Ciprofloxacin-Resistant Salmonella enterica Serotype Typhimurium, China
2008

Ciprofloxacin-Resistant Salmonella in China

Sample size: 44 publication Evidence: moderate

Author Information

Author(s): Cui Shenghui, Li Jingyun, Sun Ziyong, Hu Changqin, Jin Shaohong, Guo Yunchang, Ran Lu, Ma Yue

Primary Institution: State Food and Drug Administration, Beijing, People’s Republic of China

Hypothesis

What are the characteristics of ciprofloxacin-resistant Salmonella enterica serotype Typhimurium isolates in Wuhan, China?

Conclusion

The study found a high incidence of ciprofloxacin-resistant Salmonella Typhimurium isolates among outpatients in Wuhan, China.

Supporting Evidence

  • All 31 ciprofloxacin-resistant isolates were also resistant to more than 8 other antimicrobial drugs.
  • The study identified mutations in GyrA and ParC associated with resistance.
  • Ciprofloxacin-resistant isolates were grouped into distinct PFGE clusters.

Takeaway

Doctors found a lot of Salmonella germs that don't get better with a common medicine called ciprofloxacin in patients at a hospital in China.

Methodology

The study analyzed stool samples from outpatients and characterized Salmonella isolates using biochemical tests, antimicrobial susceptibility testing, and mutation analysis.

Potential Biases

Potential bias due to the study being conducted in a university-affiliated medical center that treats more severe cases.

Limitations

The study did not have patient antimicrobial drug-use information and was limited to a single hospital.

Participant Demographics

Outpatients from Tongji Hospital in Wuhan, China.

Digital Object Identifier (DOI)

10.3201/eid1403.070857

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