Antibiotic Resistance in Salmonella typhi Strains Isolated From Patients in Pakistan: A Hospital Database Study.
| Autor: | Yousaf M; Medicine, Medical Teaching Institute, Khyber Teaching Hospital (MTI/KTH), Peshawar, PAK., Sikandar I; Cardiology, Peshawar Institute of Cardiology, Peshawar, PAK., Waqas Z; Medicine, Medical Teaching Institute, Khyber Teaching Hospital (MTI/KTH), Peshawar, PAK., Pervez S; Dermatology, Medical Teaching Institute, Khyber Teaching Hospital (MTI/KTH), Peshawar, PAK., Jehanzeb H; Medicine, Hayatabad Medical Complex Peshawar, Peshawar, PAK., Farrukh AM; Medicine, University of Galway, Galway, IRL., Levin-Carrion Y; Medicine, Rutgers University New Jersey Medical School, Newark, USA., Semakieh B; Neurology, Arkansas College of Osteopathic Medicine, Arkansas, USA., Ali Khan Q; Internal Medicine, Medical Teaching Institute, Khyber Teaching Hospital (MTI/KTH), Peshawar, PAK.; Internal Medicine, District Headquarter (DHQ) Teaching Hospital KDA Kohat, Kohat, PAK. |
|---|---|
| Jazyk: | angličtina |
| Zdroj: | Cureus [Cureus] 2024 Apr 14; Vol. 16 (4), pp. e58240. Date of Electronic Publication: 2024 Apr 14 (Print Publication: 2024). |
| DOI: | 10.7759/cureus.58240 |
| Abstrakt: | Background: The surge in antibiotic-resistant Salmonella enterica serotype Typhi strains has led to heightened morbidity, mortality, and treatment expenses. This study aims to assess the resistance patterns of Salmonella Typhi to diverse antibiotics among patients seeking care at a tertiary hospital in Pakistan. Methods: A database from a tertiary care hospital in Pakistan was reviewed, and data on blood cultures that isolated Salmonella enterica serotype Typhi were collected. Data were collected and analyzed using Microsoft Excel (Microsoft Corporation, USA) and IBM SPSS software (IBM Corp., Armonk, NY). Results: Demographic information of the selected data was retrieved from the hospital database, and the results showed that 63.7% were male, 36.1% were female, and 0.2% were categorized as neutered. Regarding antibiotic resistance, ampicillin exhibited the highest resistance rate (91.50%), while meropenem demonstrated the lowest (3.00%). Antibiotic sensitivity patterns also varied across different age groups, although statistical analysis indicated no significant differences. Significant associations were found between antibiotic resistance and comorbidities, as well as previous antibiotic use. Conclusion: Salmonella enterica serotype Typhi showed a high resistance to ampicillin and fluoroquinolones, such as ciprofloxacin. The emergence of resistance and decreased sensitivity to current first-line antibiotics necessitates a shift towards alternative options, such as third-generation cephalosporins, azithromycin, and newer antibiotics like meropenem. Competing Interests: The authors have declared that no competing interests exist. (Copyright © 2024, Yousaf et al.) |
| Databáze: | MEDLINE |
| Externí odkaz: |
|