Molecular epidemiology and evolution of resistance to quinolones in Escherichia coli after prolonged administration of ciprofloxacin in patients with prostatitis

Juan P. Horcajada, Jordi Vila, Antonio Moreno-Martínez, Joaquim Ruiz, Jose Antonio Martínez, Miquel Sánchez, Eladio Soriano, Josep Mensa

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37 Scopus citations

Abstract

The emergence and evolution of quinolone-resistant Escherichia coli in faeces of patients with prostatitis treated with high-dose oral ciprofloxacin for 1 month were studied. In 11 of 23 patients, from whom only quinolone-susceptible E. coli was isolated before treatment, quinolone-resistant strains, genetically distinct from the quinolone-susceptible ones, predominated during and just after therapy. Two months after treatment, these were completely displaced by quinolone-susceptible E. coli, genetically distinct from the E. coli isolated before and during therapy. Hence, during ciprofloxacin therapy, half of the patients were transiently colonized with new, quinolone-resistant strains of E. coli.

Original languageEnglish
Pages (from-to)55-59
Number of pages5
JournalJournal of Antimicrobial Chemotherapy
Volume49
Issue number1
DOIs
StatePublished - 2002

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