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Journal of Antimicrobial Chemotherapy (1999) 43, 171-176
© 1999 The British Society for Antimicrobial Chemotherapy


Leading article

Occurrence and epidemiology of resistance to virginiamycin and streptogramins

Lee Ann Thala and Marcus J. Zervosa,b,*

a Departments of Medicine and Clinical Pathology, Section of Infectious Diseases, William Beaumont Hospital, Royal Oak, MI b Wayne State University School of Medicine, Detroit, MI, USA

Introduction

Non-human sources have been increasingly suspected as reservoirs for some antibiotic-resistant bacteria. Antibiotics are used in animals both to treat infections and as growth promoters. The potential role that antibiotic use in veterinary medicine and animal husbandry plays in the transfer of antibiotic-resistant bacteria to humans is a controversial issue. There is clear evidence that the increase in consumption of antibiotics by animals has been accompanied by a similar rise in the number of antibiotic-resistant strains isolated.1,2,3,4,5 ,6 It has been suspected that antibiotic use in food animals has resulted in the novel resistance genes and multiresistant pathogens that have emerged in these animals.7 ,8,9 ,10,11 ,12,13 ,14,15 ,16,17 ,18,19 ,20 Dupont & Steele20 reported that 45% of antimicrobial use in the USA was for animal feed supplementation. Studies of salmonella,14 Escherichia coli,12 enterococci6,7,8,9,10 ,11,15 ,16,17 and campylobacter13 support the claim that novel resistance genes may be selected in the bacterial flora of animals as a direct consequence of antibiotic . . . [Full Text of this Article]

Streptogramin-resistant E. faecium in Europe

Streptogramin-resistant enterococci in the USA

Acknowledgments

Notes

References


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