Affiliation:
1. National Institute of Cholera and Enteric Diseases, Beliaghata, Kolkata 700 010, India
2. Jissen Women's College, Tokyo, Japan
Abstract
ABSTRACT
Multidrug-resistant strains of
Shigella dysenteriae
type 1 were implicated in three outbreaks and sporadic cases of dysentery in eastern India in 2002 and 2003. After a hiatus of 14 years, this pathogen reemerged with an altered antibiotic resistance pattern. In addition to ampicillin, co-trimoxazole, tetracycline, chloramphenicol, and nalidixic acid, all the recent strains were resistant to norfloxacin, lomefloxacin, pefloxacin, and ofloxacin and showed reduced susceptibility to ciprofloxacin. Pulsed-field gel electrophoresis identified a new clone of
S. dysenteriae
type 1 that was associated with the recent outbreaks and sporadic cases. Based on the spatial and temporal spread of multidrug-resistant
S. dysenteriae
type 1, we predict that this clonal type may spread further in this region.
Publisher
American Society for Microbiology
Subject
Infectious Diseases,Pharmacology (medical),Pharmacology
Reference18 articles.
1. Dutta, P., D. Dutta, S. K. Bhattacharya, D. Sen, U. Mitra, A. R. Ghose, M. Lahiri, and B. C. Deb. 1989. Clinical and bacteriological profiles of shigellosis in Calcutta before and after an epidemic (1984-87). Indian J. Med. Res.89:132-137.
2. Goma Epidemiology Group. 1995. Public health impact of Rwandan refugee crisis: what happened in Goma, Zaire, in July 1994? Lancet345:339-344.
3. Guerin, P. J., C. Brasher, E. Baron, D. Mic, F. Grimont, M. Rayan, P. Aavitsland, and D. Legros. 2003. Shigella dysenteriae serotype 1 in West Africa: intervention strategy for an outbreak in Sierra Leone. Lancet362:705-706.
4. Pulsed-field electrophoresis of megabase-sized DNA
5. Iwalokun, B. A., G. O. Gbenle, S. I. Smith, A. Ogunledun, K. A. Akinsinde, and E. A. Omonigbehin. 2001. Epidemiology of shigellosis in Lagos, Nigeria: trends in antimicrobial resistance. J. Health Popul. Nutr.19:183-190.
Cited by
52 articles.
订阅此论文施引文献
订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献