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antibiotic resistance patterns in gram-negative and gram-positive bacteria causing septicemia in newborns in león, nicaragua: correlation with environmental samples.the aim of this study was to identify the bacteria causing neonatal septicemia in a neonatal intensive care unit (nicu) in león, nicaragua and its relation with bacteria isolated from the environment at the nicu. our data showed that 74% (34/46) of the bacteria related to newborns with septicemia were gram-negative and highly resistant to beta-lactams (>85%) and aminoglycosides (80%), leading to treatment failure in 10 neonates with fatal outcome. although, the prevalence of gram-positive bacter ...201020227989
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