Salmonella krefeld in Thailand: I. Epidemiology, infection and drug resistance.

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dc.contributor.authorJayanetra, Pen_US
dc.contributor.authorVorachit, Men_US
dc.contributor.authorPilantanapak, Aen_US
dc.contributor.authorPanbangred, Wen_US
dc.contributor.authorBangtragulnonth, Aen_US
dc.contributor.authorPan-urai, Ren_US
dc.date.accessioned2009-05-27T15:44:21Z
dc.date.available2009-05-27T15:44:21Z
dc.date.issued1990-09-01en_US
dc.descriptionThe Southeast Asian Journal of Tropical Medicine and Public Health.en_US
dc.description.abstractInformation from the National Salmonella Shigella Center (NSSC), Thailand indicated that the most frequently isolated Salmonella serotype from humans during 1974-1975 was Salmonella typhi (33.1%), during 1976-1982 was S. krefeld (26.6%) and during 1983-1987 was S. derby (12.6%). Antimicrobial susceptibility study of various Salmonella serotypes indicated that S. krefeld was the serotype with multiple drug resistance persisting for the longest period of time. Human salmonellosis due to S. krefeld is very rare. During 1976-1978, a large outbreak of S. krefeld gastroenteritis occurred in Thailand, mainly in children. The outbreak spread countrywide and is currently endemic. Gastrointestinal symptoms are severe in young infants. Systemic invasion with bacteremia, meningitis and pneumonitis were reported. The antimicrobial susceptibility pattern of isolates varied from sensitive to multiply drug resistant. The common antibiotic resistances were to ampicillin (75-92%), chloramphenicol (33-75%), kanamycin (67-90%) and sulfamethoxazole-trimethoprim (15-52%). Resistance to gentamicin and sulfamethoxazole-trimethoprim declined after the period of the epidemic. Antimicrobial resistance patterns of 150 S. krefeld strains isolated in Thailand during 1978-1987 showed multiple drug resistance with up to seven drugs. The most common patterns were ApCmKmSuTp and ApCmKmSmSuTc.en_US
dc.description.affiliationDepartment of Pathology, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Thailand.en_US
dc.identifier.citationJayanetra P, Vorachit M, Pilantanapak A, Panbangred W, Bangtragulnonth A, Pan-urai R. Salmonella krefeld in Thailand: I. Epidemiology, infection and drug resistance. The Southeast Asian Journal of Tropical Medicine and Public Health. 1990 Sep; 21(3): 354-60en_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/33540
dc.language.isoengen_US
dc.source.urihttps://www.tm.mahidol.ac.th/seameo/publication.htmen_US
dc.subject.meshAnti-Bacterial Agents --therapeutic useen_US
dc.subject.meshChilden_US
dc.subject.meshDisease Outbreaksen_US
dc.subject.meshDrug Resistance, Microbialen_US
dc.subject.meshHumansen_US
dc.subject.meshIncidenceen_US
dc.subject.meshInfanten_US
dc.subject.meshMicrobial Sensitivity Testsen_US
dc.subject.meshSalmonella --drug effectsen_US
dc.subject.meshSalmonella Infections --drug therapyen_US
dc.subject.meshSalmonella typhi --drug effectsen_US
dc.subject.meshThailand --epidemiologyen_US
dc.titleSalmonella krefeld in Thailand: I. Epidemiology, infection and drug resistance.en_US
dc.typeJournal Articleen_US
dc.typeResearch Support, Non-U.S. Gov'ten_US
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