Figure 1
Serial quantitative culture of gastrointestinal carriage of vancomycin-resistant Enterococcus faecium and concomitant use of antimicrobial agents in case 1. Note. Intravenous meropenem 500 mg every 8 hourly was given between day 16 and 31 for recurrent isolation of extended-spectrum β-lactamase-producing Klebsiella species in sputum; intravenous meropenem 500 mg every 8 hourly was given again between day 41 and 49 for low grade fever without microbiological documentation of infection; oral levofloxacin 750 mg daily was given between day 71 and 78 for urine isolation of extended-spectrum β-lactamase-producing Klebsiella species; oral cotrimoxazole 480 mg twice daily was given after liver transplantation as pre-emptive prophylactic agent. The dotted horizontal line denoted the detection limit of VRE in fecal samples by broth enrichment ~ 200 cfu/g (2.3 log10 cfu/g).