title: Antimicrobial susceptibility trends in Campylobacter jejuni and Campylobacter coli isolated from a rural Egyptian pediatric population with diarrhea.
abstract: Comparative and trend analysis was conducted on annual prevalence of antimicrobial susceptibility among Campylobacter jejuni and Campylobacter coli recovered from rural Egyptian children from 1995 through 2000. C. jejuni and C. coli demonstrated significant decreasing trends in ciprofloxacin susceptibility over the study period (p < 0.001 for both). In general, C. coli demonstrated a higher degree of susceptibility than C. jejuni, however, there was no statistical difference (p = 0.2) comparing the linear trends over the duration of the study. There was no indication of frank macrolide (erythromycin or azithromycin) resistance among any Campylobacter. Moreover, there were statistically significant positive trends in both the MIC(50) and MIC(90) values for the erythromycin and azithromycin during the study period, suggesting a possible decreasing trend in susceptibility among Campylobacter. This study demonstrated that antimicrobial susceptibility in Campylobacter has significantly decreased from 1995 through 2000 among pediatric diarrhea cases in rural Egypt.
authors.affiliation: Enteric Disease Research Program, Naval Medical Research Center, Silver Spring, MD, USA. putnams@nmrc.navy.mil
authors.forename: Shannon D
authors.initials: SD
authors.lastname: Putnam
authors.forename: Robert W
authors.initials: RW
authors.lastname: Frenck
authors.forename: Mark S
authors.initials: MS
authors.lastname: Riddle
authors.forename: Atef
authors.initials: A
authors.lastname: El-Gendy
authors.forename: Nancy N
authors.initials: NN
authors.lastname: Taha
authors.forename: Brian T
authors.initials: BT
authors.lastname: Pittner
authors.forename: Remon
authors.initials: R
authors.lastname: Abu-Elyazeed
authors.forename: Thomas F
authors.initials: TF
authors.lastname: Wierzba
authors.forename: Malla R
authors.initials: MR
authors.lastname: Rao
authors.forename: Stephen J
authors.initials: SJ
authors.lastname: Savarino
authors.forename: John D
authors.initials: JD
authors.lastname: Clemens
mesh_terms: D000900:Anti-Bacterial Agents / Q000494:pharmacology*; D017963:Azithromycin / Q000494:pharmacology; D002169:Campylobacter Infections / Q000175:diagnosis / Q000188:drug therapy / Q000453:epidemiology; D017000:Campylobacter coli / Q000187:drug effects* / Q000302:isolation & purification; D016123:Campylobacter jejuni / Q000187:drug effects* / Q000302:isolation & purification; D002648:Child; D002675:Child, Preschool; D002939:Ciprofloxacin / Q000494:pharmacology; D003967:Diarrhea / Q000188:drug therapy / Q000453:epidemiology / Q000382:microbiology*; D024881:Drug Resistance, Bacterial; D004534:Egypt / Q000453:epidemiology; D004917:Erythromycin / Q000494:pharmacology; D005260:Female; D006801:Humans; D015994:Incidence; D007223:Infant; D008297:Male; D008826:Microbial Sensitivity Tests; D010372:Pediatrics; D011336:Probability; D012424:Rural Population; D012680:Sensitivity and Specificity
chemical_list: D000900:Anti-Bacterial Agents; D002939:Ciprofloxacin; D004917:Erythromycin; D017963:Azithromycin