antimalarial therapy selection for quinolone resistance among escherichia coli in the absence of quinolone exposure, in tropical south america大肠杆菌中抗疟治疗选择喹诺酮耐喹诺酮暴露的缺席,在热带南美洲.pdfVIP
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antimalarial therapy selection for quinolone resistance among escherichia coli in the absence of quinolone exposure, in tropical south america大肠杆菌中抗疟治疗选择喹诺酮耐喹诺酮暴露的缺席,在热带南美洲
Antimalarial Therapy Selection for Quinolone Resistance
among Escherichia coli in the Absence of Quinolone
Exposure, in Tropical South America
1,2 3,4 5 2 4 5
Ross J. Davidson , Ian Davis , Barbara M. Willey , Keyro Rizg , Shelly Bolotin , Vanessa Porter , Jane
6 4 4,5 7 4 3 5
Polsky , Nick Daneman , Allison McGeer , Paul Yang , Dennis Scolnik , Roy Rowsell , Olga Imas ,
Michael S. Silverman3,4*
1 Queen Elizabeth II Health Sciences Centre, Dalhousie University, Halifax, Canada, 2 Dalhousie University, Halifax, Canada, 3 Lakeridge Health Center, Oshawa, Canada,
4 University of Toronto, Toronto, Canada, 5 Toronto Medical Laboratories/Mount Sinai Hospital Department of Microbiology, Mount Sinai Hospital, Toronto, Canada, 6 St.
Michael’s Hospital Department of Family Community Medicine, Toronto, Canada, 7 Ontario Ministry of the Environment, Etobicoke, Canada
Abstract
Background: Bacterial resistance to antibiotics is thought to develop only in the presence of antibiotic pressure. Here we
show evidence to suggest that fluoroquinolone resistance in Escherichia coli has developed in the absence of
fluoroquinolone use.
Methods: Over 4 years, outreach clinic attendees in one moderately remote and five very remote villages in rural Guyana
were surveyed for the presence of rectal carriage of ciprofloxacin-resistant Gram-negative bacilli (GNB). Drinking water was
tested for the presence of resistant GNB by culture, and the presence of antibacterial agents and chloroquine by HPLC. The
development of ciprofloxacin resistance in E. coli was examined after seri
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