Though the rate of MDR S. pneumoniae has remained relatively stable since 2007, XDR strains have emerged in Canada. These strains are virulent, possess resistance determinants and are related to international clones.

Critical Care Medicine: Principle of Diagnosis and Management in the Adult, 5th Edition lies somewhere between a desk reference and a practical review of critical care medicine. In a rapidly expanding and evolving field such as critical care, it is difficult to produce a balanced and complete-yet accessible and digestible-resource, but this book does it admirably. It is well-positioned in a field of contemporary intensive care texts e.g.