Epidemiology of Quinolone Resistance of Klebsiella Pneumoniae and Klebsiella Oxytoca in Europe

Eur J Clin Microbiol Infect Dis. 2000 Jan;19(1):64-8. doi: 10.1007/s100960050014.

Abstract

The epidemiology of quinolone resistance and the concomitant resistance to other antibiotic classes was investigated in 445 Klebsiella pneumoniae and 238 Klebsiella oxytoca isolates. Decreased susceptibility to ciprofloxacin was found in 7.2% and 3.4% of these two species, respectively. Ciprofloxacin resistance was significantly linked to ceftazidime resistance, the hallmark of extended-spectrum beta-lactamase production, as well as to resistance to all antibiotic classes tested. Using automated ribotyping, seven intrahospital- and interhospital-transmitted clones of ciprofloxacin-resistant isolates were found. The newer fluoroquinolones sitafloxacin and clinafloxacin may become increasingly valuable, since they proved to be active also against ciprofloxacin-resistant isolates.

MeSH terms

  • Anti-Bacterial Agents / pharmacology
  • Anti-Infective Agents / pharmacology*
  • Bacterial Typing Techniques
  • Ciprofloxacin / pharmacology
  • Drug Resistance, Microbial / genetics
  • Drug Resistance, Multiple
  • Europe / epidemiology
  • Humans
  • Klebsiella / classification
  • Klebsiella / drug effects*
  • Klebsiella / genetics
  • Klebsiella Infections / epidemiology*
  • Klebsiella Infections / microbiology*
  • Klebsiella pneumoniae / classification
  • Klebsiella pneumoniae / drug effects
  • Klebsiella pneumoniae / genetics
  • Microbial Sensitivity Tests

Substances

  • Anti-Bacterial Agents
  • Anti-Infective Agents
  • Ciprofloxacin