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Effect of stay in hospital and oral chemotherapy on the antibiotic sensitivity of bowel coliforms

  • Elizabeth J. Shaw (a1), Naomi Datta (a1), Glynne Jones (a2), Frances M. Marr (a2) and Wendy J. B. Froud (a2)...

Summary

The effects of oral chemotherapy and stay in hospital on the antibiotic resistance patterns of faecal coliform flora were studied. The coliform flora of 64% of 25 patients who were not receiving antibiotics was sensitive to all drugs tested. Hospitalization alone did not affect this proportion. The administration of tetra-cycline or ampicillin to patients, whether at home or in hospital, significantly increased the percentage of resistant bowel coliforms. Tetracycline showed a significantly greater effect than ampicillin. There was no significant increase in the percentage of patients with resistant flora after treatment with amoxycillin.

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References

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Datta, N. (1969). Drug resistance and R factors in the bowel bacteria of London patients before and after admission to hospital. British Medical Journal ii, 407–11.
Datta, N., Faiers, M., Reeves, D. S., Brumfitt, W., Orskov, F. & Orskov, I. (1971). R factors in Escherichia coli in faeces after oral chemotherapy in medical practice. Lancet i, 312–15.
Jones, G. R., Calder, M. A., Froud, W. J. B., Inglis, J. M., Marr, F. M. & Stewart, S. M. (1973). Amoxycillin – pilot study of its use in pneumonia and chronic bronchitis. British Journal of Clinical Practice (in the Press).
Moorhouse, E. C. (1969). Transferable drug resistance in Enterobacteria isolated from urban infants. British Medical Journal ii, 405–7.
Sutherland, R., Croydon, E. A. P. & Rolinson, G. N. (1972). Amoxycillin: a new semisynthetic penicillin. British Medical Journal iii, 1316.

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