Fluoroquinolone resistance in Salmonella typhi and S-paratyphi A in Bangalore, India

被引:42
作者
Joshi, S. [1 ]
Amarnath, S. K. [1 ]
机构
[1] Manipal Hosp, Dept Microbiol, Bangalore 560017, Karnataka, India
关键词
Salmonella typhi; Salmonella paratyphi A; enteric fever; fluoroquinolones; drug therapy; drug resistance;
D O I
10.1016/j.trstmh.2006.05.009
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Fluoroquinolone resistance in Salmonella typhi and S. paratyphi A is being increasingly reported. The minimum inhibitory concentrations (MICs) of ciproftoxacin, ofloxacin, levofloxacin and gatifloxacin against S. typhi and S. paratyphi A were compared. Fifty blood culture isolates, 25 S. typhi and 25 S. paratyphi A, were studied. The MICs were determined by the agar dilution method. Disc diffusion was done for the fluoroquinolones and other antibiotics. Nalidixic acid resistance was seen in 21/25 S. paratyphi A and 17/25 S. typhi isolates, and these had higher MICs to fluoroquinolones. Five S. typhi and six S. paratyphi A were fully resistant to ciprofloxacin (MIC > 2 mu g/l). No multidrug resistance was seen in S. typhi. The absence of multidrug resistance and presence of fluoroquinolone resistance warrants a review of therapy for enteric fever. (c) 2006 Royal Society of Tropical Medicine and Hygiene. Published by Elsevier Ltd. All rights reserved.
引用
收藏
页码:308 / 310
页数:3
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