Trends in Antibiotic Resistance Among Diarrheal Pathogens Isolated in Thailand Over 15 Years
Antibiotic resistance trends were examined for Shigella species, nontyphoidal Salmonella species, enterotoxigenic Escherichia coli (ETEC), and Campylobacter species isolates from indigenous persons and travelers in Thailand for up to 15 years. Resistance to trimethoprim-sulfamethoxazole was found in...
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| Veröffentlicht in: | Clinical infectious diseases 1998-02, Vol.26 (2), p.341-345 |
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| creator | Hoge, Charles W. Gambel, Jeffrey M. Srijan, Apichai Pitarangsi, Chittima Echeverria, Peter |
| description | Antibiotic resistance trends were examined for Shigella species, nontyphoidal Salmonella species, enterotoxigenic Escherichia coli (ETEC), and Campylobacter species isolates from indigenous persons and travelers in Thailand for up to 15 years. Resistance to trimethoprim-sulfamethoxazole was found in >90% of Shigella and 40% of ETEC and nontyphoidal Salmonella isolates. Resistance to nalidixic acid was found in 97%–100% of Shigella dysenteriae 1 strains isolated between 1992 and 1995. Ciprofloxacin resistance was detected in 1% of ETEC isolates in 1994 and 1995 and in one of 349 nontyphoidal Salmonella isolates in 1995. Ciprofloxacin resistance among Campylobacter species increased from zero before 1991 to 84% in 1995 (P < .0001). Azithromycin resistance was found in 7%–15% of Campylobacter isolates in 1994 and 1995, as well as 15% of ETEC and 3% of Salmonella isolates in 1995. Enteric pathogens in Thailand have developed resistance to virtually all antibiotics routinely used in the treatment of diarrhea, as well as the newer fluoroquinolone and macrolide classes of drugs. |
| doi_str_mv | 10.1086/516303 |
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Resistance to trimethoprim-sulfamethoxazole was found in >90% of Shigella and 40% of ETEC and nontyphoidal Salmonella isolates. Resistance to nalidixic acid was found in 97%–100% of Shigella dysenteriae 1 strains isolated between 1992 and 1995. Ciprofloxacin resistance was detected in 1% of ETEC isolates in 1994 and 1995 and in one of 349 nontyphoidal Salmonella isolates in 1995. Ciprofloxacin resistance among Campylobacter species increased from zero before 1991 to 84% in 1995 (P < .0001). Azithromycin resistance was found in 7%–15% of Campylobacter isolates in 1994 and 1995, as well as 15% of ETEC and 3% of Salmonella isolates in 1995. 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Resistance to trimethoprim-sulfamethoxazole was found in >90% of Shigella and 40% of ETEC and nontyphoidal Salmonella isolates. Resistance to nalidixic acid was found in 97%–100% of Shigella dysenteriae 1 strains isolated between 1992 and 1995. Ciprofloxacin resistance was detected in 1% of ETEC isolates in 1994 and 1995 and in one of 349 nontyphoidal Salmonella isolates in 1995. Ciprofloxacin resistance among Campylobacter species increased from zero before 1991 to 84% in 1995 (P < .0001). Azithromycin resistance was found in 7%–15% of Campylobacter isolates in 1994 and 1995, as well as 15% of ETEC and 3% of Salmonella isolates in 1995. Enteric pathogens in Thailand have developed resistance to virtually all antibiotics routinely used in the treatment of diarrhea, as well as the newer fluoroquinolone and macrolide classes of drugs.</description><subject>Anti-Bacterial Agents - pharmacology</subject><subject>Anti-Infective Agents - pharmacology</subject><subject>Antibiotic resistance</subject><subject>Antibiotics</subject><subject>Azithromycin - pharmacology</subject><subject>Bacterial diseases</subject><subject>Bacterial diseases of the digestive system and abdomen</subject><subject>Biological and medical sciences</subject><subject>Campylobacter</subject><subject>Ciprofloxacin - pharmacology</subject><subject>Clinical Articles</subject><subject>Diarrhea</subject><subject>Diarrhea - microbiology</subject><subject>Drug Resistance, Microbial</subject><subject>Escherichia coli</subject><subject>Escherichia coli - drug effects</subject><subject>Fluoroquinolones</subject><subject>Human bacterial diseases</subject><subject>Humans</subject><subject>Infectious diseases</subject><subject>Medical sciences</subject><subject>Microbial Sensitivity Tests</subject><subject>Pathogens</subject><subject>Salmonella</subject><subject>Salmonella - drug effects</subject><subject>Shigella</subject><subject>Shigella - drug effects</subject><subject>Shigella dysenteriae - drug effects</subject><subject>Surveillance</subject><subject>Thailand</subject><subject>Travel</subject><subject>Travelers</subject><subject>Tropical medicine</subject><issn>1058-4838</issn><issn>1537-6591</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1998</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkV1rFDEUhkNRalv1FyjkQno3mky-JpdLtd0uhZa6QitCODM5002dnanJrLT_3iy7zK25Scjz5JzDG0Lec_aZs0p_UVwLJg7IEVfCFFpZ_iqfmaoKWYnqDTlO6ZExziumDsmhVayUShyRX8uIvU809HTWj6EOwxgaeosppBH6BulsPfQP9GuAGFcIHb2BcTU8YJ_oZRo6GNFv3y5XEDroPb3-i5FyRe8RYnpLXrfQJXy330_Ij_Nvy7N5cXV9cXk2uyoaaflYCOsRNOYlaq61UhJ53aqaW1G3QmhArYWRnnkvGbQlWNbqxhjVMK_znTghp7u6T3H4s8E0unVIDXZ5Ihw2yRlrSmFt-V-R5-ZM5sAmsYlDShFb9xTDGuKL48xt83a7vLP4cV9xU6_RT9o-4Mw_7TmkBro25lBDmrSSSym4ydqHnfaYxiFOOI_ChdriYofzr-DzhCH-dtoIo9z87qdbLKu774vF3EnxDxegnns</recordid><startdate>19980201</startdate><enddate>19980201</enddate><creator>Hoge, Charles W.</creator><creator>Gambel, Jeffrey M.</creator><creator>Srijan, Apichai</creator><creator>Pitarangsi, Chittima</creator><creator>Echeverria, Peter</creator><general>The University of Chicago Press</general><general>University of Chicago Press</general><scope>BSCLL</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QL</scope><scope>C1K</scope><scope>7X8</scope></search><sort><creationdate>19980201</creationdate><title>Trends in Antibiotic Resistance Among Diarrheal Pathogens Isolated in Thailand Over 15 Years</title><author>Hoge, Charles W. ; Gambel, Jeffrey M. ; Srijan, Apichai ; Pitarangsi, Chittima ; Echeverria, Peter</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c491t-39dea6eeee3b166554e1bf5b193bf336ae66374d0dd40af2a90f6c775c0d6dd43</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1998</creationdate><topic>Anti-Bacterial Agents - pharmacology</topic><topic>Anti-Infective Agents - pharmacology</topic><topic>Antibiotic resistance</topic><topic>Antibiotics</topic><topic>Azithromycin - pharmacology</topic><topic>Bacterial diseases</topic><topic>Bacterial diseases of the digestive system and abdomen</topic><topic>Biological and medical sciences</topic><topic>Campylobacter</topic><topic>Ciprofloxacin - pharmacology</topic><topic>Clinical Articles</topic><topic>Diarrhea</topic><topic>Diarrhea - microbiology</topic><topic>Drug Resistance, Microbial</topic><topic>Escherichia coli</topic><topic>Escherichia coli - drug effects</topic><topic>Fluoroquinolones</topic><topic>Human bacterial diseases</topic><topic>Humans</topic><topic>Infectious diseases</topic><topic>Medical sciences</topic><topic>Microbial Sensitivity Tests</topic><topic>Pathogens</topic><topic>Salmonella</topic><topic>Salmonella - drug effects</topic><topic>Shigella</topic><topic>Shigella - drug effects</topic><topic>Shigella dysenteriae - drug effects</topic><topic>Surveillance</topic><topic>Thailand</topic><topic>Travel</topic><topic>Travelers</topic><topic>Tropical medicine</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Hoge, Charles W.</creatorcontrib><creatorcontrib>Gambel, Jeffrey M.</creatorcontrib><creatorcontrib>Srijan, Apichai</creatorcontrib><creatorcontrib>Pitarangsi, Chittima</creatorcontrib><creatorcontrib>Echeverria, Peter</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Bacteriology Abstracts (Microbiology B)</collection><collection>Environmental Sciences and Pollution Management</collection><collection>MEDLINE - Academic</collection><jtitle>Clinical infectious diseases</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Hoge, Charles W.</au><au>Gambel, Jeffrey M.</au><au>Srijan, Apichai</au><au>Pitarangsi, Chittima</au><au>Echeverria, Peter</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Trends in Antibiotic Resistance Among Diarrheal Pathogens Isolated in Thailand Over 15 Years</atitle><jtitle>Clinical infectious diseases</jtitle><addtitle>Clinical Infectious Diseases</addtitle><date>1998-02-01</date><risdate>1998</risdate><volume>26</volume><issue>2</issue><spage>341</spage><epage>345</epage><pages>341-345</pages><issn>1058-4838</issn><eissn>1537-6591</eissn><coden>CIDIEL</coden><abstract>Antibiotic resistance trends were examined for Shigella species, nontyphoidal Salmonella species, enterotoxigenic Escherichia coli (ETEC), and Campylobacter species isolates from indigenous persons and travelers in Thailand for up to 15 years. Resistance to trimethoprim-sulfamethoxazole was found in >90% of Shigella and 40% of ETEC and nontyphoidal Salmonella isolates. Resistance to nalidixic acid was found in 97%–100% of Shigella dysenteriae 1 strains isolated between 1992 and 1995. Ciprofloxacin resistance was detected in 1% of ETEC isolates in 1994 and 1995 and in one of 349 nontyphoidal Salmonella isolates in 1995. Ciprofloxacin resistance among Campylobacter species increased from zero before 1991 to 84% in 1995 (P < .0001). Azithromycin resistance was found in 7%–15% of Campylobacter isolates in 1994 and 1995, as well as 15% of ETEC and 3% of Salmonella isolates in 1995. 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| source | Jstor Complete Legacy; Oxford University Press Journals All Titles (1996-Current); MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals |
| subjects | Anti-Bacterial Agents - pharmacology Anti-Infective Agents - pharmacology Antibiotic resistance Antibiotics Azithromycin - pharmacology Bacterial diseases Bacterial diseases of the digestive system and abdomen Biological and medical sciences Campylobacter Ciprofloxacin - pharmacology Clinical Articles Diarrhea Diarrhea - microbiology Drug Resistance, Microbial Escherichia coli Escherichia coli - drug effects Fluoroquinolones Human bacterial diseases Humans Infectious diseases Medical sciences Microbial Sensitivity Tests Pathogens Salmonella Salmonella - drug effects Shigella Shigella - drug effects Shigella dysenteriae - drug effects Surveillance Thailand Travel Travelers Tropical medicine |
| title | Trends in Antibiotic Resistance Among Diarrheal Pathogens Isolated in Thailand Over 15 Years |
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