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J Infect Dis. 2004 Apr 1;189(7):1291-4. Epub 2004 Mar 16.

High prevalence of acquired antimicrobial resistance unrelated to heavy antimicrobial consumption.

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Dipartimento di Area Critica Medico Chirurgica, Clinica di Malattie Infettive, Universita di Firenze, Florence, Italy.


In a very remote rural Bolivian community where the use of antimicrobials has been minimal and where exchanges with the exterior are very limited, 67% of subjects were found to be carriers of fecal Escherichia coli with acquired resistance to >/=1 antimicrobial agent(s); the highest rates were observed for tetracycline (64%), ampicillin (58%), trimethoprim-sulfamethoxazole (50%), and chloramphenicol (41%). The most relevant implication of these findings is that, in certain settings, the spread and maintenance of antimicrobial resistance can occur, regardless of whether selective pressure generated by the use of antimicrobials is present.

[Indexed for MEDLINE]

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