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1 Department of Microbiology, Vardhman Mahavir Medical College and Safdarjung Hospital, New Delhi, India
2 New Drug Discovery, Ranbaxy Research Laboratories, Gurgaon, India
3 Department of Microbiology, Majeedia Hospital, Hamdard University, New Delhi, India
Correspondence
Deepthi Nair
deepthinair2{at}gmail.com
Received December 31, 2007
Accepted October 31, 2008
Antimicrobial resistance in Salmonella spp. is of grave concern, more so in quinolone-resistant and extended-spectrum β-lactamase (ESBL)-producing isolates that cause complicated infections. The MIC of azithromycin, ciprofloxacin, cefixime, cefepime, ceftriaxone, gatifloxacin, imipenem, levofloxacin, meropenem and ofloxacin (E-test strip) and tigecycline and faropenem (agar dilution) against 210 Salmonella spp. was determined. MIC90 (defined as the antimicrobial concentration that inhibited growth of 90 % of the strains) of the carbapenems (imipenem and meropenem) for Salmonella Typhi and Salmonella Paratyphi A was 0.064 µg ml–1. MIC90 of faropenem was 0.25 µg ml–1 for S. Typhi, S. Paratyphi A and Salmonella Typhimurium. The MIC90 of azithromycin for all Salmonella spp. ranged from 8 to 16 µg ml–1. Tigecycline showed an MIC90 of 2 µg ml–1 for S. Typhi, 1 µg ml–1 for S. Paratyphi A and 4 µg ml–1 for S. Typhimurium. We concluded that tigecycline and the carbapenems are likely to have roles in the final stage of treatment of quinolone-resistant and ESBL-producing multidrug-resistant salmonellae.
Abbreviations: CLSI, Clinical and Laboratory Standards Institute; ESBL, extended-spectrum β-lactamase; EUCAST, European committee on antimicrobial susceptibility testing; FDA, Food and Drug Administration; MDR, multidrug-resistant; MIC50 and MIC90, antimicrobial concentration that inhibited growth of 50 and 90 %, respectively, of the strains; NAR, nalidixic acid-resistant.
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