Strategies to control community-associated antimicrobial resistance among enteric bacteria and MRSA in Canada : Stratégies visant le contrôle de la résistance aux antimicrobiens d'origine communautaire chez les entébactéries et le SARM au Canada: une étude compréhensive

Knowledge and practice 1,467 references were identified; of these, 563 met gaps exist around the control of antimicrobial-resistant the abstract relevancy screening criteria and of these, infections in Canada, particularly in the community 203 were reviewed in detail. [...] Therefore, the and animals, and the failure of infection control emergence of the epidemic MRSA clones is believed programs in institutional and hospital settings (6). [...] Antimicrobial resistance in enteric bacteria has been associated with the use Definition of Community-Associated of antimicrobial agents in food animals and can be MRSA and Hospital-Associated MRSA influenced by previous antibiotic intake that affects Since the divergence of MRSA from hospital to the the fecal flora in humans (18,19). [...] In addition, communities such as long-term to drain, the patient appears systematically ill or care facilities and nursing homes are inconsistently has co-morbidities, there is a lack of response to classified due to the unique nature of the population previous treatments, or the severity of the infection is in those settings (13). [...] The term ‘enteric bacteria’ generally refers to a large Despite decades of use, the rate of resistance of group of gram-negative rod-shaped bacteria found Campylobacter to erythromycin remains low, and in the gut of animals and humans.