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The spread of isolates carrying blaCTX-M-15 in China warrants more studies.
Continued surveillance of gonococcal antimicrobial susceptibilities is vital to inform treatment guidelines and mitigate the spread of isolates with decreased susceptibility to cephalosporins and resistance to azithromycin.
In Taiwan, one pilot study described the spread of isolates with blaOXA-72, a member of the blaOXA-24 family, within a single medical center [ 13].
The introduction of conjugate vaccines, which have an impact on carriage and transmission of the bacteria, could reduce the spread of isolates from asymptomatic pilgrims to their household contacts upon returning from the pilgrimage [ 6, 14].
Previously, it was reported in Taiwan that the CCs related to Spain23F-1, Tandan19F-14, and Taiwan23F-15 weresponsibleble for the spread of isolates with high-beta-lactam resistance [ 24, 25].
Although causality cannot be attributed to this decline, the higher dose of ceftriaxone plus azithromycin could be more effectively treating gonococcal infections and diminishing the spread of isolates with reduced cephalosporin susceptibility.
Similar(52)
Rapid spread of isolated country places on shore lines from N.Y. to Canadian border, such as Millbrook, N.Y.
In the present study, however, we not only observed a fast spread of isolated ictal epileptic events of almost 40 mm/min but also a slow spread similar to that of spreading depolarization.
Concerns have been raised about the clonal spread of resistant isolates (1 ); however, rifampin-resistant isolates are rarely reported.
The K. pneumoniae isolates were not typed but with this background clonal spread of these isolates seems an unlikely explanation for the observed differences between E. coli and K. pneumoniae.
From March to August 2011, VIM-4 producers of ST235 were isolated mainly in the internal medicine unit of UHL, whereas spread of these isolates in the urology unit was documented in September 2011.
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