Risk factors for ciprofloxacin-resistant Campylobacter infection in Wales

Evans, Meirion Rhys, Northey, Gemma, Sarvotham, Tinnu S., Hopkins, A. Lynne, Rigby, Christine Janet and Thomas, Daniel Rhys 2009. Risk factors for ciprofloxacin-resistant Campylobacter infection in Wales. Journal of Antimicrobial Chemotherapy 64 (2) , pp. 424-427. 10.1093/jac/dkp179

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Abstract

Objectives To identify risk factors for ciprofloxacin resistance in both travel-related and domestically acquired Campylobacter infection. Methods Case–comparison study of patients with ciprofloxacin-resistant and ciprofloxacin-susceptible Campylobacter infection conducted in Wales during 2003 and 2004. Results Foreign travel was the major risk factor for ciprofloxacin-resistant infection [adjusted odds ratio (adjOR) 24.0, 95% confidence interval (95% CI) 12.6–45.9]. Among travellers, case patients were five times more likely to drink still bottled water (adjOR 4.7, 95% CI 1.0–21.7), whilst among non-travellers, case patients were three times more likely to drink sparkling bottled water (adjOR 3.3, 95% CI 1.5–7.4). There was no increased risk associated with eating poultry or prior quinolone use. Conclusions Foreign travel remains the most important risk factor for ciprofloxacin-resistant Campylobacter infection. The possible association of both domestic- and travel-related ciprofloxacin-resistant Campylobacter infection with bottled water needs to be further explored.

Item Type:	Article
Date Type:	Publication
Status:	Published
Schools:	Medicine
Subjects:	R Medicine > R Medicine (General)
Uncontrolled Keywords:	drug resistance, fluoroquinolones, case–control studies
Publisher:	Oxford University Press
ISSN:	0305-7453
Last Modified:	07 Sep 2020 14:02
URI:	http://orca.cf.ac.uk/id/eprint/26854

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