Epidemic characteristics and drug resistance of non-typhoid salmonella in Zhongshan city from 2013 to 2015
10.3760/cma.j.issn.1673-4912.2018.02.011
- VernacularTitle:2013至2015年中山市儿童肠道感染非伤寒沙门菌流行特征及耐药性分析
- Author:
Quanshan ZHANG
1
;
Tao ZHOU
;
Simao FU
;
Guangqing XIE
;
Zhantu LIANG
;
Xiaoling LONG
Author Information
1. 528403,南方医科大学附属中山市博爱医院儿科
- Keywords:
Non-typhoid salmonella;
Epidemic characteristics;
Drug resistance analysis;
Children;
Intestinal infection
- From:
Chinese Pediatric Emergency Medicine
2018;25(2):132-135
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the epidemiological characteristics and drug sensitivity of non-typhoid salmonella in Zhongshan city.Methods We collected the positive cases of non-typhoid salmonella in children of Zhongshan city from 2013 to 2015.The sex,age,place of residence,onset time and main serum type of these cases were collected.The characteristics of the cases were described by descriptive epidemiologi-cal study.Results From 2013 to 2015,3 040 stool specimens from patients with enteritis were collected and 402 strain of non-typhoid salmonella were separated out. The total detection rate was 13.22%,the annual detection rate were 10.26%,12.21% and 16.76%,respectively.The peak period was from July to August every year.Of the 402 children,240 were male,162 were female,and the ratio was 1.48:1.The minimum age was 1 month,the maximum was 5 years and 8 months,the mean age was 13.62 months.All patients were characterized by diarrhea and fever,including 64 cases of bloody stool and 1 case of sepsis.The most com-mon serotypes were 4,5,12:i:-and 4,12:i:-.The resistant strains were salmonella typhimurium and variety salmonella typhimurium strains.From 2013 to 2015,the resistance rate of ceftriaxone and ceftazidime in non-typhoid salmonella isolates increased linearly (ceftriaxone: 17.35%, 26.23%, 39.01%; ceftazidime:12.24%,17.21%,30.77%).The differences were statistically significant(χ2=30.3,P<0.01;χ2=26.3, P<0.01).Conclusion The positive rate of nontyphoid salmonella increased year by year from 2013 to 2015.The most common serotype was salmonella typhimurium, and the resistant strains were salmonella typhimurium and salmonella typhimurium variety.The resistance rate of non-typhoid salmonella to ceftriaxone and ceftazidime increased year by year,and the highest rate of ceftazidime resistance was in July 2015.Non-typhoid salmonella was more resistant to ceftriaxone than ceftazidime.
