J. Carratala et al., EMERGENCE OF FLUOROQUINOLONE-RESISTANT ESCHERICHIA-COLI IN FECAL FLORA OF CANCER-PATIENTS RECEIVING NORFLOXACIN PROPHYLAXIS, Antimicrobial agents and chemotherapy, 40(2), 1996, pp. 503-505
We studied 122 stool samples collected from 25 patients with hematolog
ic malignancies who received prophylactic norfloxacin. Fecal samples w
ere obtained at admission and twice weekly thereafter during prophylax
is. Fluoroquinolone-resistant Escherichia coli strains were isolated f
rom the feces of 10 (40%) of the patients; two patients had fluoroquin
olone-resistant E. coli strains prior to beginning norfloxacin treatme
nt, and in the other eight patients, the strains appeared subsequently
. One patient developed fluoroquinolone-resistant E. coli bacteremia a
fter 10 days of norfloxacin administration.