Quinolone resistance in enterotoxigenic Escherichia coli causing diarrhea in travelers to India in comparison with other geographical areas

Antimicrob Agents Chemother. 2000 Jun;44(6):1731-3. doi: 10.1128/AAC.44.6.1731-1733.2000.

Abstract

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.

Publication types

  • Comparative Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Diarrhea / epidemiology
  • Diarrhea / etiology*
  • Drug Resistance, Microbial*
  • Escherichia coli / drug effects*
  • Escherichia coli Infections / epidemiology
  • Escherichia coli Infections / etiology*
  • India
  • Quinolones / pharmacology*

Substances

  • Quinolones