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Multiply-resistant Salmonella and Shigella isolates.

R A Smego1, A K Zaidi, Z Mohammed

  • 1Department of Medicine, Aga Khan University Medical College, Karachi, Pakistan.

APMIS. Supplementum
|January 1, 1988
PubMed
Summary
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Multidrug-resistant Salmonella and Shigella strains resistant to common antibiotics were identified. This emergence of antimicrobial resistance poses significant clinical and public health challenges in endemic regions.

Area of Science:

  • Microbiology
  • Infectious Diseases
  • Antimicrobial Resistance

Background:

  • Emerging antimicrobial resistance in Salmonella species is a global health concern, particularly in regions with endemic enteric fever.
  • Salmonellosis and related infections necessitate ongoing surveillance of bacterial susceptibility patterns.

Purpose of the Study:

  • To identify and characterize multiply-resistant Salmonella and Shigella isolates within a specific institutional timeframe.
  • To assess the clinical relevance and prevalence of these multidrug-resistant organisms.

Main Methods:

  • Retrospective review of clinical microbiology culture logbooks from October 1985 to February 1987.
  • Disk diffusion technique used to determine resistance to ampicillin, chloramphenicol, and trimethoprim-sulfamethoxazole.

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  • Review of patient medical records for clinical data associated with resistant isolates.

    • Main Results:

    • Sixteen isolates of multiply-resistant bacteria (15 Salmonella, 1 Shigella) were identified.
    • All isolates exhibited resistance to ampicillin, chloramphenicol, and trimethoprim-sulfamethoxazole.
    • Resistant Salmonella strains accounted for 4% of positive blood cultures during the study period, with isolation from blood, stool, and urine.

    Conclusions:

    • The emergence of multidrug-resistant Salmonella strains has significant clinical implications for patient treatment.
    • Public health strategies are crucial to address the rising threat of antimicrobial resistance in endemic populations.
    • Continued monitoring of resistance patterns is essential for effective management of salmonellosis.