Open Access
Interdisciplinary Perspectives on Infectious Diseases, volume 2012, pages 1-37
Global Fluoroquinolone Resistance Epidemiology and Implictions for Clinical Use
1
Institute for Infection-Medicine, Christian-Albrechts Univerity of Kiel and University Medical Center Schleswig-Holstein, Brunswiker Straße 4, 24105 Kiel, Germany
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Publication type: Journal Article
Publication date: 2012-10-25
Quartile SCImago
Q2
Quartile WOS
—
Impact factor: —
ISSN: 1687708X, 16877098
PubMed ID:
23097666
Microbiology (medical)
Microbiology
Infectious Diseases
Parasitology
Virology
Abstract
This paper on the fluoroquinolone resistance epidemiology stratifies the data according to the different prescription patterns by either primary or tertiary caregivers and by indication. Global surveillance studies demonstrate that fluoroquinolone resistance rates increased in the past years in almost all bacterial species except S. pneumoniae and H. influenzae, causing community-acquired respiratory tract infections. However, 10 to 30% of these isolates harbored first-step mutations conferring low level fluoroquinolone resistance. Fluoroquinolone resistance increased in Enterobacteriaceae causing community acquired or healthcare associated urinary tract infections and intraabdominal infections, exceeding 50% in some parts of the world, particularly in Asia. One to two-thirds of Enterobacteriaceae producing extended spectrum β-lactamases were fluoroquinolone resistant too. Furthermore, fluoroquinolones select for methicillin resistance in Staphylococci. Neisseria gonorrhoeae acquired fluoroquinolone resistance rapidly; actual resistance rates are highly variable and can be as high as almost 100%, particularly in Asia, whereas resistance rates in Europe and North America range from <10% in rural areas to >30% in established sexual networks. In general, the continued increase in fluoroquinolone resistance affects patient management and necessitates changes in some guidelines, for example, treatment of urinary tract, intra-abdominal, skin and skin structure infections, and traveller's diarrhea, or even precludes the use in indications like sexually transmitted diseases and enteric fever.
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Citations by publishers
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- We do not take into account publications that without a DOI.
- Statistics recalculated only for publications connected to researchers, organizations and labs registered on the platform.
- Statistics recalculated weekly.
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GOST
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Dalhoff A. Global Fluoroquinolone Resistance Epidemiology and Implictions for Clinical Use // Interdisciplinary Perspectives on Infectious Diseases. 2012. Vol. 2012. pp. 1-37.
GOST all authors (up to 50)
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Dalhoff A. Global Fluoroquinolone Resistance Epidemiology and Implictions for Clinical Use // Interdisciplinary Perspectives on Infectious Diseases. 2012. Vol. 2012. pp. 1-37.
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TY - JOUR
DO - 10.1155/2012/976273
UR - https://doi.org/10.1155%2F2012%2F976273
TI - Global Fluoroquinolone Resistance Epidemiology and Implictions for Clinical Use
T2 - Interdisciplinary Perspectives on Infectious Diseases
AU - Dalhoff, Axel
PY - 2012
DA - 2012/10/25 00:00:00
PB - Hindawi Limited
SP - 1-37
VL - 2012
PMID - 23097666
SN - 1687-708X
SN - 1687-7098
ER -
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@article{2012_Dalhoff,
author = {Axel Dalhoff},
title = {Global Fluoroquinolone Resistance Epidemiology and Implictions for Clinical Use},
journal = {Interdisciplinary Perspectives on Infectious Diseases},
year = {2012},
volume = {2012},
publisher = {Hindawi Limited},
month = {oct},
url = {https://doi.org/10.1155%2F2012%2F976273},
pages = {1--37},
doi = {10.1155/2012/976273}
}