TY  - JOUR
AB  - The resistance of uropathogens to various antibiotics is increasing, but nitroxoline remains active in vitro against some relevant multidrug resistant uropathogenic bacteria. 'E. coli' strains, which are among the most common uropathogens, are unanimously susceptible. Thus, nitroxoline is an option for the therapy of urinary tract infections caused by multiresistant bacteria. Since nitroxoline is active against bacteria in biofilms, it will also be effective in patients with indwelling catheters or foreign bodies in the urinary tract. Cotrimoxazole, on the other hand, which, in principle, can also act on bacteria in biofilms, is frequently inactive against multiresistant uropathogens. Based on phenotypic resistance data from a large number of urine isolates, structural characterisation of an MDR plasmid of a recent ST131 uropathogenic 'E. coli' isolate, and publicly available genomic data of resistant enterobacteria, we show that nitroxoline could be used instead of cotrimoxazole for intervention against MDR uropathogens. Particularly in uropathogenic 'E. coli', but also in other enterobacterial uropathogens, the frequent parallel resistance to different antibiotics due to the accumulation of multiple antibiotic resistance determinants on mobile genetic elements argues for greater consideration of nitroxoline in the treatment of uncomplicated urinary tract infections.
AU  - Dobrindt, Ulrich
AU  - Wami, Haleluya T.
AU  - Schmidt-Wieland, Torsten
AU  - Bertsch, Daniela
AU  - Oberdorfer, Klaus
AU  - Hof, Herbert
DA  - 2021-05-28
DO  - 10.17879/62039660944
KW  - parallel resistance
KW  - resistance plasmid
KW  - horizontal gene transfer
KW  - prophylaxis of uncomplicated UTI
LA  - eng
N1  - Antibiotics 10 (2021) 6, 645, 1-14
N1  - Finanziert durch den Open-Access-Publikationsfonds der Westfälischen Wilhelms-Universität Münster (WWU Münster).
PY  - 2021-05-28
TI  - Compared with Cotrimoxazole Nitroxoline Seems to Be a Better Option for the Treatment and Prophylaxis of Urinary Tract Infections Caused by Multidrug-Resistant Uropathogens: An In Vitro Study
UR  - https://nbn-resolving.org/urn:nbn:de:hbz:6-52029478251
Y2  - 2024-11-22T02:20:10
ER  -