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Antimicrobial Agents and Chemotherapy, June 2000, p. 1731-1733, Vol. 44, No. 6
0066-4804/00/$04.00+0
Copyright © 2000, American Society for Microbiology. All rights reserved.
Quinolone Resistance in Enterotoxigenic
Escherichia coli Causing Diarrhea in Travelers to India in
Comparison with Other Geographical Areas
Jordi
Vila,1,*
Martha
Vargas,1
Joaquim
Ruiz,1
Manuel
Corachan,2
M. Teresa
Jimenez de
Anta,1 and
Joaquim
Gascon2
Departments of
Microbiology1 and Infectious Diseases
(Tropical Medicine Unit),2 IDIBAPS (Institut
d'Investigacions Biomèdiques August Pí i Sunyer),
Hospital Clínic, School of Medicine, University of Barcelona,
Barcelona, Spain
Received 30 December 1998/Returned for modification 18 September
1999/Accepted 27 March 2000
Enterotoxigenic Escherichia coli isolates were
identified as a cause of traveler's diarrhea in 82 of 520 (16%)
patients and tested for resistance to seven antimicrobial agents.
Thirty patients (36%) needed antimicrobial therapy: 17 (56%) for
persistence of symptoms and 13 (44%) for severity of symptoms.
Ampicillin, tetracycline, and trimethoprim-sulfamethoxazole resistance
was high. Chloramphenicol showed moderate activity, and amoxicillin
plus clavulanic acid, nalidixic acid, and ciprofloxacin showed very
good activity. Five nalidixic acid-resistant strains were isolated,
four from patients visiting India.
*
Corresponding author. Mailing address: Laboratori de
Microbiologia, Hospital Clínic, Facultat de Medicina,
Universitat de Barcelona, Villarroel, 170, 08036 Barcelona, Spain.
Phone: 34.3.2275522. Fax: 34.3.2275454. E-mail:
vila{at}medicina.ub.es.
Antimicrobial Agents and Chemotherapy, June 2000, p. 1731-1733, Vol. 44, No. 6
0066-4804/00/$04.00+0
Copyright © 2000, American Society for Microbiology. All rights reserved.
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