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Antimicrobial Agents and Chemotherapy, June 2003, p. 2030-2035, Vol. 47, No. 6
0066-4804/03/$08.00+0     DOI: 10.1128/AAC.47.6.2030-2035.2003
Copyright © 2003, American Society for Microbiology. All Rights Reserved.

Emergence of Resistance in Normal Human Aerobic Commensal Flora during Telithromycin and Amoxicillin-Clavulanic Acid Treatments

Anne-Claude Crémieux,1 Claudette Muller-Serieys,2 Xavière Panhard,3 Frédérique Delatour,1 Marina Tchimichkian,4 France Mentre,3 and Antoine Andremont2*

Laboratory of Bacteriology, EMI-U 9933,2 Clinical Investigation Center,1 Department of Epidemiology and Biostatistics, Bichat-Claude Bernard Hospital,3 Microbiology Laboratory, Ambroise-Paré Hospital, Paris, France4

Received 13 September 2002/ Returned for modification 9 December 2002/ Accepted 5 March 2003

Mean fecal global yeast counts increased similarly during 7 days of treatment with telithromycin (800 mg once daily) or amoxicillin-clavulanic acid (amoxiclav) (1 g of amoxicillin and 125 mg of clavulanic acid 3 times daily) in human volunteers and decreased slowly thereafter. On skin, coagulase-negative staphylococci of decreased susceptibility (DS) to telithromycin increased in the telithromycin group, whereas those with DS to methicillin increased in the amoxiclav group. A similar antibiotic-related shift towards homologous DS was observed for oral nongroupable streptococci (NGS), but in addition, the prevalence of NGS resistant to both classes of antibiotics was significantly greater in the amoxiclav group at days 8 (P < 0.01) and 45 (P < 0.015).


* Corresponding author. Mailing address: Laboratory of Bacteriology, Bichat Claude Bernard Hospital, 46, rue Henri Huchard, 75018 Paris, France. Phone: 33 1 40 25 85 01. Fax: 33 1 40 25 85 81. E-mail: antoine.andremont{at}bch.ap-hop-paris.fr.


Antimicrobial Agents and Chemotherapy, June 2003, p. 2030-2035, Vol. 47, No. 6
0066-4804/03/$08.00+0     DOI: 10.1128/AAC.47.6.2030-2035.2003
Copyright © 2003, American Society for Microbiology. All Rights Reserved.




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