Emergence of multiple drug resistance Vibrio cholerae O1 in East Delhi

Introduction: Considering the changing geographical and temporal occurrence of Vibrio cholerae, there is a continuing need to monitor the strain characteristics and antibiotic resistance patterns of this pathogen. The present study was conducted to document the changing biology of V. cholerae isola...

Full description

Saved in:
Bibliographic Details
Main Authors: Shukla Das, Shilpee Choudhry, Rumpa Saha, Vishnampettai Ganapathysubramanian Ramachandran, Kamaldeep Kaur, B L Sarkar
Format: Article
Language:English
Published: The Journal of Infection in Developing Countries 2011-03-01
Series:Journal of Infection in Developing Countries
Subjects:
Online Access:https://jidc.org/index.php/journal/article/view/1251
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1850036039864811520
author Shukla Das
Shilpee Choudhry
Rumpa Saha
Vishnampettai Ganapathysubramanian Ramachandran
Kamaldeep Kaur
B L Sarkar
author_facet Shukla Das
Shilpee Choudhry
Rumpa Saha
Vishnampettai Ganapathysubramanian Ramachandran
Kamaldeep Kaur
B L Sarkar
author_sort Shukla Das
collection DOAJ
description Introduction: Considering the changing geographical and temporal occurrence of Vibrio cholerae, there is a continuing need to monitor the strain characteristics and antibiotic resistance patterns of this pathogen. The present study was conducted to document the changing biology of V. cholerae isolates in and around Delhi, India, and the development of antibiotic resistance. Methodology: A total of 1,424 stool samples or rectal swabs from patients with acute secretory diarrhoea admitted to Guru Teg Bahadur Hospital, Delhi, between January 2007 and December 2009 were processed using standard bacteriological methods. Strains identified as V. cholerae were further subjected to serogrouping, phage typing and antimicrobial susceptibility testing. Minimum inhibitory concentration (MIC) of gentamicin and tetracycline was determined. Results: V. cholerae was isolated in 242/1,424 (17.0%) specimens. Of these, the majority were V. cholerae O1 serotype (98.3%) and serovar Ogawa. The drugs to which V. cholerae O1 isolates showed high levels of resistance were nalidixic acid, furazolidone, and cotrimoxazole throughout the study period, whereas strains were usually susceptible to chloramphenicol and cefotaxime. In 2007, there was a sudden increase of resistance to gentamicin and tetracycline, followed by a slow reversal to previous levels in subsequent years. The phage typing pattern (Basu and Mukherjee scheme) showed a dominance of phage type 2 throughout the study period. Conclusion: The importance of reporting all cases of V. cholerae, should be greatly emphasized, with the ultimate goal of understanding the constantly changing resistance patterns of this pathogen.
format Article
id doaj-art-0677eb30dd53446dab9bd32fca3ccc56
institution DOAJ
issn 1972-2680
language English
publishDate 2011-03-01
publisher The Journal of Infection in Developing Countries
record_format Article
series Journal of Infection in Developing Countries
spelling doaj-art-0677eb30dd53446dab9bd32fca3ccc562025-08-20T02:57:18ZengThe Journal of Infection in Developing CountriesJournal of Infection in Developing Countries1972-26802011-03-0150410.3855/jidc.1251Emergence of multiple drug resistance Vibrio cholerae O1 in East DelhiShukla Das0Shilpee Choudhry1Rumpa Saha2Vishnampettai Ganapathysubramanian Ramachandran3Kamaldeep Kaur4B L Sarkar5The University College of Medical Sciences and GTB Hospital, University of Delhi, Delhi, IndiaThe University College of Medical Sciences and GTB Hospital, University of Delhi, Delhi, IndiaThe University College of Medical Sciences and GTB Hospital, University of Delhi, Delhi, IndiaThe University College of Medical Sciences and GTB Hospital, University of Delhi, Delhi, IndiaThe University College of Medical Sciences and GTB Hospital, University of Delhi, Delhi, IndiaNational Institute of Cholera and Enteric Diseases, Beliaghata, Kolkata, India Introduction: Considering the changing geographical and temporal occurrence of Vibrio cholerae, there is a continuing need to monitor the strain characteristics and antibiotic resistance patterns of this pathogen. The present study was conducted to document the changing biology of V. cholerae isolates in and around Delhi, India, and the development of antibiotic resistance. Methodology: A total of 1,424 stool samples or rectal swabs from patients with acute secretory diarrhoea admitted to Guru Teg Bahadur Hospital, Delhi, between January 2007 and December 2009 were processed using standard bacteriological methods. Strains identified as V. cholerae were further subjected to serogrouping, phage typing and antimicrobial susceptibility testing. Minimum inhibitory concentration (MIC) of gentamicin and tetracycline was determined. Results: V. cholerae was isolated in 242/1,424 (17.0%) specimens. Of these, the majority were V. cholerae O1 serotype (98.3%) and serovar Ogawa. The drugs to which V. cholerae O1 isolates showed high levels of resistance were nalidixic acid, furazolidone, and cotrimoxazole throughout the study period, whereas strains were usually susceptible to chloramphenicol and cefotaxime. In 2007, there was a sudden increase of resistance to gentamicin and tetracycline, followed by a slow reversal to previous levels in subsequent years. The phage typing pattern (Basu and Mukherjee scheme) showed a dominance of phage type 2 throughout the study period. Conclusion: The importance of reporting all cases of V. cholerae, should be greatly emphasized, with the ultimate goal of understanding the constantly changing resistance patterns of this pathogen. https://jidc.org/index.php/journal/article/view/1251Vibrio choleraeMDRGentamicinTetracyclinephage typing
spellingShingle Shukla Das
Shilpee Choudhry
Rumpa Saha
Vishnampettai Ganapathysubramanian Ramachandran
Kamaldeep Kaur
B L Sarkar
Emergence of multiple drug resistance Vibrio cholerae O1 in East Delhi
Journal of Infection in Developing Countries
Vibrio cholerae
MDR
Gentamicin
Tetracycline
phage typing
title Emergence of multiple drug resistance Vibrio cholerae O1 in East Delhi
title_full Emergence of multiple drug resistance Vibrio cholerae O1 in East Delhi
title_fullStr Emergence of multiple drug resistance Vibrio cholerae O1 in East Delhi
title_full_unstemmed Emergence of multiple drug resistance Vibrio cholerae O1 in East Delhi
title_short Emergence of multiple drug resistance Vibrio cholerae O1 in East Delhi
title_sort emergence of multiple drug resistance vibrio cholerae o1 in east delhi
topic Vibrio cholerae
MDR
Gentamicin
Tetracycline
phage typing
url https://jidc.org/index.php/journal/article/view/1251
work_keys_str_mv AT shukladas emergenceofmultipledrugresistancevibriocholeraeo1ineastdelhi
AT shilpeechoudhry emergenceofmultipledrugresistancevibriocholeraeo1ineastdelhi
AT rumpasaha emergenceofmultipledrugresistancevibriocholeraeo1ineastdelhi
AT vishnampettaiganapathysubramanianramachandran emergenceofmultipledrugresistancevibriocholeraeo1ineastdelhi
AT kamaldeepkaur emergenceofmultipledrugresistancevibriocholeraeo1ineastdelhi
AT blsarkar emergenceofmultipledrugresistancevibriocholeraeo1ineastdelhi