| spread of multidrug-resistant proteus mirabilis isolates producing an ampc-type beta-lactamase: epidemiology and clinical management. | a remarkable increase in proteus mirabilis strains producing acquired ampc-type beta-lactamases (cbls) has been observed at ospedale di circolo e fondazione macchi (varese, italy) over the last few years. the epidemiology and treatment outcome of infections associated with this unprecedented spread are reported. from 2004-2006, 2070 p. mirabilis isolates were investigated. extended-spectrum beta-lactamases (esbls) and cbl resistance determinants were identified by gene amplification and direct s ... | 2009 | 19095415 |