alexa Emergence of blaTEM type extended spectrum β- lactamase producing Salmonella species in the urban area of Bangladesh.
Infectious Diseases

Infectious Diseases

Journal of Clinical Infectious Diseases & Practice

Author(s): Dilruba Ahmed, Abu Iftiaf Md Salah UdDin, Syeda Umme Habiba Wahid, Razib Mazumder, Kamrun Nahar

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Salmonellosis, an acute invasive enteric infection, is endemic in Bangladesh. We analyzed 128,312 stool samples of diarrheal patients to identify Salmonella spp. during 2005–2013. A total of 2120 (1.7%) Salmonella spp. were isolated and the prevalence of Salmonella spp. decreased significantly over time (2→1%, P < 0.001). Among the typhoidal Salmonella (TS) serogroups, S. Typhi was predominant (404, [65.1%]) followed by S. Paratyphi B (139, [22.4%]) and S. Paratyphi A (78, [12.6%]). Of the nontyphoidal Salmonella (NTS) isolates, the serogroup C1 (560, [37%]) was predominant followed by B (379, [25%]), C2 (203, [14%]), E (127, [9%]), and D (94, [6%]). Most of the resistance was found towards nalidixic acid (40%), ampicillin (36%), cotrimoxazole (20%), chloramphenicol (13%), ciprofloxacin (4%), and ceftriaxone (4%). Interestingly, 32% of the isolates showed reduced susceptibility to Cip. Multiantibiotic resistance (MAR, ≥3 drugs) was more common among TS than NTS strains (P < 0.001). Among the representative ceftriaxone-resistant isolates, blaTEM gene was detected among 88% (7/8) of the strains, whereas only one strain of S. Typhi was positive for both blaTEM and blaCTX-M genes. The study reflects higher prevalence of MAR Salmonella spp. and is the first to report the blaTEM gene mediated ESBL production among Salmonellae in Bangladesh. Emergence of MAR Salmonella spp. in particular ESBL strains should be considered a public health concern.

This article was published in ISRN microbiology and referenced in Journal of Clinical Infectious Diseases & Practice

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