Antimicrobial susceptibility of Salmonella Typhi in India

Background: Typhoid fever continues to remain a major public health problem, especially in regions such as Gulbarga, due to poor sanitation and personal hygiene. Gulbarga region is often prone to enteric fever outbreaks and is an endemic region of typhoid fever. Enteric fever caused by Salmonella T...

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Main Authors: Kavita Nagshetty, Shivannavar T. Channappa, Subhashchandra M. Gaddad
Format: Article
Language:English
Published: The Journal of Infection in Developing Countries 2009-12-01
Series:Journal of Infection in Developing Countries
Subjects:
Online Access:https://jidc.org/index.php/journal/article/view/109
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author Kavita Nagshetty
Shivannavar T. Channappa
Subhashchandra M. Gaddad
author_facet Kavita Nagshetty
Shivannavar T. Channappa
Subhashchandra M. Gaddad
author_sort Kavita Nagshetty
collection DOAJ
description Background: Typhoid fever continues to remain a major public health problem, especially in regions such as Gulbarga, due to poor sanitation and personal hygiene. Gulbarga region is often prone to enteric fever outbreaks and is an endemic region of typhoid fever. Enteric fever caused by Salmonella Typhi has not been adequately explored in this region. Methodology: A total of 95 isolates of S. Typhi collected from different clinical and environmental sources were tested for antimicrobial susceptibility according to the CLSI guidelines. MIC of resistant isolates to various antibiotics was performed by agar dilution method. Results: Of the total isolates studied, 10% were found to be multidrug resistant (MDR) (defined as resistance to ampicillin, chloramphenicol and co-trimoxazole). There was a decrease in the susceptibility to ciprofloxacin of S. Typhi with MIC showing an upward trend (0.125-4µg/mL). Concurrently, there has been an increase in the number of isolates sensitive to all antibiotics except nalidixic acid. Conclusion: MDR S. Typhi continues to be an important public health issue in Gulbarga. Presence of quinolone resistance and associated low-level ciprofloxacin resistance is a concern and requires further study.
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publisher The Journal of Infection in Developing Countries
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spelling doaj-art-91d6765d0e95407d94bd692b64dc6ee12025-08-20T02:16:15ZengThe Journal of Infection in Developing CountriesJournal of Infection in Developing Countries1972-26802009-12-0140210.3855/jidc.109Antimicrobial susceptibility of Salmonella Typhi in IndiaKavita Nagshetty0Shivannavar T. Channappa1Subhashchandra M. Gaddad2Gulbarga University Gulbarga, KarnatakaGulbarga University Gulbarga, KarnatakaGulbarga University Gulbarga, Karnataka Background: Typhoid fever continues to remain a major public health problem, especially in regions such as Gulbarga, due to poor sanitation and personal hygiene. Gulbarga region is often prone to enteric fever outbreaks and is an endemic region of typhoid fever. Enteric fever caused by Salmonella Typhi has not been adequately explored in this region. Methodology: A total of 95 isolates of S. Typhi collected from different clinical and environmental sources were tested for antimicrobial susceptibility according to the CLSI guidelines. MIC of resistant isolates to various antibiotics was performed by agar dilution method. Results: Of the total isolates studied, 10% were found to be multidrug resistant (MDR) (defined as resistance to ampicillin, chloramphenicol and co-trimoxazole). There was a decrease in the susceptibility to ciprofloxacin of S. Typhi with MIC showing an upward trend (0.125-4µg/mL). Concurrently, there has been an increase in the number of isolates sensitive to all antibiotics except nalidixic acid. Conclusion: MDR S. Typhi continues to be an important public health issue in Gulbarga. Presence of quinolone resistance and associated low-level ciprofloxacin resistance is a concern and requires further study. https://jidc.org/index.php/journal/article/view/109typhoidmultidrug resistanceSalmonella Typhi
spellingShingle Kavita Nagshetty
Shivannavar T. Channappa
Subhashchandra M. Gaddad
Antimicrobial susceptibility of Salmonella Typhi in India
Journal of Infection in Developing Countries
typhoid
multidrug resistance
Salmonella Typhi
title Antimicrobial susceptibility of Salmonella Typhi in India
title_full Antimicrobial susceptibility of Salmonella Typhi in India
title_fullStr Antimicrobial susceptibility of Salmonella Typhi in India
title_full_unstemmed Antimicrobial susceptibility of Salmonella Typhi in India
title_short Antimicrobial susceptibility of Salmonella Typhi in India
title_sort antimicrobial susceptibility of salmonella typhi in india
topic typhoid
multidrug resistance
Salmonella Typhi
url https://jidc.org/index.php/journal/article/view/109
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AT shivannavartchannappa antimicrobialsusceptibilityofsalmonellatyphiinindia
AT subhashchandramgaddad antimicrobialsusceptibilityofsalmonellatyphiinindia