2006
DOI: 10.1093/jac/dki468
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Quinolone, fluoroquinolone and trimethoprim/sulfamethoxazole resistance in relation to virulence determinants and phylogenetic background among uropathogenic Escherichia coli

Abstract: E. coli isolates resistant to quinolones, trimethoprim/sulfamethoxazole and especially fluoroquinolones were associated with reductions in virulence traits and shifts to non-B2 phylogenetic groups. Moreover, fluoroquinolone resistance usually occurred in low-virulence E. coli group A isolates rather than in isolates from groups B2 and D which had lost virulence traits. CGA accounted for 23% of trimethoprim/sulfamethoxazole-resistant E. coli producing pyelonephritis.

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Cited by 138 publications
(124 citation statements)
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“…The phylogenetic group D includes pathogenic strains such as E. coli O157:H7, which is highly virulent and can cause diarrhea, hemolytic uremic syndrome and hemorrhagic colitis (Parry and Palmer, 2000). Previous studies have demonstrated that group B2 E. coli strains are less resistant to antibiotics (Laroche et al, 2009;Moreno et al, 2006) and it is assumed that they tend to carry fewer integrons than the others phylogenetic E. coli groups (Skurnik et al 2005). …”
Section: Usa 4 % Of the Tetracycline Resistant Isolates Were Positivementioning
confidence: 99%
“…The phylogenetic group D includes pathogenic strains such as E. coli O157:H7, which is highly virulent and can cause diarrhea, hemolytic uremic syndrome and hemorrhagic colitis (Parry and Palmer, 2000). Previous studies have demonstrated that group B2 E. coli strains are less resistant to antibiotics (Laroche et al, 2009;Moreno et al, 2006) and it is assumed that they tend to carry fewer integrons than the others phylogenetic E. coli groups (Skurnik et al 2005). …”
Section: Usa 4 % Of the Tetracycline Resistant Isolates Were Positivementioning
confidence: 99%
“…Similar findings have occurred in earlier studies in other parts of the world where low prevalence of VGs were detected among FQ resistant CEC isolates (Horcajada et al, 2005;Huang et al, 2009;Kawamura-Sato et al, 2010). These isolates may have been opportunistic pathogens that acquired FQ resistance (Drews et al, 2005;Vila et al, 2002) or they may be CEC isolates that lost their VGs after they developed mutations in the QRDR (Horcajada et al, 2005;Moreno et al;Sawma-Aouad et al, 2009). Furthermore, the virulence profile of the AmpC harbouring E. coli isolates also varied.…”
Section: Discussionmentioning
confidence: 99%
“…Similar to other studies, isolates with a > 93% similarity in their ERIC profile were assumed to be closely related (a clonal group) (Moreno et al, 2006;Sabate et al, 2008). A cluster was defined as a group of isolates that shared ≥ 80% similarity in their ERIC-PCR profile patterns.…”
Section: Enterobacterial Repetitive Intergenic Consensus (Eric)-pcrmentioning
confidence: 96%
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“…However, association of the susceptible isolates with the phylogenetic group B2 and that of the resistant isolates with non-B2 group have also been reported [21][22][23][24]. The controversy existent among these reports may be interpreted as being the result of the number of samples analyzed, geographical variations, or various clinical sources.…”
Section: Determination Of Virulence Genesmentioning
confidence: 99%