Abstract:
:In a hematology unit in the Netherlands, the incidence of ciprofloxacin-resistant Enterobacter cloacae and Escherichia coli increased from from 1996 to 1999. Clonal spread of single genotypes of both ciprofloxacin-resistant E. coli and Enterobacter cloacae from patient to patient was documented by pulsed-field gel electrophoresis and random amplification of polymorphic DNA. In addition, genetically heterogeneous strains were isolated regularly. Integrons associated with gentamicin resistance were detected in Enterobacter cloacae and E. coli strains. Integron-containing E. coli were detected in all hematology wards. In contrast, in Enterobacter cloacae strains two integron types were encountered only in the isolates from one ward. Although in all patients identical antibiotic regimens were used for selective decontamination, we documented clear differences with respect to the nosocomial emergence of ciprofloxacin-resistant bacterial strains and gentamicin resistance-associated integrons.
journal_name
Emerg Infect Disjournal_title
Emerging infectious diseasesauthors
van Belkum A,Goessens W,van der Schee C,Lemmens-den Toom N,Vos MC,Cornelissen J,Lugtenburg E,de Marie S,Verbrugh H,Löwenberg B,Endtz Hdoi
10.3201/eid0705.017515subject
Has Abstractpub_date
2001-09-01 00:00:00pages
862-71issue
5eissn
1080-6040issn
1080-6059journal_volume
7pub_type
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