Drug resistance of Shigella strains isolated in Ankara, Turkey, 1993-1996

Scand J Infect Dis. 1998;30(4):351-3. doi: 10.1080/00365549850160620.

Abstract

289 Shigella strains were isolated from children at the paediatrics department of Ankara University. 75% of the isolates were S. sonnei and 24.8% were S. flexneri. Each strain was tested for resistance to 9 antimicrobial agents. 79% of the isolates were resistant to streptomycin (S), 56% to tetracycline (T), 55.7% to trimethoprim-sulfamethoxazole (SXT), 27.7% to ampicillin (Am) and 19.7% to chloramphenicol (C). None of the isolates was resistant to ciprofloxacin, nalidixic acid, cephalothin, ampicillin-sulbactam and ceftriaxone. 56% of the isolates were resistant to 3 or more antimicrobial agents. The most frequent pattern of resistance of S. sonnei and S. flexneri strains was SXT, T, S (39.6%) and Am, SXT, T, S, C (48.6%), respectively (p < 0.0001). These results demonstrate that trimethoprim-sulfamethoxazole should not be used in the treatment of shigellosis.

MeSH terms

  • Adolescent
  • Anti-Bacterial Agents / pharmacology
  • Child
  • Child, Preschool
  • Diarrhea / microbiology
  • Drug Resistance, Microbial*
  • Drug Resistance, Multiple
  • Dysentery, Bacillary / microbiology*
  • Feces / microbiology
  • Humans
  • Infant
  • Microbial Sensitivity Tests
  • Shigella flexneri / drug effects*
  • Shigella flexneri / isolation & purification
  • Shigella sonnei / drug effects*
  • Shigella sonnei / isolation & purification
  • Turkey

Substances

  • Anti-Bacterial Agents