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Journal of Antimicrobial Chemotherapy (2002) 49, 55-59
© 2002 The British Society for Antimicrobial Chemotherapy

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

Juan P. Horcajadaa,*, Jordi Vilab, Antonio Moreno-Martíneza, Joaquim Ruizb, Jose Antonio Martíneza, Miquel Sánchezc, Eladio Sorianoa and Josep Mensaa

a Departments of Infectious Diseases and b Microbiology, Institut Clínic d'Infeccions i Immunologia (ICII) and c Department of Internal Medicine, Hospital Clínic Universitari, Villarroel 170, 08036 Barcelona, Spain

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.

* Corresponding author. Tel: +34-93-2275586; Fax: +34-93-4514438; E-mail: jhorcaja{at}clinic.ub.es


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