title: Escherichia coli in Europe: an overview.
abstract: Escherichia coli remains one of the most frequent causes of several common bacterial infections in humans and animals. E. coli is the prominent cause of enteritis, urinary tract infection, septicaemia and other clinical infections, such as neonatal meningitis. E. coli is also prominently associated with diarrhoea in pet and farm animals. The therapeutic treatment of E. coli infections is threatened by the emergence of antimicrobial resistance. The prevalence of multidrug-resistant E. coli strains is increasing worldwide principally due to the spread of mobile genetic elements, such as plasmids. The rise of multidrug-resistant strains of E. coli also occurs in Europe. Therefore, the spread of resistance in E. coli is an increasing public health concern in European countries. This paper summarizes the current status of E. coli strains clinically relevant in European countries. Furthermore, therapeutic interventions and strategies to prevent and control infections are presented and discussed. The article also provides an overview of the current knowledge concerning promising alternative therapies against E. coli diseases.
authors.affiliation: Department of Experimental and Clinical Sciences, "G. d'Annunzio" University of Chieti-Pescara, Chieti I-66013, Italy. allocati@unich.it.
authors.forename: Nerino
authors.initials: N
authors.lastname: Allocati
authors.forename: Michele
authors.initials: M
authors.lastname: Masulli
authors.forename: Mikhail F
authors.initials: MF
authors.lastname: Alexeyev
authors.forename: Carmine
authors.initials: C
authors.lastname: Di Ilio
mesh_terms: D000818:Animals; D000890:Anti-Infective Agents / Q000494:pharmacology*; D054045:Biological Warfare Agents; D004196:Disease Outbreaks; D024901:Drug Resistance, Multiple, Bacterial; D004926:Escherichia coli / Q000187:drug effects / Q000472:pathogenicity / Q000502:physiology*; D004927:Escherichia coli Infections / Q000453:epidemiology* / Q000382:microbiology* / Q000517:prevention & control; D005060:Europe / Q000453:epidemiology; D006801:Humans
chemical_list: D000890:Anti-Infective Agents; D054045:Biological Warfare Agents