Vancomycin resistance emerging in a clonal outbreak caused by ampicillin-resistant Enterococcus faecium  Stig Harthug, A. Digranes, O. Hope, B.E. Kristiansen,

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Vancomycin resistance emerging in a clonal outbreak caused by ampicillin-resistant Enterococcus faecium  Stig Harthug, A. Digranes, O. Hope, B.E. Kristiansen, A.G. Allum, N. Langeland  Clinical Microbiology and Infection  Volume 6, Issue 1, Pages 19-28 (January 2000) DOI: 10.1046/j.1469-0691.2000.00008.x Copyright © 2000 European Society of Clinical Infectious Diseases Terms and Conditions

Figure 1 Mean incidence of infections caused by ampicillin-resistant Enterococcus faecium and prescription of antibiotics in selected departments during 1995 and 1996. Seventy-six per cent of the ARE-cases within the medical department were in three wards noted as high prevalence wards. The other three medical wards were noted as low prevalence wards. Clinical Microbiology and Infection 2000 6, 19-28DOI: (10.1046/j.1469-0691.2000.00008.x) Copyright © 2000 European Society of Clinical Infectious Diseases Terms and Conditions

Figure 2 Distribution of patients infected by ampicillin-resistant Enterococcus faecium at the Haukeland University Hospital during 1995 and 1996. ▪ outbreak-strain (PFGE-1); related cluster (PFGE-7); Bother related strains (11 different patterns); unrelated cluster (PFGE-8); □ other unrelated strains (11 different patterns). Clinical Microbiology and Infection 2000 6, 19-28DOI: (10.1046/j.1469-0691.2000.00008.x) Copyright © 2000 European Society of Clinical Infectious Diseases Terms and Conditions