Abstract
Some antibiotics tend to select for R-factor-carrying Escherichia coli in the human gut, with complex long-term consequences. Some resistant strains disappear rapidly when treatment ends, while others persist for months in the absence of obvious antibiotic selection pressure, and the performance of individual resistant strains seems to depend more on the nature of the strain than on the plasmid carried. R plasmids are relatively rare in those E coli that colonize well in the gut and resistant bacteria therefore tend to disappear when treatment ends, but this situation could change dramatically if R plasmids became prevalent among those strains of E coli that colonize effectively.
Full text
PDF



Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- Anderson J. D. The effect of R-factor carriage on the survival of Escherichia coli in the human intestine. J Med Microbiol. 1974 Feb;7(1):85–90. doi: 10.1099/00222615-7-1-85. [DOI] [PubMed] [Google Scholar]
- Datta N. Drug resistance and R factors in the bowel bacteria of London patients before and after admission to hospital. Br Med J. 1969 May 17;2(5654):407–411. doi: 10.1136/bmj.2.5654.407. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Gardner P., Smith D. H., Beer H., Moellering R. C., Jr Recovery of resistance (R) factors from a drug-free community. Lancet. 1969 Oct 11;2(7624):774–776. doi: 10.1016/s0140-6736(69)90482-6. [DOI] [PubMed] [Google Scholar]
- Jukes T. H. Public health significance of feeding low levels of antibiotics to animals. Adv Appl Microbiol. 1973;16:1–54. doi: 10.1016/s0065-2164(08)70021-2. [DOI] [PubMed] [Google Scholar]
- Lebek G. Medizinische Aspekte der infektiösen Antibiotika-Resistenz gram-negativer Darmbakterien. Pathol Microbiol (Basel) 1967;30(6):1015–1036. [PubMed] [Google Scholar]
- Lincoln K., Lidin-Janson G., Winberg J. Resistant urinary infections resulting from changes in resistance pattern of faecal flora induced by sulphonamide and hospital environment. Br Med J. 1970 Aug 8;3(5718):305–309. doi: 10.1136/bmj.3.5718.305. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Maré I. J. Incidence of R factors among Gram negative bacteria in drug-free human and animal communities. Nature. 1968 Dec 7;220(5171):1046–1047. doi: 10.1038/2201046b0. [DOI] [PubMed] [Google Scholar]
- Richmond M. H. Some environmental consequences of the use of antibiotics: or 'what goes up must come down'. J Appl Bacteriol. 1972 Jun;35(2):155–176. doi: 10.1111/j.1365-2672.1972.tb03687.x. [DOI] [PubMed] [Google Scholar]
- Smith D. H., Armour S. E. Transferable R factors in enteric bacteria causing infection of the genitourinary tract. Lancet. 1966 Jul 2;2(7453):15–18. doi: 10.1016/s0140-6736(66)91745-4. [DOI] [PubMed] [Google Scholar]
- Sompolinsky D., Yaron V., Alkan W. J. Microbiological changes in the human fecal flora following the administration of tetracyclines and chloramphenicol. Am J Proctol. 1967 Dec;18(6):471–478. [PubMed] [Google Scholar]
- Walton J. R. The public health implications of drug-resistant bacteria in farm animals. Ann N Y Acad Sci. 1971 Jun 11;182:358–361. doi: 10.1111/j.1749-6632.1971.tb30671.x. [DOI] [PubMed] [Google Scholar]
- Wiedemann B., Knothe H. Untersuchungen über die Stabilität der Koliflora des gesunden Menschen. 1. Uber das Vorkommen permanenter und passanter Typen. Arch Hyg Bakteriol. 1969 Aug;153(4):342–348. [PubMed] [Google Scholar]
