Abstract
We determined that resistance to ciprofloxacin has emerged in enterococci over the last 5 years in our hospital, mainly in strains demonstrating the phenotype of high-level gentamicin resistance. All high-level-gentamicin-resistant isolates from 1985 and 1986 were susceptible, whereas 24% of isolates from 1989 and 1990 were resistant to ciprofloxacin. Plasmid and genomic DNA typing showed at least six unique strains exhibiting resistance, but one type accounted for 80% of recent resistant isolates, suggesting a role for cross infection in the emergence of resistance.
MeSH Terms
Ciprofloxacin/pharmacology
DNA, Bacterial/analysis,genetics
Drug Resistance, Microbial/physiology
Enterococcus/drug effects,genetics
Gentamicins/pharmacology
Humans
Microbial Sensitivity Tests
Time Factors
Chemicals
DNA, Bacterial
Gentamicins
Ciprofloxacin
Authors & Affiliations
6 authors, click to expand affiliations / ORCID
Schaberg D R
Division of Infectious Diseases, University of Michigan Medical School, Ann Arbor 48109.
Dillon W I
Terpenning M S
Robinson K A
Bradley S F
Kauffman C A
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