Pojavljanje in občutljivost salmonel za antibiotike v Sloveniji = Salmonella serotypes and antimicrobial susceptibility surveillance in Slovenia
Štorman, Alenka
Salmonellae are among the most common causes of food-borne diseases worldwide.Their rising incidence and inereasing rates of antibiotic resistancehave been reported in various regions throughout the ...world and certain multiple antibiotic-resistant clones have become disseminated in areasrather distant from each other. To date, no data has been collected on salmonella resistance in Slovenia. Therefore, a national survey of salmonella serotypes and antimicrobial resistance to 12 antibiotics was started in the year 2001 by all medical microbiological laboratories involved in salmonella detection. In the years 2001 to 2005, 13266 strains were isolated: 27.9% in Maribor, 16.1% in Celje, 12.4% and 9.1% in Ljubljana, 11.3% in Novo Mesto, 11.2% in Murska Sobota, 5.1% in Kranj, 3.9% in Koper and 3.2% in Nova Gorica. The predominant serotype was Salmonella enteritidis in 92% of cases (12,300 isolates), i. e. from 75.5% in Nova Gorica to 97.3% in Novo Mesto. The second most common serotype was Salmonella typhimurium, isolated in 3% of cases (335 isolates). Other serotypes appeared in less than 1% of cases. In the year 2004, 90.5% of strains were susceptible to all antimicrobials, 7.6% were resistant to one, 0.6'% to two and only 1.3% to three or more antimicrobials. All isolates were susceptible to third generation cephalosporins, 99.9% to ciprofloxacin and gentamicin; 99.7% to kanamycin, 99.6%to trimethoprim and chloramphenicol, 99.5% to trimethoprim-sulfamethoxazole, 98.2% to streptomycin, 96.8% to ampicillin, 94.5% to tetracyclines; 94.4'% to sulphonamides and 92.7% to nalidixic acid. S. enteritidis was usually susceptible to most antimicrobials, while S. typhimurium was far more resistant. Among S. typhimurium isolates, the resistotype ACSSuT (ampicillin, chloramphenicol, streptomycin, sulphonamides, and tetracycline) was present from 46% to 19% during the years 2001 to 2005. (Abstract truncated at 2000 characters)
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