A nineteen-year report of serotype and antimicrobial susceptibility of enteric non-typhoidal from humans in Southern India: changing facades of taxonomy and resistance trend.

BACKGROUND

The steady increase in the proportion of Non-typhoidal (NTS) infections in humans represents a major health problem worldwide. The current study investigated the serovar distribution and antimicrobial susceptibility trends of NTS isolated from faecal samples during the period 2000-2018.

METHODS

Faecal specimens of patients were cultured according to standard lab protocol. The isolates were serotyped and antimicrobial susceptibility testing (AST) were performed according to CLSI guidelines.

RESULTS

A total of 1436 NTS isolates were obtained from faeces samples mostly comprising of Typhimurium (27.3%), Weltevreden (13%), Bareilly (11%), Newport (4.2%), . Cholerasuis (4%), Infantis (3.4%), and . Enteritidis (2.4%). Resistance to nalidixic acid (26%) was most common among the tested NTS, followed by ampicillin (18.5%), cotrimoxazole (13.5%), ciprofloxacin (12%), ceftriaxone (6.3%) and chloramphenicol (3.6%). Multidrug resistance was observed in 5% of NTS isolates with the highest rate (10.52%) in 2014. The incidence of NTS infection was maximum in children < 5 years of age with an average 19.3% of the total affected patients during the time period.

CONCLUSIONS

Based on this study, the faecal NTS isolates have high resistance rates against first line antimicrobial agents except chloramphenicol. The gradual but consistent increase in resistance to fluoroquinolones, third generation cephalosporins and macrolide may restrict future treatment options. Hence periodic monitoring of NTS infections, serotype distribution and antimicrobial resistance trend is recommended.