E. Cercenado

TL;DR: Despite the currently low prevalence of epidemic clones with MDR, active surveillance is needed to detect and prevent the dissemination of these clones, particularly those producing integron- and plasmid-encoded MBLs, given their additional capacity for the intra- and interspecies spread of MDR.

TL;DR: Routine performance of the disk diffusion method with primary fresh C. difficile isolates is recommended to ensure that metronidazole-heteroresistant populations do not go undetected and prolonged exposure to metronidsazole can select for in vitro resistance.

TL;DR: 16SPCR is more specific and has a better positive predictive value than culture for diagnosis of PJI, even when few samples are analyzed; however, culture is generally more sensitive.

TL;DR: The data on 1,014 isolates included resistance to the following antimicrobials: piperacillin-tazobactam, 7%; meropenem, 8%; amikacin, 9%; tobramycin, 10%; p Piperacillin, 10; ticarcillin, 13%; imipenem, 14%; ceftazidime, 15%; cefepime, 17%; ciprofloxacin; gentamicin.

TL;DR: It is suggested that mupirocin and co-trimoxazole plus fusidic acid, both used in conjunction with a chlorhexidine soap bath, are equally effective and safe for the eradication of MRSA from nasal and extranasal MRSA carriers.