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• W2069532141 abstract "Norval Strachan and Ken Forbes (Aug 28, p 665)1Strachan NJC Forbes KJ The growing UK epidemic of human campylobacteriosis.Lancet. 2010; 376: 665-667Summary Full Text Full Text PDF PubMed Scopus (23) Google Scholar highlight the increasing epidemic of human campylobacteriosis in the UK. They describe how source attribution models have identified poultry as the major vehicle for human infection.2Sheppard SK Dallas JF Strachan NJ et al.Campylobacter genotyping to determine the source of human infection.Clin Infect Dis. 2009; 48: 1072-1078Crossref PubMed Scopus (297) Google Scholar Furthermore, they report how interventions to reduce campylobacter in poultry overseas have led to concurrent reductions in the incidence of human disease. We write to highlight the alarming trend of increasing ciprofloxacin resistance among UK human campylobacter isolates, an observation omitted from Strachan and Forbes's report. In 2008, 301 (37·5%) of 803 isolates cultured at the John Radcliffe Hospital, Oxford, UK, were resistant to ciprofloxacin. This proportion represents a striking and rapid increase from 7% in 19953Bowler ICJW Connor M Lessing MP Day D Quinolone resistance and Campylobacter species.J Antimicrob Chemother. 1996; 38: 315Crossref PubMed Scopus (6) Google Scholar and 25·1% in 20044Dingle KE Clarke L Bowler ICJW Ciprofloxacin resistance among human Campylobacter isolates 1991-2004: an update.J Antimicrob Chemother. 2005; 56: 435-437Crossref PubMed Scopus (11) Google Scholar (figure). The rise of around 2% per year cannot be explained by infections acquired abroad, since 51·6% of ciprofloxacin-resistant isolates were from patients reporting recent foreign travel in 1995, falling to 20·8% in 2009. By contrast, the levels of erythromycin resistance have remained unchanged at under 2·5%. Since ciprofloxacin can no longer be safely assumed to be an effective treatment, routine laboratory susceptibility testing of isolates is essential. Our data further support Strachan and Forbes's proposal1Strachan NJC Forbes KJ The growing UK epidemic of human campylobacteriosis.Lancet. 2010; 376: 665-667Summary Full Text Full Text PDF PubMed Scopus (23) Google Scholar that government regulation of the poultry industry is necessary, since increasing numbers of ciprofloxacin-resistant isolates from human beings, most of which originate in poultry, imply a link to the veterinary use of fluoroquinolones.2Sheppard SK Dallas JF Strachan NJ et al.Campylobacter genotyping to determine the source of human infection.Clin Infect Dis. 2009; 48: 1072-1078Crossref PubMed Scopus (297) Google Scholar, 5Humphrey TJ Jørgensen F Frost JA et al.Prevalence and subtypes of ciprofloxacin-resistant Campylobacter spp. in commercial poultry flocks before, during, and after treatment with fluoroquinolones.Antimicrob Agents Chemother. 2005; 49: 690-698Crossref PubMed Scopus (76) Google Scholar AJC is funded by the Department for Environment, Food and Rural Affairs, research contract number OZ0615. KED is funded by the NIHR Biomedical Research Centre, Oxford, UK. We thank the staff of the Clinical Microbiology Laboratory, John Radcliffe Hospital, Oxford. We declare that we have no conflicts of interest." @default.
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• W2069532141 date "2010-12-01" @default.
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• W2069532141 title "Ciprofloxacin-resistant campylobacteriosis in the UK" @default.
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• W2069532141 doi "https://doi.org/10.1016/s0140-6736(10)62261-1" @default.
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