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Antimicrobial Agents and Chemotherapy, September 2004, p. 3618-3620, Vol. 48, No. 9
0066-4804/04/$08.00+0     DOI: 10.1128/AAC.48.9.3618-3620.2004
Copyright © 2004, American Society for Microbiology. All Rights Reserved.

Colonization with Extraintestinal Pathogenic Escherichia coli among Nursing Home Residents and Its Relationship to Fluoroquinolone Resistance

Joel N. Maslow,1,2* Ebbing Lautenbach,2,3,4,5 Thomas Glaze,1 Warren Bilker,3,4,5 and James R. Johnson6

Section of Infectious Diseases, Veterans Affairs Medical Center,1 Division of Infectious Diseases,2 Center for Clinical Epidemiology and Biostatistics,3 Department of Biostatistics and Epidemiology,4 Center for Education and Research on Therapeutics, University of Pennsylvania, Philadelphia, Pennsylvania,5 Mucosal and Vaccine Research Center, Veterans Affairs Medical Center, and Department of Medicine, University of Minnesota, Minneapolis, Minnesota6

Received 15 December 2003/ Returned for modification 5 April 2004/ Accepted 25 May 2004

In a cross-sectional fecal prevalence survey involving 49 residents of a Veterans Affairs nursing home, 59% of subjects were colonized with extraintestinal pathogenic Escherichia coli (ExPEC), 22% were colonized with adhesin-positive E. coli, and 51% were colonized with fluoroquinolone-resistant E. coli. Among 80 unique isolates, adhesins correlated negatively and aerobactin correlated positively with fluoroquinolone resistance.

* Corresponding author. Mailing address: VA Medical Center (151), University and Woodland Ave., Philadelphia, PA 19104. Phone: (215) 823-6020. Fax: (215) 823-5171. E-mail: joel.maslow{at}med.va.gov.

Antimicrobial Agents and Chemotherapy, September 2004, p. 3618-3620, Vol. 48, No. 9
0066-4804/04/$08.00+0     DOI: 10.1128/AAC.48.9.3618-3620.2004
Copyright © 2004, American Society for Microbiology. All Rights Reserved.



This article has been cited by other articles:

  • Lautenbach, E., Bilker, W. B., Tolomeo, P., Maslow, J. N. (2008). Impact of Diversity of Colonizing Strains on Strategies for Sampling Escherichia coli from Fecal Specimens. J. Clin. Microbiol. 46: 3094-3096 [Abstract] [Full Text]  
  • D'Agata, E., Mitchell, S. L. (2008). Patterns of Antimicrobial Use Among Nursing Home Residents With Advanced Dementia. Arch Intern Med 168: 357-362 [Abstract] [Full Text]  
  • Lautenbach, E., Polk, R. E. (2007). Resistant gram-negative bacilli: A neglected healthcare crisis?. Am J Health Syst Pharm 64: S3-S21 [Abstract] [Full Text]  


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