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Salmonella serotypes and incidence of multiply-resistant salmonellae isolated from diarrhoeal patients in Hong Kong from 1973–82

Published online by Cambridge University Press:  19 October 2009

Julia Ling ,
P. Y. Chau  and
B. Rowe
Julia Ling
Affiliation:
Department of Microbiology, The Chinese University of Hong Kong, Prince of Wales Hospital, Shatin, New Territories, Hong Kong
P. Y. Chau
Affiliation:
Department of Microbiology, University of Hong Kong, Queen Mary Hospital, Hong Kong
B. Rowe
Affiliation:
Division of Enteric Pathogens, Central Public Health Laboratory, London NW9 5HT, UK
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Summary

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Salmonella was the most frequent bacterial pathogen isolated from patients with acute diarrhoea in Hong Kong. In Queen Mary Hospital, the major hospital on Hong Kong Island, 94·7% of salmonellae isolated from faecal specimens from patients during the period 1973–82 belonged to the gastroenteric group, while 5·3% belonged to the enteric fever group. Amongst the gastroenteric group, 68 salmonella serotypes were identified, with Salmonella derby, S. typhimurium and S. analum being the predominant ones. Three outbreaks caused by S. johannesburg, S. worthington and S. wandsworth were detected.

Of S. typhimurium, 61·0% were resistant to multiple antibiotics and belonged to four major phage types: 193, 22, 138 and U288. The majority (96·8%) of S. johannesburg strains which caused a widespread epidemic were multiply-resistant. Multiple antibiotic resistance was rarely observed in most other gastroenteric salmonellae.

S. typhi was the commonest of the enteric fever group isolated from the blood of patients. Nineteen phage types were identified; E1 being the commonest (18·5%) while 21% were nontypable. Many of these isolated were resistant to streptomycin or sulphadiazine, but none were resistant to ampicillin, chloramphenicol or trimethoprim.

Type
Research Article
Information
Epidemiology & Infection , Volume 99 , Issue 2 , October 1987 , pp. 295 - 306
Copyright
Copyright © Cambridge University Press 1987

References

REFERENCES

Anderson, E. S. (1964). The phage typing of salmonellae other than S. typhi. In World Problem of Salmonellosis (ed. Van Oye, E.), pp. 89–110. The Hague: Dr W. Junk.CrossRefGoogle Scholar
Anderson, E. S. & Datta, N. (1965). Resistance to penicillins and its transfer to Enterobacteriaceae. Lancet ii, 407–409.CrossRefGoogle Scholar
Anderson, E. S. & Williams, R. E. O. (1956). Bacteriophage typing of enteric pathogens and staphylococci and its use in epidemiology. Journal of Clinical Pathology 9, 94–127.CrossRefGoogle ScholarPubMed
Anonymous (1982). Food poisoning and salmonellosis surveillance in England and Wales: 1981. British Medical Journal 185, 1127–1128.Google Scholar
Barker, R., Old, D. C. & Sharp, J. C. M. (1980). Phage type/biotype groups of Salmonella typhimurium in Scotland 1974–1970: variation during spread of epidemic clones. Journal of Hygiene 84, 115–125.Google ScholarPubMed
Bauer, A. W., Kirby, W. M. M., Sherris, J. C. & Turck, M. (1966). Antibiotic susceptibility testing by a standardized single disk method. American Journal of Clinical Pathology 45, 493–496.CrossRefGoogle ScholarPubMed
Beaton, C. & Taplin, J. (1981). National Salmonella/Shigella surveillance – 1980. Communicable Diseases Intelligence (Australia) 81, 2.Google Scholar
Callow, B. R. (1959). A new phage typing scheme for Salmonella typhimurium. Journal of Hygiene 57, 346–359.CrossRefGoogle Scholar
Centers for Disease Control (1984). Human Salmonella isolates – United States, 1983. Morbidity and Mortality Weekly Report 33, 693–695.Google Scholar
Chau, P. Y. & Huang, C. T. (1974). A one day selective migration procedure for detecting salmonellao in faeces. Journal of Clinical Pathology 27, 405–407.CrossRefGoogle ScholarPubMed
Chau, P. Y. & Huang, C. T. (1977). Salmoncllosis in Hong Kong. Public Health (London) 91, 83–89.CrossRefGoogle ScholarPubMed
Chau, P. Y., Shortridge, K. F. & Huang, C. T. (1977). Salmonella in pig carcasses for human consumption in Hong Kong: a study on the mode of contamination. Journal of Hygiene 78, 253–260.CrossRefGoogle Scholar
Chau, P. Y., Wong, W. T. & Fok, Y. P. (1978). Resistance to chloramphenicol and ampicillin in Salmonella johannesburg in Hong Kong: observations over a fivo-year period 1973–1977. Journal of Hygiene 81, 343–351.CrossRefGoogle Scholar
Chau, P. Y., Ling, J., Threfall, E. J. & Im, S. W. K. (1982). Genetic instability of R plaamids in relation to the shift of drug resistance patterns in Salmonella Johannesburg. Journal of General Microbiology 128, 230–245.Google Scholar
Cherubin, C. E. (1981). Antibiotic resistance of Salmonella in Europe and the United States. Review of Infectious Diseases 3, 1105–1126.CrossRefGoogle ScholarPubMed
Craigie, J. & Felix, A. (1947). Typing of typhoid bacilli with Vi bacteriophage. Lancet i, 823–827.CrossRefGoogle Scholar
Felix, A. & Callow, B. R. (1943). Typing of paratyphoid B bacilli by means of Vi bacteriophago. British Medical Journal ii, 127–130.CrossRefGoogle Scholar
Frost, J. A., Rowe, B., Ward, L. R. & Thrkfall, E. J. (1982). Characterization of resistance plasmids and carried phages in an epidemic clone of multi-resistant Salmonella typhimurium in India. Journal of Hygiene 88, 193–204.CrossRefGoogle Scholar
Hefner, E. (1980). Food poisoning and Salmonella infections in England and Wales 1976–1978. An analysis of reports to the Communicable Disease Surveillance Center of the Public Health Laboratory Service. Public Health (London) 94, 337–349.Google Scholar
Huang, C. T. & Chan-Teoh, C. H. (1964). Salmonella serotypes isolated in Hong Kong. Journal of Tropical Medicine and Hygiene 67, 95–99.Google ScholarPubMed
Im, S. W. K., Chow, K. & Chau, P. Y. (1981). Rectal thermometer mediated cross-infection with Salmonella imndstvorth in a paediatric ward. Journal of Hospital Infection 2, 171–174.CrossRefGoogle Scholar
Ip, H. M. H., Sin, W. K., Chau, P. Y., Tse, D. & Teoh-Chan, C. H. (1976). Neonatal infection due to Salmonella tvorthington transmitted by a delivery-room suction apparatus. Journal of Hygiene 77, 307–314.CrossRefGoogle ScholarPubMed
Jeoathesan, M. (1984). Salmonella serotypes isolated from man in Malaysia over the 10-year period 1973–1982. Journal of Hygiene 92, 395–399.CrossRefGoogle Scholar
Kauffmann, F. (1966). The Bacteriology of Enlerobaderiaceae. 2nd. edition. Copenhagen: Munksgaard.Google Scholar
Ling, J. & Chau, P. Y. (1987). Incidence of plasmids in multiply-resistant salmonella isolates from diarrhoeal patients in Hong Kong from 1973–82. Epidemiology & Infection 99, 307–321.CrossRefGoogle Scholar
Manten, A., Guinee, P. A. M., Kampelmacher, E. H. & Voogn, C. E. (1971). An eleven-year study of drug resistance in Salmonella in the Netherlands. Bulletin of the World Health Organization 45, 85–93.Google ScholarPubMed
Manual of Clinical Microbiology. American Society of Microbiology.Google Scholar
Neu, H. C., Cherubin, C. E.Lango, E. D., Flouton, B. & Winter, J. (1975). Antimicrobial resistance and R factor transfer among isolates of Salmonella in the Northeastern United States: a comparison of human and animal isolates. Journal of Infectious Diseases 132, 617–622.CrossRefGoogle Scholar
Parker, M. T. (1984). Enteric infections: typhoid and paratyphoid fever. In Topley and Wilson's Principles of Bacteriology, Virology and Immunity. Vol. 3 Bacterial diseases (ed. Smith, G. R.), 7th. edition, pp. 407–433. London: Arnold.Google Scholar
Putilic Health Laboratory Service Communicable Disease Surveillance Center (1984). Food poisoning and salmonella surveillance in England and Wales: 1982. British Medical Journal 288, 306–308.CrossRefGoogle Scholar
Teoh-Chan, C. H., Chau, P. Y., Tse, D., Sin, W. K., Ip, H. M. H. & Lan, R. (1977). Hospital Salmonella Johannesburg infection and its possible role in the community spread of the infection in Hong Kong. Journal of Hygiene 78, 113–119.CrossRefGoogle ScholarPubMed
Threlfall, E. J., Ward, L. R. & Rowe, B. (1978a). Epidemic spread of a chloramphenicolresistant strain of Salmonella typhimurium phage type 204 in bovine animals in Britain. Veterinary Record 103, 438–440.CrossRefGoogle ScholarPubMed
Threlfall, E. J., Ward, L. R. & Rowe, B. (1978b). Spread of multiresistant strains of Salmonella typhimurium phago types 204 and 193 in Britain. British Mediail Journal ii, 997.CrossRefGoogle Scholar
Turnbull, P. C. B. (1979). Food poisoning with social reference to salmonella: its epidemiology, pathogenesis and control. Clinical Gastroenterology 8, 663–714.CrossRefGoogle Scholar
Vernon, E. (1977). Food poisoning and salmonella infections in England and Wales, 1973–1975. Public Health 91, 225–235.CrossRefGoogle Scholar
Voogd, C. E., Van Leeuwen, W. J., Guinee, P. A. M., Manten, A. & Valkenburg, J. J. (1977). Incidence of resistance to ampicillin, chloramphenicol, kanamyein and tetraeycline among Salmonella species isolated in the Netherlands in 1972, 1973 and 1974. Antonie van Leeuwenhoek 43, 269–281.CrossRefGoogle ScholarPubMed
Who Scientific Working Group (1980) Enteric infections duo to Campylolmcter, Yersinia, Salmonella and Shigella. Bulletin of the World Health Organization 58, 519–537.Google Scholar