Enteric fever in endemic areas of Indonesia: an increasing problem of resistance

Reported levels of antibiotic resistance in Salmonella Typhi from South Sulawesi, Indonesia were very low (< 1%) before 2001 and chloramphenicol remained the treatment of choice. Since 2001 however resistance has been rising and in 2007 6.8% of isolates were resistant to all three first line drug...

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Main Authors: Mochammad Hatta, Name Ratnawati
Format: Article
Language:English
Published: The Journal of Infection in Developing Countries 2008-08-01
Series:Journal of Infection in Developing Countries
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Online Access:https://jidc.org/index.php/journal/article/view/222
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author Mochammad Hatta
Name Ratnawati
author_facet Mochammad Hatta
Name Ratnawati
author_sort Mochammad Hatta
collection DOAJ
description Reported levels of antibiotic resistance in Salmonella Typhi from South Sulawesi, Indonesia were very low (< 1%) before 2001 and chloramphenicol remained the treatment of choice. Since 2001 however resistance has been rising and in 2007 6.8% of isolates were resistant to all three first line drugs: Ampicillin, chloramphenicol and co-trimoxazole. Ciprofloxacin resistance is currently at 3.90 %. At the same time there has been an increase in the number of reported cases. This may be because of improved diagnostics or it may be a genuine outbreak of drug resistant S. Typhi. In conclusion drug resistant typhoid fever will become a serious problem in Indonesia in the future, requiring the use of expensive drugs for the treatment of typhoid. A concerted effort is needed by the medical services to implement reliable diagnosis so that treatment or vaccination can be used to control the spread of drug resistant typhoid fever.
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spelling doaj-art-d297699b57ef456f9e848a5c5e65432c2025-08-20T02:57:25ZengThe Journal of Infection in Developing CountriesJournal of Infection in Developing Countries1972-26802008-08-0120410.3855/jidc.222Enteric fever in endemic areas of Indonesia: an increasing problem of resistanceMochammad Hatta0Name Ratnawati1Department Medical Microbiology, Molecular Biology and Immunology Laboratory, Faculty Medicine, Hasanuddin University, MakassarDepartment Medical Microbiology, Molecular Biology and Immunology Laboratory, Faculty Medicine, Hasanuddin University, MakassarReported levels of antibiotic resistance in Salmonella Typhi from South Sulawesi, Indonesia were very low (< 1%) before 2001 and chloramphenicol remained the treatment of choice. Since 2001 however resistance has been rising and in 2007 6.8% of isolates were resistant to all three first line drugs: Ampicillin, chloramphenicol and co-trimoxazole. Ciprofloxacin resistance is currently at 3.90 %. At the same time there has been an increase in the number of reported cases. This may be because of improved diagnostics or it may be a genuine outbreak of drug resistant S. Typhi. In conclusion drug resistant typhoid fever will become a serious problem in Indonesia in the future, requiring the use of expensive drugs for the treatment of typhoid. A concerted effort is needed by the medical services to implement reliable diagnosis so that treatment or vaccination can be used to control the spread of drug resistant typhoid fever.https://jidc.org/index.php/journal/article/view/222keywords
spellingShingle Mochammad Hatta
Name Ratnawati
Enteric fever in endemic areas of Indonesia: an increasing problem of resistance
Journal of Infection in Developing Countries
keywords
title Enteric fever in endemic areas of Indonesia: an increasing problem of resistance
title_full Enteric fever in endemic areas of Indonesia: an increasing problem of resistance
title_fullStr Enteric fever in endemic areas of Indonesia: an increasing problem of resistance
title_full_unstemmed Enteric fever in endemic areas of Indonesia: an increasing problem of resistance
title_short Enteric fever in endemic areas of Indonesia: an increasing problem of resistance
title_sort enteric fever in endemic areas of indonesia an increasing problem of resistance
topic keywords
url https://jidc.org/index.php/journal/article/view/222
work_keys_str_mv AT mochammadhatta entericfeverinendemicareasofindonesiaanincreasingproblemofresistance
AT nameratnawati entericfeverinendemicareasofindonesiaanincreasingproblemofresistance