoniae encoding extended-spectrum β-lactamase CTX-M-17
    Cao, V
    Lambert, T
    Courvalin, P
    [J]. ANTIMICROBIAL AGENTS AND CHEMOTHERAPY, 2002, 46 (05) : 1212 - 1217
  • [10] Three cefotaximases, CTX-M-9, CTX-M-13, and CTX-M-14, among Enterobacteriaceae in the People's Republic of China
    Chanawong, A
    M'Zali, FH
    Heritage, J
    Xiong, JH
    Hawkey, PM
    [J]. ANTIMICROBIAL AGENTS AND CHEMOTHERAPY, 2002, 46 (03) : 630 - 637
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