484 High frequency of Clostridium difficile infections in Brazil: Results from a multicenter point-prevalence study Renata N. Pires, Diego R. Falci, Alexandre A. Monteiro, Cassia F.B. Caurio, Felipe F. Tuon, Eduardo A. Medeiros, Ivan L. França, Josiane F. John, Teresa C.T. Sukiennik, Gabriele Z. Saldanha, Andreza F. Martins and Alessandro C. Pasqualotto


486 Changing antibiotic resistance patterns for Staphylococcus aureus surgical site infections Dina F. Khamash, Aaron M. Milstone, Karen C. Carroll, Avinash Gadala, Eili Klein, Lisa L. Maragakis, Sara E. Cosgrove and Valeria Fabre


487 Inappropriate ceftriaxone use in outpatient acute respiratory infection management Laura M. King, Pamela Talley, Marion A. Kainer, Christopher D. Evans, Cullen Adre, Lauri A. Hicks and Katherine E. Fleming-Dutra


Letters to the Editor


491 Reduction in antimicrobial use among medical intensive care unit patients during a cluster randomized crossover trial of palliative care consultation Jason P. Burnham, Stephen Chi, Jessica Ma, Maria C. Dans and Marin H. Kollef


492 A major monoclonal hospital outbreak of NDM-1–producing Klebsiella pneumoniae ST340 and the first report of ST2570 in Brazil Jussimara Monteiro, Fernanda M. Inoue, Ana Paula T. Lobo, Aline S. Ibanes, Sergio Tufik and Carlos R. V. Kiffer


494 Putative horizontal transfer of carbapenem resistance between Klebsiella pneumoniae and Kluyvera ascorbata during abdominal infection: A case report Otávio Hallal Ferreira Raro, Daiana de Lima-Morales, Afonso Luis Barth, Tiago Galvão Paim, Mariana Preussler Mott, Cezar Vinícius Würdig Riche, Uirá Fernandes Teixeira, Fábio Luiz Waechter and Cícero Armídio Gomes Dias


496 Mycobacterium saskatchewanense strain associated with a chronic kidney disease patient in an Italian transplantation hospital and almost misdiagnosed as Mycobacterium tuberculosis Giuseppina Di Mento, Anna Paola Carreca, Francesco Monaco, Nicola Cuscino, Francesca Cardinale, Pier Giulio Conaldi and Bruno Douradinha


497 Oseltamivir for prophylaxis of influenza in vaccinated hemodialysis patients Jens T. Van Praet, Sanne Steyaert, Mirjam Demesmaecker, Veerle Grootaert and Marijke Reynders


498 Fifty years of success in controlling tuberculosis in Iran, the question is how? Vahid Lohrasbi, Neda Shirmohammadlou and Davood Darban-Sarokhalil


Corrigendum 500 Infection prevention in the operating room anesthesia work area – CORRIGENDUM


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