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repeated epidemics caused by extended-spectrum beta-lactamase-producing serratia marcescens strains.an outbreak of serratia marcescens involving 42 patients admitted to the general intensive care unit of the hospital of varese, italy, occurred from march 1994 to august 1995. the causative strains were resistant to oxyimino-cephalosporins and monobactams due to their production of an extended-spectrum beta-lactamase. another outbreak caused by serratia marcescens strains had occurred in the same unit a few months earlier, from february to october 1993, with the strains involved producing a nove ...19989832264
outbreak of extended-spectrum beta-lactamase producing serratia marcescens in an intensive care unit.serratia marcescens has recently been identified as an important etiological agent in nosocomial infections, and is considered to be an opportunistic pathogen agent in immunosuppressed patients undergoing long periods of intensive care. research carried out in 1991 and 1992 showed that it was of epidemiological relevance in only 1-2% of clinical isolates at the ospedale di circolo, varese, italy. however, between 7 february and 11 october 1993, the incidence of cases attributable to s. marcescen ...19947874077
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