RT Journal Article T1 Plasmidic qnr Genes Confer Clinical Resistance to Ciprofloxacin under Urinary Tract Physiological Conditions A1 Martin-Gutierrez, Guillermo A1 Manuel Rodriguez-Martinez, Jose A1 Pascual, Alvaro A1 Rodriguez-Beltran, Jeronimo A1 Blazquez, Jesus K1 ciprofloxacin K1 Escherichia coli K1 MIC K1 pH K1 qnr K1 urinary tract infection K1 Mediated quinolone resistance K1 Fluoroquinolone resistance K1 Escherichia-coli K1 Klebsiella-pneumoniae K1 Aac(6')-ib-cr K1 Epidemiology K1 Infections K1 Mutations AB Escherichia coli variants expressing plasmid- mediated qnr genes are usually susceptible to fluoroquinolones by standard susceptibility testing. Here we show that, under specific urinary tract physiological conditions, susceptible laboratory and clinical strains harboring qnr determinants become fully resistant to ciprofloxacin (CIP). Therefore, physiological conditions, mainly urine pH values, should be considered when performing susceptibility testing of CIP activity against E. coli in treating urinary tract infection (UTI) and for selecting appropriate antibiotics for UTI treatment. PB Amer soc microbiology SN 0066-4804 YR 2017 FD 2017-04-01 LK http://hdl.handle.net/10668/19015 UL http://hdl.handle.net/10668/19015 LA en DS RISalud RD Apr 13, 2025