However, in recent years several studies have demonstrated a clear trend in the epidemiology of BSIs, showing a shift of prevalence from gram-positive to gram-negative bacteria (Wisplinghoff et al., 2003b ; Pagano et al., 2012 ; Montassier et al., 2013 ).
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Third generation cephalosporin resistant Enterobacteriaceae and multidrug resistant gram-negative bacteria causing bacteremia in febrile neutropenia adult cancer patients in Lebanon, broad spectrum antibiotics use as a major risk factor, and correlation with poor prognosis.
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