Title
Antimicrobial resistance in Shigella spp. causing traveller's diarrhoea (1995-2010): A retrospective analysis
Date Issued
01 September 2013
Access level
metadata only access
Resource Type
journal article
Author(s)
Martínez-Puchol S.
Ruiz L.
Mensa L.
Vila J.
Gascón J.
Centro de Investigación en Salud Internacional de Barcelona
Centro de Investigación en Salud Internacional de Barcelona
Centro de Investigación en Salud Internacional de Barcelona
Abstract
Background Shigellosis is a global human health problem causing an important morbidity among travellers returning from tropical areas. This study was aimed to describe the evolution of antimicrobial resistance profile in Shigella spp. isolated between the years 1995-2010 in patients with traveller's diarrhoea (TD) returning from tropical areas. Methods The levels of antimicrobial resistance were tested in a total of 191 Shigella spp. isolated during the period from 1995 to 2010. Results A decrease of cases of diarrhoea caused by Shigella has been observed in recent years. A wide spectrum of antibiotic resistance was observed among Shigella spp. These isolates showed high levels of resistance to tetracycline (84%), co-trimoxazole (75.5%), and ampicillin (45.5%). The resistance was low to ciprofloxacin (2.1%), azithromycin (3.9%) and furazolidone (8.4%). According to the period, in the case of ampicillin, amoxicillin plus clavulanic acid, chloramphenicol, values of resistance were significantly decreasing from 1995-2000 to 2001-2010, (62.5% vs. 28.4%, 19.8% vs. 6.6%, 23.4 vs. 10.4%, respectively). Meanwhile in nalidixic acid and tetracycline the evolution of resistance has increased over time. Conclusions A decrease in the isolation number of Shigella spp. causing TD has been observed. Differential trends in the evolution of the levels of resistance to the tested antibacterial agents have been observed. © 2013 Elsevier Ltd. All rights reserved.
Start page
315
End page
319
Volume
11
Issue
5
Language
English
OCDE Knowledge area
Medicina tropical
Biología celular, Microbiología
Subjects
Scopus EID
2-s2.0-84885616649
PubMed ID
Source
Travel Medicine and Infectious Disease
ISSN of the container
18730442
Sponsor(s)
J.G is supported by grant 2009SGR385 and J.R. by grant 2009SGR685 from the Department d'Universitats, recerca i Societat de la Informació de la Generalitat de Catalunya, Spain .
J.R. has a fellowship from the program I3, of the ISCIII (grant number: CES11/012 ).
Sources of information:
Directorio de Producción Científica
Scopus