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Updated: Sep 21, 2026

A High-throughput Shigella-specific Bactericidal Assay
Published on: February 27, 2019
Shigella strains associated with infantile diarrhea in the Kaohsiung area
Abstract:
In 1969 and 1974, 375 Shigella strains were isolated in the Kaohsiung area, and their serotypes and in vitro susceptibility to antimicorbial agents were studied. In 1969, 249 (16.2%) strains were isolated from 1,476 specimens collected from infantile and young children dirrheal cases, whereas 126 strains (11.6%) were isolated from 1,086 specimens in 1969. The isolation rates were higher in May (21.2%), October (20.8%), April (20.6%), August (19.7), November (18.8%) and January (18.5%), than in other months (10.2%-18.0%). Higher incidences of shigellosis appeared in May (22.3%) and April (17.9%) than in the other months during 1974. Shigella sonnei and Shigella flexneri type 2 were most predominant and there was a tendency of increase in number for the former in 1974. From the colicine typing of S. sonnei, it was found that type 8 (40.6%), type 6 (23.4%), and type 12 (17.2%) were the commonly occurring strains associated with the infantile diarrheal disease in the Kaohsiung area. Susceptibility study showed that the resistant rates of S. flexneri to chlroamphenicol (85.5%), streptomycin (81.9%), and tetracycline (61.3%) were much higher than to ampicillin (16.1%), nalidixic acid (14.6%), colistin (4.2%), kanamycin (4.2%), gentamicin (2.8%), cephaloridine (2.4%), and frazolidone (0%). Resistant rates of S. sonnei to 10 antimicrobial agents were as follows: chloramphenicol, 85.9%; tetracycline, 70.2%; streptomycin, 69.9%; nalidixic acid, 16.4%; ampicillin, 13.3%; colistin, 6.3%; kanamycin, 3.9%; gentamicin, 2.5%; cephaloridine, 0%; and frazolidone, 0%.
Insights
This study tracked Shigella strains in Kaohsiung, finding Shigella sonnei and Shigella flexneri predominated. High antimicrobial resistance was observed in these common bacterial causes of infant diarrhea.
Area of Science:
- Microbiology
- Infectious Diseases
- Public Health
Background:
- Shigellosis is a significant cause of infantile diarrhea, particularly in developing regions.
- Understanding the epidemiology and antimicrobial susceptibility patterns of Shigella is crucial for effective treatment and control.
Purpose of the Study:
- To investigate the serotypes and antimicrobial susceptibility of Shigella strains isolated from diarrheal cases in Kaohsiung.
- To identify predominant Shigella serotypes and track changes over time (1969-1974).
- To assess the in vitro resistance of Shigella sonnei and Shigella flexneri to various antimicrobial agents.
Main Methods:
- Isolation and serotyping of 375 Shigella strains from diarrheal cases in Kaohsiung (1969 and 1974).
- Colicine typing was performed on Shigella sonnei isolates.
- In vitro antimicrobial susceptibility testing was conducted against 10 different agents.
Main Results:
- Shigella sonnei and Shigella flexneri type 2 were the most prevalent serotypes, with an increasing trend for S. sonnei in 1974.
- Commonly isolated S. sonnei strains belonged to colicine types 8, 6, and 12.
- High resistance rates were observed for S. flexneri and S. sonnei against chloramphenicol, streptomycin, and tetracycline.
Conclusions:
- Shigella sonnei and Shigella flexneri are key pathogens in Kaohsiung's infantile diarrhea cases.
- Significant antimicrobial resistance, especially to older antibiotics, necessitates careful treatment selection.
- Ongoing surveillance of Shigella serotypes and resistance patterns is vital for public health interventions.
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