Multi-drug resistant non-typhi salmonellae in Kenya

J Antimicrob Chemother. 1996 Sep;38(3):425-34. doi: 10.1093/jac/38.3.425.

Abstract

Two methods of plasmid characterization, restriction digest patterns and incompatibility grouping, were used to study self-transmissible multi-drug resistance among non-typhi salmonellae (NTS). Resistance to ampicillin and other commonly applied beta-lactams was evaluated by iso-electric focusing and disc inactivation. Of the NTS isolated from blood, 75% were Salmonella typhimurium but those included several different phage types. Over 47% of isolates were resistant to three or more of the readily available drugs including ampicillin, cefuroxime, chloramphenicol, co-trimoxazole, streptomycin and tetracycline. Self-transferable resistance plasmids (c. 100 kb) were essentially of incompatibility group incFIIA, but their restriction fragment patterns revealed a diversity in relatedness. More than half of parent strains and their transconjugants produced beta-lactamases which co-electrophoresed with TEM-1 and OXA-1. This study has observed a disturbingly high prevalence of transmissible multi-drug resistance among NTS which are an important cause of morbidity in HIV-1 seropositive individuals.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Ampicillin Resistance
  • Diarrhea / blood
  • Diarrhea / microbiology
  • Feces / microbiology
  • Humans
  • Kenya
  • Microbial Sensitivity Tests
  • Plasmids / genetics
  • Plasmids / metabolism
  • Salmonella / drug effects*
  • Salmonella / genetics*
  • Salmonella Infections / epidemiology
  • Salmonella Infections / microbiology
  • beta-Lactam Resistance / genetics*
  • beta-Lactamases / drug effects
  • beta-Lactamases / genetics
  • beta-Lactamases / metabolism*

Substances

  • beta-Lactamases