Abstract
Six hundred and eighty five blood cultures from children clinically diagnosed as enteric fever yielded 176 salmonella strains showing isolation success rate of 25.7%,S. typhi were 164 (93.2%),S. paratyphi A 5 (2.8%),S. choleraesuis 4 (2.3%) andS. typhimurium 3 (1.7%). Antibiogram of 164 isolates ofS. typhi showed triple drug resistance (TDR) in 156 strains (95.1%) to chloramphenicol, ampicillin and cotrimoxazole, and sensitivity of 90.2% and 95.1% to norfloxacin and ciprofloxacin respectively. Minimum inhibitory concentrations (MIC) of chloramphenicol were between 360 mcg and 640 mcg per ml. Phage types of 38 strains of TDRS. typhi were predominantly E1 and 0 with prevalences of 47.4% and 36.8% respectively in this region. All children with S.typhi isolates sensitive to quinolones inVitro responded well to these drugs with almost no relapse and hence, the newer generation of quinolones could be considered as the first choice in the primary treatment of enteric fever.
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References
Paniker CKJ, Vimala KM. Transferable chloramphenicol resistance inS. typhi.Nature 1972; 239: 109–110.
Sudarsana J, Nair L, Devi I. Multidrug resistant Salmonella typhi in Calicut, South India.Indian J Med Res 1992; 95: 68–70.
Jesudasan MV, John TJ. Plasmid mediated multidrug resistance in S. typhi.Indian J Med Res 1992; 95: 66–67.
Sabherwal V, Choudhary V, Saini S. Multidrug resistant S. typhi in Haryana in 1989–90.Indian J Med Res 1992; 95: 12–13.
Halder KK, Saha Dalal B, Ghose E et al. Chloramphenicol resistant S. typhi. The cause of recent outbreak of enteric fever in Calcutta.Indian J Pathol Microbiol 1992; 35: 11–17.
Sheorey HS, Kaundinya DV, Hulyalkar VS et al. Multidrug resistantS. typhi in Bombay.Indian J Pathol Microbiol 1993; 36: 8–12.
Agarwal V, Brahmne RB, Dhanvijaya AG et al. Antibiogram, Phage types and biotypes ofS. typhi isolated in Nagpur.Indian J Med Res 1992; 95: 14–15.
Anand AC, Kataria VK, Singh W et al. An epidemic of multidrug resistant entric fever in Calcutta.J Assoc Phys India 1991; 39: 11, 1991.
Saha MR, Dutta P, Bhattacharya SK et al. Occurrence of multidrug resistanceS. typhi in Calcutta.Indian J Med Res 1992; 95: 1979–1980.
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Rathish, K.C., Chandrashekar, M.R. & Nagesha, C.N. An outbreak of multidrug resistant typhoid fever in Bangalore. Indian J Pediatr 62, 445–448 (1995). https://doi.org/10.1007/BF02755065
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DOI: https://doi.org/10.1007/BF02755065