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- W1994166613 abstract "An article in this issue of Journal draws attention to problem of antimicrobial resistance, which has reached frightening levels in recent years and disheartened many ICPs. In December 1996 issue, for example, an article descr ibed spread of vancomycin-res is tant enterococci (VRE) in an urban tertiary care hospital over a 4-year period. 1 The relentless spread of VRE in spite of use of barrier techniques and other control measures is especially alarming. The first case was detected in 1991. A prevalence study conducted in January 1995 indicated that 53% of all medical and surgical inpatients harbored VRE in their stools. Unfortunately, authors' experience is not an aberration. Numerous other reports attest to spread and persistence of VRE in nation's hospitals and medical centers, and label the nosocomial pathogen of 1990s seems more appropriate than ever. 2-4 The article on antimicrobial resistance in this issue brings forward another resistant pathogen--methicil l in-resistant Staphylococcus aureus (MRSA)--and a different but interacting arena, namely, long-term care facilities, s Specifically, it describes results of serial prevalence studies for S. aureus, including MRSA strains, in a skilled nursing facility in southern California. Overall, 9% of continuing patients and 7% of newly admitted patients had positive test results for MRSA at one or more sampling times. Similarly high prevalence figures for MRSA have been reported from other communi ty nursing homes, and even higher prevalences have been noted in Department of Veterans Affairs (VA) nursing home care units. 6 Multiply resistant gram-negative uropathogens, VRE, and other resistant pathogens are also encountered with regularity in these settings." @default.
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- W1994166613 date "1997-08-01" @default.
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- W1994166613 title "Antimicrobial resistance: Problems, laments, and hopes" @default.
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- W1994166613 doi "https://doi.org/10.1016/s0196-6553(97)90020-1" @default.
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