Mina Sohana Akter, Hasan Md Zahid, Hossain A K M Zakir, Barua Anupam, Mirjada Md Rashed, Chowdhury A M Masudul Azad
Department of Genetic Engineering and Biotechnology, Faculty of Biological Sciences, University of Chittagong, Chittagong, Bangladesh.
Department of Medicine, Chittagong Medical College, Chittagong, Bangladesh.
Microbiol Insights. 2023 Jan 28;16:11786361221150760. doi: 10.1177/11786361221150760. eCollection 2023.
Typhoid is a major public health concern. Even though antibiotics are usually used to treat typhoid fever, the spread of multi drug resistant is making antibiotics much less effective. This study was conducted to assess the prevalence of multidrug-resistant from the clinical samples. During this study, 154 blood samples of suspected typhoid patients were collected from the hospital and diagnostic center located in Chattogram City, Bangladesh. Isolation and identification of was done by both biochemical tests. PCR analysis was also done for the confirmation of biochemical result. Antimicrobial susceptibility test was performed according to the Kirby-Bauer disk diffusion method against ampicillin, chloramphenicol, cefepime, cotrimoxazole, ceptriaxone, ciprofloxacin, nalidixic acid, and azithtomycin. Out of 154, 21 (13.64%) isolates were identified as and the prevalence of typhoid in Chattogram, Bangladesh was 13.64% (n = 21). It was also found that children under the age of 5 are the more vulnerable target of infection. Antibiotic resistance profiling revealed 85% isolates were Multi-Drug Resistant (MDR) and highest resistance was found in case of Nalidixic acid. Although, most of the isolated were MDR, first generation antibiotics Co-trimoxazile, Chloramphenicol, and Ampicillin were found effective against .
伤寒是一个主要的公共卫生问题。尽管抗生素通常用于治疗伤寒热,但多重耐药性的传播正使抗生素的效果大打折扣。本研究旨在评估临床样本中多重耐药性的流行情况。在这项研究中,从孟加拉国吉大港的医院和诊断中心收集了154份疑似伤寒患者的血样。通过生化试验进行分离和鉴定。还进行了PCR分析以确认生化结果。根据 Kirby-Bauer 纸片扩散法对氨苄西林、氯霉素、头孢吡肟、复方新诺明、头孢曲松、环丙沙星、萘啶酸和阿奇霉素进行药敏试验。在154份样本中,有21份(13.64%)分离株被鉴定为伤寒杆菌,孟加拉国吉大港伤寒的流行率为13.64%(n = 21)。还发现5岁以下儿童是伤寒杆菌感染的更易感染对象。抗生素耐药性分析显示85%的分离株为多重耐药(MDR),萘啶酸的耐药性最高。尽管大多数分离出的伤寒杆菌是多重耐药的,但第一代抗生素复方新诺明、氯霉素和氨苄西林对伤寒杆菌有效。