Posttreatment Changes in Escherichia coli Antimicrobial Susceptibility Rates among Diarrheic Patients Treated with Ciprofloxacin

Author:

Putnam Shannon D.1,Sanders John W.2,Tribble David R.3,Rockabrand David R.1,Riddle Mark S.1,Rozmajzl Patrick J.1,Frenck Robert W.1

Affiliation:

1. Naval Medical Research Unit 2, Jakarta, Indonesia

2. Naval Medical Research Unit 3, Cairo, Egypt

3. Naval Medical Research Center, Silver Spring, Maryland

Abstract

ABSTRACT Changes in antimicrobial resistance of Escherichia coli among deployed U.S. military personnel being treated for diarrhea were evaluated. Stool samples were collected pretreatment and on days 7, 14, and 28 posttreatment. Resistance to ciprofloxacin was noted in 13.3% of baseline specimens, and rates of resistance against multiple antibiotics increased dramatically from baseline to day 7 and then tapered off to return to pretreatment levels by day 28, except for ciprofloxacin, suggesting that population accumulative usage of fluoroquinolones may result in an incremental increase in resistance rates.

Publisher

American Society for Microbiology

Subject

Infectious Diseases,Pharmacology (medical),Pharmacology

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