Study on antibiotic susceptibility of Salmonella typhimurium L forms to the third and forth generation cephalosporins

Cuiping Yang1, Huihui Li2,3, Tao Zhang2,3

  • 1Department of Gastroenterology, Ruijin Hospital North, Shanghai Jiaotong University School of Medicine, Shanghai, 201801, P.R. China.

Scientific Reports
|February 22, 2020
PubMed

Insights

Salmonella typhimurium L-forms remain sensitive to cephalosporins, despite slight increases in drug resistance. Combined antibiotic therapy effectively reduces these L-forms in infections.

Area of Science:

  • Microbiology
  • Infectious Diseases
  • Pharmacology

Background:

  • Salmonella typhimurium, a Gram-negative bacterium, commonly causes diarrhea and food poisoning, with drug resistance posing clinical challenges.
  • Bacterial L-forms, lacking cell walls, can complicate infections and treatment, necessitating investigation into their antibiotic susceptibility.

Purpose of the Study:

  • To evaluate the antibiotic susceptibility of Salmonella typhimurium L-forms to third and fourth-generation cephalosporins.
  • To identify effective strategies for controlling and eliminating Salmonella typhimurium L-forms in clinical settings.

Main Methods:

  • Salmonella typhimurium L-forms were induced using the beta-lactam antibiotic cefazolin.
  • Antibiotic susceptibility testing (K-B method) was performed on induced L-forms.
  • Results were analyzed using Clinical and Laboratory Standards Institute (CLSI) guidelines and statistical methods.

Main Results:

  • Salmonella typhimurium L-forms exhibited a slight increasing trend in drug resistance compared to parent bacteria.
  • The inhibition zones for L-forms were smaller than those of the parent bacteria.
  • Despite resistance trends, L-forms remained sensitive to third and fourth-generation cephalosporins.

Conclusions:

  • Third and fourth-generation cephalosporins are effective against Salmonella typhimurium L-forms.
  • Combined antibiotic therapy presents a viable approach to reduce the occurrence of Salmonella typhimurium L-forms.

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