Another area where one may see multi-resistant bacteria, that is Gram-negative bacteria, is the area of nursing home acquired pneumonias.
In this situation one has to be particularly concerned about Gram-negative bacteria and the same risk factors for multi-resistant bacteria infecting these patients are there.
These patients have been exposed to a lot of quinolone antibiotics, a lot of oral cephalosporins, so the Gram-negative bacteria infecting the lung in this situation have to be considered to be multi-resistant even before one gets a culture.
Copyright 2000