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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
4
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pubmed:dateCreated |
1997-11-21
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pubmed:abstractText |
Over a period of three years, the frequency of the appearance of methicillin-resistant S. aureus strains (MRSA) was observed on a surgical intensive care unit. During this above-mentioned period of investigation it came to a heaped occurrence of nosocomial infections on this ICU with altogether 332 S. aureus-stems being isolated from different patient specimen. 204 (61.5%) of these were resistant against methicillin and could be divided into 48 first- and 156 follow-up-isolates. The thereupon accomplished differentiation of the 48 MRSA-first isolates by means of lysotyping and the pioneered GenePath Strain Typing System for a standardized pulsed-field-gel-electrophoresis (PFGE) gave the proof of 7 different MRSA-types. Around 7 different, in part parallel chains of infection on this ICU were observed, which could be led back to different strains. In reference to all analyzed S. aureus, an especially high rate (90%) of MRSA on this ICU could be isolated in taken wound-swabs, followed by 83.3% MRSA at catheter tips and 71,9% in tracheal and bronchial secretion. A consideration of the antibiotic susceptibility yielded, that also gentamicin and the quinolones showed an in-vitro resistance against MRSA, while fosfomycin, fusidic acid, chloramphenicol and trimethoprim/sulfamethoxazole reached positive responding rates between 80 and 100%. On the other hand, presently still 100% of the explored MRSA-strains are susceptible for glycopeptides such as vancomycin and teicoplanin. Because of intensive hospital hygienic measures the number of newly isolated MRSA could be reduced clearly on this ward.
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pubmed:language |
ger
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
Mar
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pubmed:issn |
0934-8859
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
198
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
355-80
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pubmed:dateRevised |
2006-11-15
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pubmed:meshHeading |
pubmed-meshheading:9376060-Anti-Bacterial Agents,
pubmed-meshheading:9376060-Bacteriological Techniques,
pubmed-meshheading:9376060-Cross Infection,
pubmed-meshheading:9376060-Electrophoresis, Gel, Pulsed-Field,
pubmed-meshheading:9376060-Humans,
pubmed-meshheading:9376060-Intensive Care Units,
pubmed-meshheading:9376060-Methicillin,
pubmed-meshheading:9376060-Methicillin Resistance,
pubmed-meshheading:9376060-Microbial Sensitivity Tests,
pubmed-meshheading:9376060-Penicillins,
pubmed-meshheading:9376060-Seasons,
pubmed-meshheading:9376060-Serotyping,
pubmed-meshheading:9376060-Staphylococcal Infections,
pubmed-meshheading:9376060-Staphylococcus aureus,
pubmed-meshheading:9376060-Surgical Procedures, Operative
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pubmed:year |
1996
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pubmed:articleTitle |
[Typing, resistance behavior and occurrence of methicillin-resistant Staphylococcus aureus strains in a surgical intensive care unit].
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pubmed:affiliation |
Institut für Medizinische Mikrobiologie und Virologie, Heinrich-Heine-Universität, Düsseldorf.
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pubmed:publicationType |
Journal Article,
Comparative Study,
English Abstract
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