title: Multidrug-Resistant Bacteria in the Community: Trends and Lessons Learned.
abstract: Multidrug resistant (MDR) bacteria are one of the most important threats to public health. Typically, MDR bacteria are associated with nosocomial infections. However, some MDR bacteria have become prevalent causes of community-acquired infections. The spread of MDR bacteria into the community is a crucial development, and is associated with increased morbidity, mortality, health care costs, and antibiotic use. Factors associated with community dissemination of MDR bacteria overlap but are distinct from those associated with nosocomial spread. Prevention of further community spread of MDR bacteria is of the utmost importance, and requires a multidisciplinary approach involving all stakeholders.
authors.affiliation: Division of Infectious Diseases, University of North Carolina, CB 7030, 130 Mason Farm Road, Chapel Hill, NC 27599, USA. Electronic address: david_vanduin@med.unc.edu.
authors.forename: David
authors.initials: D
authors.lastname: van Duin
authors.affiliation: The University of Queensland, Building 71/918 RBWH, Herston, QLD 4029, Australia.
authors.forename: David L
authors.initials: DL
authors.lastname: Paterson
mesh_terms: D000900:Anti-Bacterial Agents; D017714:Community-Acquired Infections; D003428:Cross Infection; D024901:Drug Resistance, Multiple, Bacterial; D006801:Humans; D011634:Public Health
chemical_list: D000900:Anti-Bacterial Agents
keywords: Carbapenem-resistant Enterobacteriaceae; Klebsiella pneumoniae; Readmission; Tigecycline; Transmission