Comparative antibiotic resistance of diarrheal pathogens from Vietnam and Thailand, 1996-1999

Emerg Infect Dis. 2002 Feb;8(2):175-80. doi: 10.3201/eid0802.010145.

Abstract

Antimicrobial resistance rates for shigella, campylobacter, nontyphoidal salmonella, and enterotoxigenic Escherichia coli were compared for Vietnam and Thailand from 1996 to 1999. Resistance to trimethoprim-sulfamethoxazole, ampicillin, chloramphenicol, and tetracycline was common. Quinolone resistance remains low in both countries, except among campylobacter and salmonella organisms in Thailand. Nalidixic acid resistance among salmonellae has more than doubled since 1995 (to 21%) in Thailand but is not yet documented in Vietnam. Resistance to quinolones correlated with resistance to azithromycin in both campylobacter and salmonella in Thailand. This report describes the first identification of this correlation and its epidemiologic importance among clinical isolates. These data illustrate the growing magnitude of antibiotic resistance and important differences between countries in Southeast Asia.

Publication types

  • Comparative Study
  • Research Support, U.S. Gov't, Non-P.H.S.

MeSH terms

  • 4-Quinolones
  • Adult
  • Anti-Bacterial Agents / therapeutic use
  • Anti-Infective Agents / therapeutic use*
  • Child, Preschool
  • Diarrhea / drug therapy*
  • Diarrhea / epidemiology
  • Diarrhea / microbiology*
  • Drug Resistance, Bacterial*
  • Drug Resistance, Multiple, Bacterial
  • Humans
  • Infant
  • Macrolides
  • Microbial Sensitivity Tests
  • Thailand / epidemiology
  • Vietnam / epidemiology

Substances

  • 4-Quinolones
  • Anti-Bacterial Agents
  • Anti-Infective Agents
  • Macrolides