Abstract

KPC Type B-Lactamase, Rural Pennsylvania

Highlights

  • To the Editor: Rural counties have been defined as those lacking a metropolitan center that has a population >50,000 persons [1]

  • Stevenson and colleagues [2] recently evaluated antimicrobial drug–resistant gram-positive infections in rural hospitals in Idaho and Utah. These researchers found that both methicillin-resistant Staphylococcus aureus (MRSA) and vancomycin-resistant enterococci occurred in such settings, some of the MRSA strains were probably community associated

  • We describe a patient with KPCproducing K. pneumoniae in a rural setting in central-west Pennsylvania

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Summary

Introduction

To the Editor: Rural counties have been defined as those lacking a metropolitan center that has a population >50,000 persons [1]. Little is known about antimicrobial drug resistance in such communities in the United States. Stevenson and colleagues [2] recently evaluated antimicrobial drug–resistant gram-positive infections in rural hospitals in Idaho and Utah. Klebsiella pneumoniae producing a broad-spectrum β-lactamase, KPC, has been described in tertiary care centers and other metropolitan hospitals in New York City.

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