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Local outbreaks of MDR and local epidemiology (high risk if resistance is reported in > 20% of isolates)
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Previous colonization with MDR pathogens
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Exposure to broad-spectrum antimicrobial agents (in particular fluo roquinolones and/or third-generation cephalosporins and/or carbapenems) within 30 days
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Admission to ICU
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Mechanical ventilation
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Devices placement (central venous catheter or other intravascular devices, urinary catheter)
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Health-care associated or hospital-acquired infections
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Recent surgery or invasive procedures within 30 days
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Underlying severity of illness (Charlson index of ≥3)