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Clinical epidemiology of ciprofloxacin-resistant Proteus mirabilis isolated from urine samples of hospitalised patients
Authors:R. Saito  S. Okugawa  W. Kumita  K. Sato  T. Chida  N. Okamura  K. Moriya   K. Koike
Affiliation:Department of Infection Control and Prevention, The University of Tokyo Hospital, Tokyo, Japan. saito-lab@h.u-tokyo.ac.jp
Abstract:
This study investigated the clinical characteristics of ciprofloxacin-resistant Proteus mirabilis isolates from urine samples associated with nosocomial infection or colonisation, and identified the risk-factors for ciprofloxacin resistance. Data for patients with ciprofloxacin-resistant P. mirabilis isolates (n=13) were compared with those for randomly selected patients with ciprofloxacin-susceptible P. mirabilis isolates (n=40) who were matched by temporal occurrence as control patients. The majority of ciprofloxacin-resistant P. mirabilis isolates were multiresistant, and ciprofloxacin resistance was associated significantly with previous use of fluoroquinolones and production of extended-spectrum beta-lactamases.
Keywords:Epidemiology    extended-spectrum β-lactamases    fluoroquinolones    Proteus mirabilis    risk-factors    urinary tract infection
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