2004
DOI: 10.1093/jac/dkh258
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Selection of Bacillus anthracis isolates resistant to antibiotics

Abstract: The ease with which B. anthracis can be made resistant in vitro suggests that close monitoring of patients treated for anthrax is mandatory.

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Cited by 110 publications
(78 citation statements)
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“…For example, although penicillin is considered the treatment of choice for all forms of anthrax, many penicillin-resistant strains and treatment failures have been reported in the literature [5][6][7] . Reports of B anthracis resistance to ciprofloxacin and other antibiotics have likewise appeared [8][9][10][11] . It is, therefore, important to reevaluate the spectrum of antibiotics and to develop new drugs that are available for anthrax treatment.…”
Section: Introductionmentioning
confidence: 97%
“…For example, although penicillin is considered the treatment of choice for all forms of anthrax, many penicillin-resistant strains and treatment failures have been reported in the literature [5][6][7] . Reports of B anthracis resistance to ciprofloxacin and other antibiotics have likewise appeared [8][9][10][11] . It is, therefore, important to reevaluate the spectrum of antibiotics and to develop new drugs that are available for anthrax treatment.…”
Section: Introductionmentioning
confidence: 97%
“…In addition, B. anthracis has been shown to be able to acquire resistance to certain antibiotics with relative ease (1,3,5,29). Should infections occur with a resistant strain of B. anthracis that cannot be treated with conventional antibiotics, cell wall-cleaving enzymes such as PlyPH may be considered as an alternative form of therapy.…”
mentioning
confidence: 99%
“…However, this treatment option may prove ineffective in the face of a bioweaponized B. anthracis strain that is resistant to these drugs. B. anthracis strains have been shown to exhibit significant rates of spontaneous resistance to ciprofloxacin and doxycycline (3,9,26), while high levels of intrinsic resistance to other generally useful antibiotics, such as trimethoprim, further limit alternative methods of treatment (1,5,6,46). Moreover, Soviet scientists are now known to have purposely engineered multiple drug resistance mechanisms into B. anthracis strains intended for bioweapon production (50,60).…”
mentioning
confidence: 99%