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Open AccessJournal ArticleDOI

Role of inoculum and mutant frequency on fosfomycin MIC discrepancies by agar dilution and broth microdilution methods in Enterobacteriaceae.

TLDR
The higher inoculum used in the microdilution method enriched the initial inoculum with resistant subpopulations and could partially explain the fosfomycin MIC discrepancies with respect to the agar dilution method.
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This article is published in Clinical Microbiology and Infection.The article was published on 2017-05-01 and is currently open access. It has received 35 citations till now. The article focuses on the topics: Broth microdilution & Agar dilution.

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Journal ArticleDOI

Mechanisms and clinical relevance of bacterial heteroresistance.

TL;DR: The different genetic mechanisms underlying heterogeneity in antibiotic resistance phenotypes are explored, the impact of such mechanisms on the efficacy of treatment and the methods and difficulties in diagnosing heteroresistance in clinical bacterial isolates are explored.
Journal ArticleDOI

Antibiotic combinations that exploit heteroresistance to multiple drugs effectively control infection.

TL;DR: Using carbapenem-resistant Enterobacteriaceae clinical isolates, the underlying basis for the majority of effective combinations to be heteroresistance is revealed, highlighting a rational strategy to identify effective combinations that employs existing antibiotics and could be clinically implemented immediately.
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Emerging Gram negative resistance to last-line antimicrobial agents fosfomycin, colistin and ceftazidime-avibactam - epidemiology, laboratory detection and treatment implications

TL;DR: Recent developments in resistance to three of the most important last-line antimicrobials for treatment of MDR and XDR Gram negatives: fosfomycin, colistin and ceftazidime-avibactam are described.
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Azithromycin-loaded respirable microparticles for targeted pulmonary delivery for the treatment of pneumonia

TL;DR: Results demonstrated that AZM@FDKP-MPs administered via intratracheal insufflation achieved at least a 3.4 times higher local concentration and prolonged retention times compared to intravenous injection and oral administration, suggesting their potential to better manage bacterial pneumonia.
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Frequency and Mechanisms of Spontaneous Fosfomycin Nonsusceptibility Observed upon Disk Diffusion Testing of Escherichia coli.

TL;DR: Fosfomycin-nonsusceptible inner colony mutants can occur due to the loss of function or induction of UhpT but are rare among multidrug-resistant E. coli clinical strains, considering that these mutants carry high biological costs.
References
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Journal ArticleDOI

The measurement of observer agreement for categorical data

TL;DR: A general statistical methodology for the analysis of multivariate categorical data arising from observer reliability studies is presented and tests for interobserver bias are presented in terms of first-order marginal homogeneity and measures of interob server agreement are developed as generalized kappa-type statistics.
Journal ArticleDOI

Comparing methods of measurement: why plotting difference against standard method is misleading

TL;DR: A plot of the difference against the average of the standard and new measurements is unlikely to mislead in this way and is shown theoretically and by a practical example.
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Pneumonia Caused by Methicillin-Resistant Staphylococcus aureus

TL;DR: Clinical features of, diagnosis of, and therapies for MRSA pneumonia are reviewed, including linezolid as an alternative to vancomycin, and Respiratory infection-control measures and de-escalation of initial broad-spectrum antibiotic regimens to avoid emergence of resistant organisms are reviewed.
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