Rising incidence of Enterococcus species in microbiological specimens from orthopedic patients correlates to increased use of cefuroxime

摘要

Sir-We read the article entitled "Rising incidence of Entero-coccus species in microbiological specimens from orthopedic patients correlates to increased use of cefuroxime" with great interest (Siesing et al. 2013). Today, multipledrug-resistant (MDR) such as ESBL producing Enterobacteriacceae, MDR Pseudomonas aeruginosa and Acinetobacter baumannii is problematic, because antimicrobial resistance limits the choice of therapeutic agents and increases the potential for treatment failures and adverse clinical outcomes. Therapeutic failures associated to antimicrobial resistance increases morbidity and mortality, with serious implications at individual, social and economical levels (Da Costa et al. 2013).