Quinolone and macrolide resistance in Campylobacter jejuni and C-coli: Resistance mechanisms and trends in human isolates

J. Engberg, Frank Møller Aarestrup, D. E. Taylor, P. Gerner-Smidt, I. Nachamkin

Research output: Contribution to journalJournal articleResearchpeer-review

Abstract

The incidence of human Campylobacter jejuni and C. coli infections has increased markedly in many parts of the world in the last decade as has the number of quinolone-resistant and, to a lesser extent, macrolide-resistant Campylobacter strains causing infections. We review macrolide and quinolone resistance in Campylobacter and track resistance trends in human clinical isolates in relation to use of these agents in food animals. Susceptibility data suggest that erythromycin and other macrolides should remain the drugs of choice in most regions, with systematic surveillance and central measures maintained, but fluoroquinolones may now be of limited use in the empiric treatment of Campylobacter infections in many regions.
Original languageEnglish
JournalEMERGING INFECTIOUS DISEASES
Volume7
Issue number1
Pages (from-to)24-34
ISSN1080-6040
Publication statusPublished - 2001

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