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High prevalence of atypical virulotype and genetically diverse background among Pseudomonas aeruginosa isolates from a referral hospital in the Brazilian Amazon.

PLoS One · 2020 · PMC7482967 · PMID 32911510

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an increasing trendno p-value reported
[ 20 ], which also showed an increasing trend on resistance to carbapenems, aminoglycosides and fluoroquinolones associated to spread of P . aeruginosa MDR/XDR strains over 21 years’ period in Rio de Janeiro, Brazil.

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Quoted from the open-access full text in Europe PMC under the licence the publisher applied. The sentence is reproduced exactly as published; the emphasis is ours.