Quinolone resistance among Escherichia coli strains from community-acquired urinary tract infections in Greece

Clin Microbiol Infect. 2004 Jan;10(1):75-8. doi: 10.1111/j.1469-0691.2004.00807.x.

Abstract

Susceptibility data for 10 049 Escherichia coli isolates derived from community-acquired urinary tract infections in Greece during the period January 2000 to June 2002 indicated 8.1% resistance to nalidixic acid and 36% resistance to ciprofloxacin. In a sample of 170 E. coli isolates, mutations in gyrA (25 isolates) and parC (15 isolates) were consistent with the levels of resistance to quinolones. Previous exposure to quinolones and underlying chronic disease were independent risk factors for infection by quinolone-resistant E. coli strains.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Anti-Infective Agents / pharmacology*
  • Ciprofloxacin / pharmacology*
  • Community-Acquired Infections / epidemiology
  • Community-Acquired Infections / microbiology
  • DNA Gyrase / genetics
  • DNA Topoisomerase IV / genetics
  • Drug Resistance, Bacterial*
  • Escherichia coli / drug effects*
  • Escherichia coli / genetics
  • Escherichia coli Infections / epidemiology
  • Escherichia coli Infections / microbiology*
  • Greece
  • Humans
  • Microbial Sensitivity Tests
  • Nalidixic Acid / pharmacology
  • Urinary Tract Infections / epidemiology
  • Urinary Tract Infections / microbiology*

Substances

  • Anti-Infective Agents
  • Nalidixic Acid
  • Ciprofloxacin
  • DNA Topoisomerase IV
  • DNA Gyrase