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Antibiogram pattern and seasonality of Salmonella serotypes in a North Indian tertiary care hospital

Published online by Cambridge University Press:  14 February 2006

S. MOHANTY
Affiliation:
Department of Microbiology, All India Institute of Medical Sciences, New Delhi, India
K. RENUKA
Affiliation:
Department of Microbiology, All India Institute of Medical Sciences, New Delhi, India
S. SOOD
Affiliation:
Department of Microbiology, All India Institute of Medical Sciences, New Delhi, India
B. K. DAS
Affiliation:
Department of Microbiology, All India Institute of Medical Sciences, New Delhi, India
A. KAPIL
Affiliation:
Department of Microbiology, All India Institute of Medical Sciences, New Delhi, India
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Abstract

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The antibiogram pattern and seasonal distribution of Salmonella serotypes were analysed retrospectively over a 6-year period from January 1999 to December 2004. Blood cultures received in the Bacteriology Laboratory were processed by standard procedures and the Salmonella spp. isolates were identified with specific antisera and standard biochemical tests. Antimicrobial susceptibility testing was carried out by a standard disc diffusion method and the minimum inhibitory concentration (MIC) of ciprofloxacin for 332 representative Salmonella isolates was determined by E test. Salmonella Typhi (75·7%) was the predominant serotype among 830 Salmonella spp. isolated during the study period followed by S. Paratyphi A (23·8%). The maximum number of enteric fever cases occurred during April–June (dry season) followed by July–September (monsoon season). There was a decrease in multidrug-resistant (MDR) S. Typhi, but MDR S. Paratyphi A isolates increased. There was also a dramatic increase in nalidixic acid-resistant isolates. All isolates were susceptible to third-generation cephalosporins and ciprofloxacin except one S. Typhi strain which demonstrated high-level ciprofloxacin resistance with a MIC of 16 μg/ml. A knowledge of the seasonal distribution and antibiotic resistance pattern of Salmonella in a particular geographical region is helpful in the delineation of appropriate control measures required for prevention of enteric fever.

Type
Research Article
Copyright
2006 Cambridge University Press