Evolutionary Aspects of Plasmid Mediated Resistance in a Hospital Environment

  • J. F. Acar
  • D. H. Bouanchaud
  • Y. A. Chabbert
Part of the Topics in Infectious Diseases book series (TIDIS, volume 2)


Epidemiologic and bacteriologic surveillance of endemic and epidemic nosocomial infections represents the usual approach to the study of the indigenous bacterial flora of the hospital. Nosocomial infections are most frequently caused by Gram-negative bacilli which are resistant to multiple antibiotics (1), although recently epidemics caused by multiple resistant Staph. aureus have been reported (2) (3) (4). Surveillance systems which are capable of detecting changes in antibiotic susceptibility or in species prevalence may alert the epidemiologist and clinician to the possibility of an outbreak of nosocomial infection caused by multiple resistant bacteria (5) (6).


Nosocomial Infection Resistance Pattern Serratia Marcescens Resistance Marker Proteus Mirabilis 
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Copyright information

© Springer-Verlag/Wien 1977

Authors and Affiliations

  • J. F. Acar
  • D. H. Bouanchaud
    • 1
  • Y. A. Chabbert
    • 1
  1. 1.Bactériologie MédicaleInstitut PasteurParisFrance

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