Antimicrobial-resistant organisms are usually first noticed in hospitals, nursing homes, and other healthcare facilities and only later found to be lurking in the community as well—both colonizing and causing disease. MRSA has been a perfect example of this pattern. Community-dwelling resistant strains are important for many reasons, including the fact that it is very hard to control dissemination in community settings. In healthcare facilities, hand washing, isolation, and extensive cleaning of rooms can be enforced to a degree not feasible in a household. A new paper by Gurnee and colleagues published in the Journal of Infectious Diseases assesses the community presence of ciprofloxacin resistant Escherichia coli colonization in newborns and their mothers.
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