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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
4
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pubmed:dateCreated |
1990-9-17
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pubmed:abstractText |
Antibiotic resistance is an ever-increasing problem in enterococci. These bacteria are remarkable in their ability to acquire and disseminate antibiotic resistance genes by a variety of routes. Since first described in 1979, high-level resistance to gentamicin (MIC, greater than 2,000 micrograms/mL) has spread worldwide and has been responsible for serious infections. Resistance is plasmid-mediated and due to aminoglycoside-modifying enzymes. High-level gentamicin resistance indicates that there will be no synergistic bactericidal activity with penicillin-gentamicin combinations. The epidemiology of nosocomial enterococcal infections is remarkably similar to that of nosocomial infections caused by methicillin-resistant staphylococci and by multidrug-resistant gram-negative bacilli. The most likely way these resistant bacteria are spread among hospital patients is via transient carriage on the hands of hospital personnel. Patient-to-patient and interhospital transmission of strains has been reported recently. However, clonal dissemination is not the cause of the increased frequency of resistant strains, since gentamicin resistance appears in a variety of different conjugative and nonconjugative plasmids in Enterococcus.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:issn |
0162-0886
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
12
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
644-52
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pubmed:dateRevised |
2006-11-15
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pubmed:meshHeading |
pubmed-meshheading:2117300-Cross Infection,
pubmed-meshheading:2117300-Drug Resistance, Microbial,
pubmed-meshheading:2117300-Enterococcus faecalis,
pubmed-meshheading:2117300-Gentamicins,
pubmed-meshheading:2117300-Humans,
pubmed-meshheading:2117300-Streptococcal Infections,
pubmed-meshheading:2117300-Streptococcus
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pubmed:articleTitle |
High-level gentamicin resistance in Enterococcus: microbiology, genetic basis, and epidemiology.
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pubmed:affiliation |
Department of Medicine and Laboratory Medicine, Yale University School of Medicine, New Haven, Connecticut.
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pubmed:publicationType |
Journal Article,
Review,
Research Support, Non-U.S. Gov't
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