failure to control an outbreak of qnra1-positive multidrug-resistant enterobacter cloacae infection despite adequate implementation of recommended infection control measures. | a large outbreak with an aminoglycoside-resistant enterobacter cloacae (arec) clone occurred at the university medical center utrecht beginning in 2001 and continued up through the time that this study was completed. this clone (genotype i) contains a conjugative r plasmid carrying the qnra1, bla(ctx-m-9), and aadb genes, encoding resistance to quinolones, extended-spectrum beta-lactamases, and aminoglycosides, respectively. the aim of this study was to determine whether this clone was more tran ... | 2007 | 17314218 |