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Open AccessJournal ArticleDOI

ESBLs: A Clear and Present Danger?

TLDR
An overview of the current situation regarding ESBLs is given, with a focus on the epidemiology and management of such infections.
Abstract
Extended spectrum β-lactamases (ESBLs) are enzymes produced by a variety of Gram negative bacteria which confer an increased resistance to commonly used antibiotics. They are a worrying global public health issue as infections caused by such enzyme-producing organisms are associated with a higher morbidity and mortality and greater fiscal burden. Coupled with increasing prevalence rates worldwide and an ever diminishing supply in the antibiotic armamentarium, these enzymes represent a clear and present danger to public health. This article aims to give an overview of the current situation regarding ESBLs, with a focus on the epidemiology and management of such infections.

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Journal ArticleDOI

Global antibiotic consumption 2000 to 2010: an analysis of national pharmaceutical sales data

TL;DR: To prevent a striking rise in resistance in low-income and middle-income countries with large populations and to preserve antibiotic efficacy worldwide, programmes that promote rational use through coordinated efforts by the international community should be a priority.
Journal ArticleDOI

Infections Caused by Resistant Gram-Negative Bacteria: Epidemiology and Management

TL;DR: In treating resistant gram‐negative infections, a review of surveillance data and hospital‐specific antibiograms, including resistance patterns within local institutions, and consideration of patient characteristics are helpful in guiding the choice of empiric therapy.
Journal ArticleDOI

Survival and Evolution of a Large Multidrug Resistance Plasmid in New Clinical Bacterial Hosts

TL;DR: It is suggested that insertion sequences play an important role in plasmid evolution by maintaining the plasticity necessary to alleviate plasmids–host constrains and the observed evolutionary strategy consistently followed by all evolved E. coli lineages exposes a trade-off between horizontal and vertical transmission.
Journal ArticleDOI

Synergistic and Additive Effect of Oregano Essential Oil and Biological Silver Nanoparticles against Multidrug-Resistant Bacterial Strains.

TL;DR: This study describes for the first time the synergistic and additive interaction between OEO and bio-AgNP produced by F. oxysporum against multidrug-resistant bacteria, such as MRSA, and β-lactamase- and carbapenemase-producing Escherichia coli and Acinetobacter baumannii strains.
References
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Antimicrobial-Resistant Pathogens Associated with Healthcare- Associated Infections: Summary of Data Reported to the National Healthcare Safety Network at the Centers for Disease Control and Prevention, 2009-2010

TL;DR: The frequency of selected antimicrobial resistance patterns among pathogens causing device-associated and procedure-associated healthcare-associated infections reported by hospitals in the National Healthcare Safety Network (NHSN) is described.
Journal ArticleDOI

Extended-spectrum beta-lactamases: a clinical update.

TL;DR: Extended-spectrum β-lactamases represent an impressive example of the ability of gram-negative bacteria to develop new antibiotic resistance mechanisms in the face of the introduction of new antimicrobial agents.
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