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Characterization of non-classical quinolone resistance in Salmonella enterica serovar Typhi: Report of a novel mutation in gyrB gene and diagnostic challenges.


ABSTRACT: OBJECTIVE:To establish the relative importance of Salmonella enterica serovar Typhi with non-classical quinolone resistance. METHODS:Eight hundred and ninety-one isolates of S. Typhi, isolated between 2004 and 2011, were tested for antibiotic susceptibility determination using disc diffusion and E-test. The mechanisms of fluoroquinolone resistance were studied in a sub-set of the NALS (nalidixic acid susceptible) isolates by wave nucleic acid fragment analysis of PCR products from gyrA, gyrB, parC and parE and from the plasmid borne determinants: qnrA,B,S; aac(6')-Ib-cr and qepA. To assess genetic relatedness multi-locus variable number tandem repeat analysis was carried out using five loci. RESULTS:Eighty isolates with a nalidixic acid MIC of <32 mg/L (NALS) and a ciprofloxacin MIC of >0.064 mg/L CIPI (ciprofloxacin reduced susceptibility) were found. In 36 NALS CIPI isolates two distinct genotypes were identified when compared with 16 susceptible controls: Group B (n = 34), mutation in gyrB at codon 464, NAL MIC of 3-12 mg/L and CIP MIC of 0.064-0.5 mg/L.; and Group C, mutation in gyrA at codon 83 (n = 2) NAL MIC of 16 mg/L and CIP MIC of 0.25-0.38 mg/L. Group B isolates were found in different strain backgrounds as defined by MLVA. CONCLUSION:The use of nalidixic acid to screen for reduced susceptibility to fluoroquinolones in S. Typhi misses CIPI-NALS isolates, an established phenotype in India.

SUBMITTER: Gupta R 

PROVIDER: S-EPMC5121207 | biostudies-literature | 2014 Dec

REPOSITORIES: biostudies-literature

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Characterization of non-classical quinolone resistance in <i>Salmonella enterica</i> serovar Typhi: Report of a novel mutation in <i>gyr</i>B gene and diagnostic challenges.

Gupta Ruchi R   Gaind Rajni R   Wain John J   Deb Monorama M   Singh Laishram Chandreshwor LC   Basir Seemi Farhat SF  

Biomolecular detection and quantification 20141201


<h4>Objective</h4>To establish the relative importance of <i>Salmonella enterica</i> serovar Typhi with non-classical quinolone resistance.<h4>Methods</h4>Eight hundred and ninety-one isolates of <i>S.</i> Typhi, isolated between 2004 and 2011, were tested for antibiotic susceptibility determination using disc diffusion and E-test. The mechanisms of fluoroquinolone resistance were studied in a sub-set of the NAL<sup>S</sup> (nalidixic acid susceptible) isolates by wave nucleic acid fragment anal  ...[more]

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