Risk Factors for Fecal Quinolone-Resistant Escherichia coli in Mexican Children

Author:

Zaidi Mussaret B.1,Zamora Emma1,Diaz Pilar1,Tollefson Linda2,Fedorka-Cray Paula J.3,Headrick Marcia L.2

Affiliation:

1. Laboratorio de Investigación, Hospital General O'Horan, Mérida, Yucatan, Mexico

2. Center for Veterinary Medicine, Food and Drug Administration, Rockville, Maryland

3. Antimicrobial Resistance Research Unit, Agricultural Research Service, USDA Russell Research Center, Athens, Georgia

Abstract

ABSTRACT We determined the prevalence of, and risk factors for, fecal quinolone-resistant Escherichia coli (QREC) in 324 children from Yucatan, Mexico. QREC was higher in children with recent Salmonella infection (100%) than in children with diarrhea (61%) or healthy children (54%) ( P = 0.007). Multivariate analysis identified recent hospitalization of a family member ( P = 0.011, odds ratio [OR] = 5.1) and carriage of Salmonella ( P = 0.004, OR = 3.7) as independent risk factors for QREC.

Publisher

American Society for Microbiology

Subject

Infectious Diseases,Pharmacology (medical),Pharmacology

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