Chloramphenicol-resistant Salmonella typhi in Saigon

JAMA. 1975 Jan 13;231(2):162-6.

Abstract

Chloramphenicol-resistant Salmonella typhi was detected in Saigon in September 1971. Subsequently, 163 strains of S typhi were isolated, 46 percent of which were resistant to choramphenicol by the agar-disk method. Sixty-two strains were studied by the broth-dilution method; 37 percent had minimal inhibitory concentrations for chloramphenicol greater than 250mug/ml, but all strains were susceptible to 0.4mug/ml of ampicillin and to a disk of a combination of trimethoprim and sulfamethoxazole (Bactrim). Persons infected with chloramphenicol-resistant strains of S typhi responded poorly to chloramphenicol alone, but ampicillin or the combination drug was effective.

MeSH terms

  • Adult
  • Chloramphenicol / pharmacology*
  • Drug Resistance, Microbial
  • Drug Therapy, Combination
  • Humans
  • Male
  • Microbial Sensitivity Tests / methods
  • Salmonella Infections / drug therapy
  • Salmonella typhi / drug effects*
  • Sulfamethoxazole / pharmacology*
  • Sulfamethoxazole / therapeutic use
  • Trimethoprim / pharmacology*
  • Trimethoprim / therapeutic use
  • Vietnam

Substances

  • Chloramphenicol
  • Trimethoprim
  • Sulfamethoxazole