Emergence of resistance to fluoroquinolones and third-generation cephalosporins in Shigella flexneri subserotype 1c isolates from China

Clin Microbiol Infect. 2012 Apr;18(4):E95-8. doi: 10.1111/j.1469-0691.2012.03768.x. Epub 2012 Feb 13.

Abstract

We report here on the first identification of Shigella flexneri subserotype 1c in China. We also report the emergence of resistance to ciprofloxacin and third-generation cephalosporins in this subserotype 1c for the first time. Isolates of seven strains circulating in China yielded three new sequence types and seven pulsed-field gel electrophoresis patterns, thus demonstrating the existence of high genetic diversity within the isolates. Overall, the seven isolates showed reduced susceptibility to ciprofloxacin; one isolate was ciprofloxacin resistant, whilst another developed resistance to ciprofloxacin, norfloxacin, cefotaxime and ceftriaxone.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Cephalosporins / pharmacology*
  • China / epidemiology
  • Communicable Diseases, Emerging / drug therapy
  • Communicable Diseases, Emerging / microbiology
  • Diarrhea / microbiology
  • Drug Resistance, Multiple, Bacterial*
  • Dysentery, Bacillary / drug therapy*
  • Dysentery, Bacillary / epidemiology
  • Dysentery, Bacillary / microbiology
  • Electrophoresis, Gel, Pulsed-Field
  • Feces / microbiology
  • Fluoroquinolones / pharmacology*
  • Genetic Variation
  • Humans
  • Microbial Sensitivity Tests
  • Multilocus Sequence Typing
  • Nalidixic Acid / pharmacology
  • Serotyping
  • Shigella flexneri / drug effects
  • Shigella flexneri / genetics
  • Shigella flexneri / isolation & purification*
  • Shigella flexneri / pathogenicity

Substances

  • Cephalosporins
  • Fluoroquinolones
  • Nalidixic Acid