Fluoroquinolone-resistant urinary isolates of Escherichia coli from outpatients are frequently multidrug resistant: results from the North American Urinary Tract Infection Collaborative Alliance-Quinolone Resistance study

Antimicrob Agents Chemother. 2006 Jun;50(6):2251-4. doi: 10.1128/AAC.00123-06.

Abstract

Ciprofloxacin-resistant Escherichia coli isolates (n = 1,858) from outpatient midstream urine specimens at 40 North American clinical laboratories in 2004 to 2005 were frequently resistant to ampicillin (79.8% of isolates) and trimethoprim-sulfamethoxazole (66.5%); concurrent resistance to cefdinir (9.0%) or nitrofurantoin (4.0%) was less common. Only 10.8% of isolates were resistant to ciprofloxacin alone. Fluoroquinolone-resistant isolates of E. coli from urine were frequently multidrug resistant.

Publication types

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

MeSH terms

  • Adolescent
  • Adult
  • Ampicillin / therapeutic use
  • Anti-Infective Agents, Urinary / therapeutic use*
  • Cefdinir
  • Cephalosporins / therapeutic use
  • Ciprofloxacin / therapeutic use
  • Drug Resistance, Bacterial
  • Drug Resistance, Multiple, Bacterial / genetics*
  • Escherichia coli / drug effects*
  • Escherichia coli / genetics
  • Escherichia coli / isolation & purification
  • Escherichia coli Infections / drug therapy
  • Escherichia coli Infections / microbiology
  • Female
  • Fluoroquinolones / therapeutic use*
  • Humans
  • In Vitro Techniques
  • Male
  • Microbial Sensitivity Tests
  • Middle Aged
  • Nitrofurantoin / therapeutic use
  • North America
  • Outpatients
  • Trimethoprim, Sulfamethoxazole Drug Combination
  • Urinary Tract Infections / drug therapy*
  • Urinary Tract Infections / microbiology

Substances

  • Anti-Infective Agents, Urinary
  • Cephalosporins
  • Fluoroquinolones
  • Ciprofloxacin
  • Ampicillin
  • Trimethoprim, Sulfamethoxazole Drug Combination
  • Nitrofurantoin
  • Cefdinir