Antimicrobial susceptibility was analyzed for 354 typhoidal Salmonella isolates collected during 1999-2012 in the Netherlands. In 16.1% of all isolates and in 23.8% of all isolates that showed increased MICs for ciprofloxacin, the MIC for azithromycin was increased. This resistance may complicate empirical treatment of enteric fever.

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Journal Emerging Infectious Diseases - (Open Access)
Hassing, R.J, Goessens, W.H.F, van Pelt, W, Mevius, D.J, Stricker, B.H.Ch, Molhoek, N, … van Genderen, P.J.J. (2014). Salmonella subtypes with increased MICs for azithromycin in travelers returned to the Netherlands. Emerging Infectious Diseases - (Open Access), 20(4), 705–708. doi:10.3201/eid2004.131536