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- W2187232213 abstract "Background: The MYSTIC Program is a worldwide longitudinal surveillance network of 100 medical centers (MC) actively applying carbapenems. In the USA, 15 MCs participated in 2005 by submitting up to 200 consecutive, non-duplicate clinical isolates from serious infections. Methods: 2,910 isolates (97% compliance) including 1,657 Enterobacteriaceae (ENT), 836 non-fermentative Gram-negative bacilli (NFGB), and 417 oxacillin-susceptible staphylococci were tested at a central monitoring laboratory using CLSI broth microdilution susceptibility (S) methods with interpretative criteria. Ribotyping (RT) and PFGE were performed on 203 selected strains exhibiting multi-drug resistance (MDR) and/or identical antibiograms to determine possible clonal dissemination within and between MCs. Results: The carbapenems had the highest S rates (98.7% vs. ENT) and the fluoroquinolones (FQ) the lowest S rates (83.9-84.9%). 101 clonally related ENT produced 12 RT patterns within 13 MCs involving 50 E. coli (EC, 10.2%), 31 K. pneumoniae (KPN, 6.9%), and 11 P. mirabilis (7.5%). A single RT (243.2) was observed in 45 FQ-resistant (R) EC strains from 11 MCs. RT 497.1 was observed in 20 KPC producing KPN isolates from two centers in New York (NY). The most active agents against the P. aeruginosa (PSA) were piperacillin/tazobactam (91.0% S), tobramycin (TOB, 88.6% S) and MEM (87.6% S) and against Acinetobacter spp. (ASP) were TOB (92.0% S), imipenem (92.0% S) and MEM (85.6% S). Among ASP 3 RT patterns were observed in 24 (19.2%) strains with one RT shared by 4 MCs. PSA (24) demonstrated clonal clusters in 6 MCs (range 2-9 strains per RT). Conclusions:" @default.
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- W2187232213 date "2006-01-01" @default.
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- W2187232213 title "Report from the 2005 MYSTIC Surveillance Program (USA): Influence of Antimicrobial Resistant Clusters on Overall Prevalence Patterns" @default.
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