Journal of Antimicrobial Chemotherapy, Vol 42, 99-102, Copyright © 1998 by The British Society for Antimicrobial Chemotherapy
MA Hossain, M Rahman, QS Ahmed, MA Malek, RB Sack and MJ Albert
A total of 14,915 shigella isolates obtained in 1991-1996 from patients
attending the Dhaka (urban) and Matlab (rural) treatment centres of the
International Centre for Diarrhoeal Disease Research, Bangladesh were
examined for susceptibility to ampicillin, co-trimoxazole, nalidixic acid,
mecillinam and ciprofloxacin by a disc diffusion method. There were no
ciprofloxacin-resistant shigella isolates. The prevalence of resistance to
ampicillin, co-trimoxazole and nalldixic acid varied between isolates. It
increased to similar degrees in isolates from both Matlab and Dhaka.
However, resistance to mecillinam was more prevalent among isolates from
Matlab than from Dhaka. The increase in mecillinam- resistant shigellae in
the community may have grave implications for the empirical treatment of
shigellosis in Bangladesh and other developing countries.
ORIGINAL ARTICLES
Increasing frequency of mecillinam-resistant shigella isolates in urban Dhaka and rural Matlab, Bangladesh: a 6 year observation
International Centre for Diarrhoeal Disease Research, Bangladesh. anowar@icddrb.org
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