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Secular trends in incidence and antimicrobial resistance among clinical isolates of salmonella at a university hospital in Taiwan, 1983–1999

Published online by Cambridge University Press:  26 November 2001

L. H. SU ,
C. H. CHIU ,
A. J. KUO ,
J. H. CHIA ,
C. F. SUN ,
H. S. LEU  and
T. L. WU
L. H. SU
Affiliation:
Department of Clinical Pathology, Department of Internal Medicine, Chang Gung Memorial Hospital, Taoyuan, 333, Taiwan
C. H. CHIU
Affiliation:
Division of Paediatric Infectious Diseases, Department of Paediatrics, Chang Gung Children's Hospital, Taoyuan, 333, Taiwan
A. J. KUO
Affiliation:
Department of Clinical Pathology, Department of Internal Medicine, Chang Gung Memorial Hospital, Taoyuan, 333, Taiwan
J. H. CHIA
Affiliation:
Department of Clinical Pathology, Department of Internal Medicine, Chang Gung Memorial Hospital, Taoyuan, 333, Taiwan
C. F. SUN
Affiliation:
Department of Clinical Pathology, Department of Internal Medicine, Chang Gung Memorial Hospital, Taoyuan, 333, Taiwan
H. S. LEU
Affiliation:
Division of Infectious Diseases, Department of Internal Medicine, Chang Gung Memorial Hospital, Taoyuan, 333, Taiwan
T. L. WU
Affiliation:
Department of Clinical Pathology, Department of Internal Medicine, Chang Gung Memorial Hospital, Taoyuan, 333, Taiwan
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Abstract

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The incidence and antimicrobial resistance among clinical isolates of salmonella at a university hospital in Taiwan between 1983 and 1999 are summarized in this report. A total of 7986 isolates were analysed. Serogroup B has been the most prevalent over the years, with an apparently continuous decline after 1995. Concordant decrease was also found among S. choleraesuis and S. typhi isolates in recent years. In contrast, the proportion of serogroup D strains increased significantly after 1996. S. typhi remained relatively susceptible to most of the antimicrobial agents examined. For non-typhoidal isolates, antimicrobial resistance to ampicillin (62%), chloramphenicol (67%), and sulfamethoxazole-trimethoprim (37%) was relatively higher than that reported elsewhere. Newer generation cephalosporins and fluoroquinolones remained effective over the years, although emerging resistance to these drugs has been noticed since 1992. A more prudent selection and use of antimicrobial agents, in both humans and animals, and a continuous surveillance of resistance are essential in the future.

Type
Research Article
Information
Epidemiology & Infection , Volume 127 , Issue 2 , October 2001 , pp. 207 - 213
Copyright
2001 Cambridge University Press