The aim of our study was to evaluate the interference of fosfomycin tr
ometanol (F.T.), at subinhibitory concentrations (1/4 and 1/8 MICs), o
n some urovirulence factors of Escherichia coli (12 strains). We teste
d fimbriae production, adhesion to uroepithelial cells, hydrophobicity
, motility and hemolysin production of E. coli grown in the presence o
r absence of F.T. The strains tested, grown in the presence of F.T. (1
/8 MIC), were less capable of adhering to uroepithelial cells, had les
s hemagglutination and reduced motility. This behavior was enhanced at
1/4 MIC of F.T. The hemolysin production and hydrophobicity propertie
s present in some of our tested strains also were significantly decrea
sed when the E. coli were grown in the presence of sub-MIC concentrati
ons of F.T. These results suggest that F.T. may be of clinical use as
treatment for acute urinary tract infection and in pyelonephritis prop
hylaxis.