Links

Tools

Export citation

Search in Google Scholar

Prevalence of multidrug-resistant Shigella isolated in Malaysia

Journal article published in 2003 by Chee Hong Hoe, Kwai-Lin Thong ORCID, Rohani M. Yasin, Yin Tee Koh
This paper is available in a repository.
This paper is available in a repository.

Full text: Download

Question mark in circle
Preprint: policy unknown
Question mark in circle
Postprint: policy unknown
Question mark in circle
Published version: policy unknown

Abstract

Sir, Shigellosis, a disease caused by Shigella spp., is endemic in Malaysia. Its low infective dose and ease of spread through person-to-person transmission by the faecal-oral route make this infection difficult to control in outbreak situations. Antimicrobial therapy is recommended for shigellosis because it can shorten the severity and duration of illness, reduce shedding of the organism, and prevent secondary complications and deaths. However, due to the global emergence of drug resistance, the choices of antimicrobial agents for empiric therapy for shigellosis are now limited (1). Although antimicrobial resistance of Shigella spp. is well-documented in many countries (2-4), there is a lack of such documentation in Malaysia. Hence, the study was undertaken to determine the antimicrobial resistance patterns of the Malaysian strains of Shigella spp. This study, to the best of our knowledge, is the first report on the antimicrobial resistance of Shigella spp. in Malaysia. One hundred clinical strains (stools, n=98; blood, n=2) of Shigella spp. isolated during 1997-2000 from sporadic cases of endemic shigellosis in different parts of Malaysia, were studied. Shigella spp. were identified by biochemical and serological tests at the Institute for Medical Research, Kuala Lumpur, Malaysia. Antimicrobial susceptibility tests were determined by the Bauer-Kirby disc-diffusion method (5). Antibiotic disks (Oxoid, UK) of 10 antimicrobial agents: ampicillin (Amp), amikacin (An), chloramphenicol (Chl), ciprofloxacin (Cip), ceftriaxone (Cro), kanamycin (Kan), streptomycin (Str), tetracycline (Tet), trimethoprim (Tmp), and trimethoprim-sulphamethoxazole (SxT) were tested. Zones of inhibition were recorded in millimetres and interpreted as sensitive, intermediate, or resistant according to the instructions of the manufacturer.