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a case-control study of an outbreak of infections caused by klebsiella pneumoniae strains producing ctx-1 (tem-3) beta-lactamase.in july 1984 klebsiella pneumoniae producing beta-lactamase ctx-1(tem-3) (k. pneumoniae-ctx-1) spread from an intensive care unit (icu) throughout the hospitals of clermont-ferrand, france, and were isolated in four other hospitals of the region. a retrospective case control study was conducted in the icu to characterize the risk factors for nosocomial infection with this organism. the cases were the 74 patients who had had k. pneumoniae-ctx-1 isolated from one or more clinical samples between j ...19911679072
successful control of a hospital-wide vancomycin-resistant enterococcus faecium outbreak in france.we describe the control of a hospital-wide vancomycin-resistant enterococcus faecium (vre) outbreak in a 2,000-bed university hospital located on three different sites in clermont-ferrand, france. from january 2004 to april 2007, 220 vre cases were identified. overall, 28 different wards had at least one case. all of the strains expressed a high level of resistance to vancomycin and to teicoplanin carried by the vana gene. pulsed-field gel electrophoresis (pfge) analysis of the strains revealed ...200818612668
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