Analysis of the mechanisms of resistance to several antimicrobial agents in Shigella spp. causing travellers' diarrhoea

Clin Microbiol Infect. 2005 Dec;11(12):1044-7. doi: 10.1111/j.1469-0691.2005.01277.x.

Abstract

Eighty isolates of Shigella spp. (37 Shigella flexneri and 43 Shigella sonnei) from patients with travellers' diarrhoea were studied. Susceptibility tests revealed high levels of resistance, especially to ampicillin (65%), tetracycline (78%) and trimethoprim (75%), and particularly among the S. flexneri isolates. Dihydrofolate reductase 1 genes (dfrA1) were prevalent among the trimethoprim-resistant isolates, while oxa genes predominated among the ampicillin-resistant isolates. Chloramphenicol resistance was associated with production of chloramphenicol acetyltransferase, while nalidixic acid-resistant isolates had a single mutation in the gyrA gene. The results indicate a continuing need for resistance surveillance and rational use of antimicrobial agents.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Ampicillin / pharmacology
  • Anti-Infective Agents / pharmacology*
  • Chloramphenicol / pharmacology
  • Drug Resistance, Bacterial / genetics*
  • Dysentery, Bacillary / etiology
  • Dysentery, Bacillary / microbiology*
  • Microbial Sensitivity Tests
  • Shigella / drug effects*
  • Shigella / genetics*
  • Shigella / isolation & purification
  • Tetracycline / pharmacology
  • Travel*

Substances

  • Anti-Infective Agents
  • Chloramphenicol
  • Ampicillin
  • Tetracycline