Cited by 666Salmonella and Campylobacter epidemiologyAntibiotic Resistance in BacteriaAntibiotic Use and Resistance

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Quinolone-Resistant Campylobacter jejuni Infections in Minnesota, 1992–1998

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Smith, Kirk E., Besser, John M., Hedberg, Craig W., Leano, Fe T., Bender, Jeffrey B., Wicklund, Julie H., Johnson, Brian P., Moore, Kristine A., Osterholm, Michael T.·1999·New England Journal of Medicine

DOI 10.1056/nejm199905203402001

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Abstract

BACKGROUND: Increasing resistance to quinolones among campylobacter isolates from humans has been reported in Europe and Asia, but not in the United States. We evaluated resistance to quinolones among campylobacter isolates from Minnesota residents during the period from 1992 through 1998. METHODS: All 4953 campylobacter isolates from humans received by the Minnesota Department of Health were tested for resistance to nalidixic acid. Resistant isolates and selected sensitive isolates were tested for resistance to ciprofloxacin. We conducted a case-comparison study of patients with ciprofloxacin-resistant Campylobacter jejuni isolated during 1996 and 1997. Domestic chicken was evaluated as a potential source of quinolone-resistant campylobacter. RESULTS: The proportion of quinolone-resistant C. jejuni isolates from humans increased from 1.3 percent in 1992 to 10.2 percent in 1998 (P<0.001). During 1996 and 1997, infection with quinolone-resistant C. jejuni was associated with foreign travel and with the use of a quinolone before the collection of stool specimens. However, quinolone use could account for no more than 15 percent of the cases from 1996 through 1998. The number of quinolone-resistant infections that were acquired domestically also increased during the period from 1996 through 1998. Ciprofloxacin-resistant C. jejuni was isolated from 14 percent of 91 domestic chicken products obtained from retail markets in 1997. Molecular subtyping showed an association between resistant C. jejuni strains from chicken products and domestically acquired infections in Minnesota residents. CONCLUSIONS: The increase in quinolone-resistant C. jejuni infections in Minnesota is largely due to infections acquired during foreign travel. However, the number of quinolone-resistant infections acquired domestically has also increased, largely because of the acquisition of resistant strains from poultry. The use of fluoroquinolones in poultry, which began in the United States in 1995, has created a reservoir of resistant C. jejuni.

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Authors: Smith, K. E., Besser, J. M., Hedberg, C. W., Leano, F. T., Bender, J. B., Wicklund, J. H., Johnson, B. P., Moore, K. A., & Osterholm, M. T.
Affiliations: Centers for Disease Control and Prevention (US)
Minnesota Department of Health (US)
ORCID: Smith, Kirk E.
Besser, John M.
Hedberg, Craig W.
Johnson, Brian P.
Osterholm, Michael T.
Venue: New England Journal of Medicine
Publisher: Massachusetts Medical Society
Published: 1999-05-20
Volume: 340
Issue: 20
Pages: 1525-1532
ISSN: 0028-4793 (ISSN-L)
1533-4406
DOI: 10.1056/nejm199905203402001
OpenAlex: W2342082395
Cited by: 666
References: 26
Citations by year: 2026: 2 · 2025: 2 · 2024: 2 · 2023: 8 · 2022: 8 · 2021: 9 · 2020: 7 · 2019: 15 · 2018: 9 · 2017: 11 · 2016: 19 · 2015: 24 · 2014: 27 · 2013: 19 · 2012: 23
FWCI: 118.81
Type: journal article
Language: en
Open access: bronze
doi.org
Locations: New England Journal of Medicine (publishedVersion)
PubMed (publishedVersion)
Funders: Minnesota Department of Agriculture
Minnesota Department of Health
U.S. Public Health Service (U50/CCU511190)
Topics: Life Sciences › Agricultural and Biological Sciences › Food Science › Salmonella and Campylobacter epidemiology
Health Sciences › Medicine › Microbiology (medical) › Antibiotic Resistance in Bacteria
Health Sciences › Medicine › Infectious Diseases › Antibiotic Use and Resistance
Keywords: Campylobacter jejuni, quinolone resistance, ciprofloxacin resistance, nalidixic acid resistance, travel-associated infection, molecular subtyping, Minnesota
MeSH terms: Analysis of Variance, Animals, Anti-Infective Agents, Campylobacter Infections, Chickens, Ciprofloxacin, Drug Resistance, Microbial, Humans, Meat, Minnesota, Nalidixic Acid, Population Surveillance, Risk Factors, Travel, Bacterial Typing Techniques, Case-Control Studies, Campylobacter jejuni

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Quinolone-Resistant Campylobacter jejuni Infections in Minnesota, 1992–1998

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