The Threat of the Emergence of Antimicrobial-Resistant Gram-Positive Pathogens in Canada

Since the early 1980s, much attention has been focused on the emergence or resistance in nosocomially acquired Gram-negative pathogens. However, in the 1990s we are witnessing in North America the development and spread or multiple resistance in Gram-positive pathogens in the hospital selling as wel...

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Main Authors: Donald E Low, Barbara M Willey, Allison J McGeer
Format: Article
Language:English
Published: Wiley 1994-01-01
Series:Canadian Journal of Infectious Diseases
Online Access:http://dx.doi.org/10.1155/1994/841492
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author Donald E Low
Barbara M Willey
Allison J McGeer
author_facet Donald E Low
Barbara M Willey
Allison J McGeer
author_sort Donald E Low
collection DOAJ
description Since the early 1980s, much attention has been focused on the emergence or resistance in nosocomially acquired Gram-negative pathogens. However, in the 1990s we are witnessing in North America the development and spread or multiple resistance in Gram-positive pathogens in the hospital selling as well as in the community. Methicillin resistant Staphylococcus aureus and vancomycin-resistant enterococci are now endemic in many urban centres in the United States, although less so in Canada. In some states, penicillin -resistant Streptococcus pneumoniae in the community selling has gone from rates of less than 5% in 1988 to 50% in 1994, including: resistance to third-generation cephalosporins and carbapenems. Although these same pathogens have now been identified in Canada, we may still be in a position to limit or prevent their spread.
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series Canadian Journal of Infectious Diseases
spelling doaj-art-a317dd3c10e5478cb47c757bc8d77ddb2025-02-03T01:03:18ZengWileyCanadian Journal of Infectious Diseases1180-23321994-01-015Suppl C9C14C10.1155/1994/841492The Threat of the Emergence of Antimicrobial-Resistant Gram-Positive Pathogens in CanadaDonald E LowBarbara M WilleyAllison J McGeerSince the early 1980s, much attention has been focused on the emergence or resistance in nosocomially acquired Gram-negative pathogens. However, in the 1990s we are witnessing in North America the development and spread or multiple resistance in Gram-positive pathogens in the hospital selling as well as in the community. Methicillin resistant Staphylococcus aureus and vancomycin-resistant enterococci are now endemic in many urban centres in the United States, although less so in Canada. In some states, penicillin -resistant Streptococcus pneumoniae in the community selling has gone from rates of less than 5% in 1988 to 50% in 1994, including: resistance to third-generation cephalosporins and carbapenems. Although these same pathogens have now been identified in Canada, we may still be in a position to limit or prevent their spread.http://dx.doi.org/10.1155/1994/841492
spellingShingle Donald E Low
Barbara M Willey
Allison J McGeer
The Threat of the Emergence of Antimicrobial-Resistant Gram-Positive Pathogens in Canada
Canadian Journal of Infectious Diseases
title The Threat of the Emergence of Antimicrobial-Resistant Gram-Positive Pathogens in Canada
title_full The Threat of the Emergence of Antimicrobial-Resistant Gram-Positive Pathogens in Canada
title_fullStr The Threat of the Emergence of Antimicrobial-Resistant Gram-Positive Pathogens in Canada
title_full_unstemmed The Threat of the Emergence of Antimicrobial-Resistant Gram-Positive Pathogens in Canada
title_short The Threat of the Emergence of Antimicrobial-Resistant Gram-Positive Pathogens in Canada
title_sort threat of the emergence of antimicrobial resistant gram positive pathogens in canada
url http://dx.doi.org/10.1155/1994/841492
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