Publications

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evaluation of regional antibiograms to monitor antimicrobial resistance in hampton roads, virginia.we studied recent antibiograms (2010 to 2011) from 12 hospitals in the hampton roads area, virginia, that refer patients to a tertiary-care facility affiliated with eastern virginia medical school. the data was compiled into a regional antibiogram, and sensitivity rates of common isolates from the tertiary-care facility (central) were compared to those of referring hospitals grouped by locale. staphylococcus aureus was the most common gram- positive and e. coli the most common gram- negative org ...201525890362
implications of multiple antimicrobial-resistant enterococci associated with the poultry environment.poultry are increasingly being associated with carriage of multiresistant organisms that may cause disease in humans. among these organisms are the enterococci, not regarded as a common cause of hospital-acquired infections. the use of antimicrobials for growth promotion in poultry production envronments may facilitate the dissemination of resistance to enterococcus spp. that have the potential to be clinically significant. to assess descriptively the degree of multiresistant enterococci in the ...200111761123
epidemiology of bacteriuria caused by vancomycin-resistant enterococci--a retrospective study.the epidemiology of vancomycin-resistant enterococcal (vre) bacteriuria has not been previously described. our objectives are to describe the frequency of vre bacteriuria, to use strict definitions to distinguish symptomatic urinary tract infection (uti) versus urine colonization without pyuria versus asymptomatic bacteriuria with pyuria, and to describe the outcomes of each group.200010926703
nosocomial urinary tract infections: secular trends, treatment and economics in a university hospital.during a 71-month interval 3,024 nosocomial urinary tract infections were identified by prospective surveillance at our hospital. the annual attack rate varied between 2.0 and 3.1 per 100 admissions. gram-negative bacilli caused 74 per cent of all urinary infections and recurrent infections in the hospital accounted for only 1 per cent. the most frequent pathogens were escherichia coli (24 per cent), pseudomonas aeruginosa (8 per cent), streptococcus faecalis (7 per cent), klebsiella pneumoniae ...19836864885
evidence for clonal spread of a single strain of beta-lactamase-producing enterococcus (streptococcus) faecalis to six hospitals in five states.beta-lactamase-producing (bla+) enterococci have been reported in three state and two countries. pulsed-field gel electrophoresis was used to compare 14 bla+ enterococcus (streptococcus) faecalis isolated from hospitalized patients in seven states and three continents. the restriction endonuclease digestion patterns of isolates from connecticut, massachusetts, lebanon, and argentina were all markedly different, indicating that these were different strains. however, isolates from delaware, texas, ...19911901330
a hospital epidemic of vancomycin-resistant enterococcus: risk factors and control.to determine risk factors for vancomycin-resistant enterococcus (vre) colonization during a hospital outbreak and to evaluate centers for disease control and prevention (cdc)-recommended control measures.200111310691
infections due to beta-lactamase-producing, high-level gentamicin-resistant enterococcus faecalis.to investigate the risk factors, clinical features, molecular epidemiology, and treatment outcomes associated with an outbreak of infections due to beta-lactamase-producing, high-level gentamicin-resistant enterococcus faecalis.19921733382
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