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Antimicrobial Resistance in Developing Countries pp 233–247Cite as

Prevalence of Resistant Enterococci in Developing Countries

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Abstract

Glycopeptide resistance in enterococci is a problem of worldwide distribution, with a wider incidence in industrialized countries. This incidence is reflected as both nosocomial illnesses in the United States, because of the extensive use of antibiotic therapy, and community-borne diseases in Europe, due to the use of avoparcin as a growth promoter in animal husbandry. Vancomycin-resistant strains, however, have started to emerge in the developing world, where VRE carriers in the hospital may infect themselves upon receiving either third-generation cephalosporins to combat Gram-negative infections or vancomycin, for the treatment of severe methicillin-resistant Staphylococcus infections. Detecting VRE carriers is then of paramount importance, and although several techniques for that purpose do exist, no gold standard has been proposed to certify the accuracy or sensitivity of the assays, and it all depends on the inoculum in the intestine.

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  1. Departamento de Biomedicina, Instituto de Investigaciones en Biomedicina y Ciencias Aplicadas, Universidad de Oriente, Cumaná. Edo. Sucre, Venezuela

    Lorena Abadía-Patiño

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  1. Advisor Alliance for the Prudent Use of, Tufts University, Kneeland St. 75, Boston, 02111, U.S.A.

    Aníbal de J. Sosa

  2. Dept. Zoology, Makerere University Kampala, Kampala, Uganda

    Denis K. Byarugaba

  3. Fundación Lusara, Playa Rosarito 353, Mexico, 08810, Mexico

    Carlos F. Amábile-Cuevas

  4. Depts. Laboratory Medicine, National Taiwan Univ. Hosp., Taipei, Taiwan R.O.C.

    Po-Ren Hsueh

  5. Centre for Microbiology Research, Kenya Medical Research Institute (KEMRI), Nairobi, 00100, Kenya

    Samuel Kariuki

  6. Dept. Biology, Haverford College, Lancaster Avenue 370, Haverford, 19041, U.S.A.

    Iruka N. Okeke

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Abadía-Patiño, L. (2010). Prevalence of Resistant Enterococci in Developing Countries. In: Sosa, A., Byarugaba, D., Amábile-Cuevas, C., Hsueh, PR., Kariuki, S., Okeke, I. (eds) Antimicrobial Resistance in Developing Countries. Springer, New York, NY. https://doi.org/10.1007/978-0-387-89370-9_13

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