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.
Abstract:
Salmonella typhimurium is a pathogenic gram-negative bacterium, which is found primarily in the intestinal lumen. It often causes diarrhea in infants and young children and leads to food poisoning. Drug resistance of Salmonella typhimurium presented serious complications in clinical patients. In this study, we investigated the antibiotic susceptibility of Salmonella typhimurium standard strain L forms to the third and forth generation cephalosporins, in order to control and eliminate Salmonella typhimurium L forms in infection treatment. Salmonella typhimurium L forms were induced by β-lactam antibiotic cefazolin in the culture medium of bacterial L forms. The antibiotic susceptibility of Salmonella typhimurium L forms was analyzed by K-B drug susceptibility testing. The change trend of drug susceptibility and resistance of Salmonella typhimurium L forms was obtained in accordance with USA clinical and laboratory standards institute (CLSI) evaluation data and statistical analysis. Drug resistance of Salmonella typhimurium L forms showed little increasing trend compared with their parent bacteria. The L form inhibition zone was smaller than in the parent bacteria. However, the drug susceptibility of L forms of Salmonella typhimurium to the third and forth generation cephalosporins remained sensitive.The antibiotic susceptibility of Salmonella typhimurium L forms to the third and forth generation cephalosporins remains sensitive, and the combined use of multi-antibiotics is a convenient and effective method to reduce Salmonella typhimurium L forms occurrence.
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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