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Antimicrobial Agents and Chemotherapy, December 1999, p. 3022-3024, Vol. 43, No. 12
0066-4804/99/$04.00+0
Copyright © 1999, American Society for Microbiology. All rights reserved.
Antimicrobial Resistance of Diarrheagenic
Escherichia coli Isolated from Children under the Age of 5 Years from Ifakara, Tanzania
Jordi
Vila,1,*
Martha
Vargas,1
Climent
Casals,1
Honorato
Urassa,2
Hassan
Mshinda,2
David
Schellemberg,2 and
Joaquim
Gascon1
Departament de Microbiologia, Hospital
Clinic, IDIBAPS (Institut d'Investigacions Biomèdiques August
Pí i Sunyer), Barcelona 08036, Spain,1
and Ifakara Health Research and Development Centre, National
Institute for Medical Research, Ifakara,
Tanzania2
Received 15 June 1999/Returned for modification 16 August
1999/Accepted 2 October 1999
Diarrhea caused by multidrug-resistant bacteria is an important
public health problem among children in developing countries. The
prevalence and antimicrobial susceptibility of diarrheagenic Escherichia coli in 346 children under 5 years of age in
Ifakara, Tanzania, were studied. Thirty-eight percent of the cases of
diarrhea were due to multiresistant enterotoxigenic E. coli, enteroaggregative E. coli, or enteropathogenic
E. coli. Strains of all three E. coli
categories showed high-level resistance to ampicillin, tetracycline, co-trimoxazole, and chloramphenicol but were highly susceptible to
quinolones. Guidelines for appropriate use of antibiotics in developing
countries need updating.
*
Corresponding author. Mailing address: Laboratori de
Microbiologia, Hospital Clinic, Villarroel 170, 08036 Barcelona, Spain. Phone: 34.93.2275522. Fax: 34.93.2275454. E-mail:
vila{at}medicina.ub.es.
Antimicrobial Agents and Chemotherapy, December 1999, p. 3022-3024, Vol. 43, No. 12
0066-4804/99/$04.00+0
Copyright © 1999, American Society for Microbiology. All rights reserved.
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