Antimicrobial Resistance of EntericSalmonellain Bangui, Central African Republic
Introduction. The number ofSalmonellaisolated from clinical samples that are resistant to multiple antibiotics has increased worldwide. The aim of this study was to determine the prevalence of resistantSalmonella entericaisolated in Bangui.Methods. All entericSalmonellastrains isolated from patients in 2008 were identified and serotyped, and the phenotypes of resistance were determined by using the disk diffusion method. Nine resistance-associated genes,blaTEM,blaOXA,blaSHV,tetA,aadA1,catA1,dhfrA1,sul I, andsul II, were sought by genic amplification in sevenS.e. Typhimurium strains.Results. The 94 strains isolated consisted of 47S.e.Typhimurium (50%), 21S.e.Stanleyville (22%), 18S.e.Enteritidis (19%), 4S.e.Dublin (4%), 4S.e.Hadar (4%), and 1S.e.Papuana (1%). Twenty-five (28%) were multiresistant, including 20 of the Typhimurium serovar (80%). Two main phenotypes of resistance were found: four antibiotics (56%) and to five antibiotics (40%). OneS.e.Typhimurium isolate produced an extended-spectrumβ-lactamase (ESBL). Only seven strains ofS.e.Typhimurium could be amplified genically. Only phenotypic resistance to tetracycline and aminosides was found.Conclusion.S.Typhimurium is the predominant serovar of entericS. entericaand is the most widely resistant. The search for resistance genes showed heterogeneity of the circulating strains.