Trend of Antimicrobial Susceptibility and Multiple drug Resistance Patterns of Salmonella entericia Serovar Enteritidis Isolated from Foodborne Patients in Seoul between 2001 and 2005

최근 5년간 서울시내 식중독 환자에서 분리한 Salmonella enterica serovar Enteritidis의 항생제 감수성 및 다제 내성 특성

  • Park Seog-Gee (Seoul Metropolitan Government Research Institute of public Health and Environment) ;
  • Kim Moo-Sang (Seoul Metropolitan Government Research Institute of public Health and Environment) ;
  • Lee Young-Kee (The Scool of Dentistry Dankook University)
  • 박석기 (서울특별시 보건환경연구원) ;
  • 김무상 (서울특별시 보건환경연구원) ;
  • 이영기 (단국대학교 치과대학)
  • Published : 2006.03.01

Abstract

Antimicrobial susceptibility and multiple drug resistance patterns have been carried out on total of 364 isolates of Salmonella enterica serovar Enteritidis isolated from foodborne patients in Seoul from 2001 to 2005. Overall, the highest percentage of resistance was found to the following antimicrobial agents: streptomycin (46.7%), ampicillin (37.3%), ticarcillin (36.7%), tetracycline (36.0%), nalidixic acid (20.7%), chloramphenicol (13.3%), amoxicillin/clavulanic acid (6.7%) and Ampicillin/sulbactam (4.0%). Seventy five percentage of isolates were found to be resistant to one or more of the antimicrobes tested. The resistant rates to nalidixic acid and chloramphenicol in S. Enteritidis tested were annually increased but the resistant rate to tetracycline was decreased and the resistant rates to streptomycin, ampcilin and ticarcillin were remained steadily. The most frequent patterns of multiresistant isolates were only nalidixic acid resistant (18.0%) and streptomycin-tetracycline (18.0%), streptomycin-ampicillin-ticarcillin (10%), and ampicillin-ticarcillin (5.5%). Overall the resistant rates of 1 drug was 19.3%,2 drugs 24.7%, 3 drugs 6.7% and 4 or more drugs 24.0%. The resistant rates of 1 drug and 2 drugs in 2005 were increased dramatically.

2001년부터 2005년까지 서울 시내 식중독 환자에서 분리한 150주의 Sal. Enteritidis의 항생제 감수성 및 다재내성 양상을 조사한 결과 총 364주의 살모넬라속균 중 41.2%를 차지하였다. 가장 내성율이 높은 항생제는 streptomycin(46.7%), ampicillin(37.3%), ticarcillin(36.7%), tetracycline(36.0%), nalidixic acid(20.7%), chloramphenicol (13.3%), amoxicillin/clavulanic acid(6.7%) 및 ampicillin/sulbactam(4.0%). 분리균의 74.7%는 1제 이상의 항생제에 내성이 있다. 실험한 S. Enteritidis에 대한 nalidixic acid와 chloramphenicol에 대한 내성은 증가하였으나 tetracycline에 대한 내성율은 감소되었다. 가장 많이 검출된 내성 양상은 NA 단일 내성과 Streptomycin-tetrcyline 내성이 18.0%로 가장 높았으며, streptomycin-ampicillin-ticarcillin(10.0%) 및 ampicillin-ticarcillin(5.5%)순이었다. 전체적으로 1제 내성이 19.3%, 2제 내성 24.7%, 3제 내성 6.7%, 4제 내성 15.0% 그리고 5제 이상 내성은 6.0%이었다. 특히 2005년에는 1제 내성과 2제 내성이 증가하였다.

Keywords

References

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