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Persistence of Resistant Staphylococcus epidermidis after Single Course of Clarithromycin
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Sep 2005
Source: Emerg Infect Dis. 11(9):1389-1393.
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Alternative Title:Emerg Infect Dis
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Description:We examined how a common therapy that includes clarithromycin affects normally colonizing Staphylococcus epidermidis. Samples from the nostrils of 5 patients receiving therapy were collected before, immediately after, 1 year after, and 4 years after treatment. From each patient and sample, S. epidermidis strains were isolated and analyzed for clarithromycin susceptibility and presence of the erm(C) gene. We show that macrolide-resistant strains of S. epidermidis were selected during therapy and that the same resistant strain may persist for 4 years, in the absence of further antimicrobial treatment.
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