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Drug Resistance in Salmonella enterica ser. Typhimurium Bloodstream Infection, Malawi

2014

To the Editor: Salmonella enterica serotype Typhimurium is one of the most common causes of bloodstream infection in sub-Saharan Africa (1). Among adults, the principal risk factor for invasive nontyphoidal Salmonella (iNTS) disease is advanced HIV infection; up to 44% of HIV-infected patients experience bacteremic recurrence through recrudescence of the original infection (2,3). Epidemics of iNTS disease in sub-Saharan Africa have been associated with a novel genotype of S. enterica ser. Typhimurium of multilocus sequence type (ST) 313 that is rarely seen outside the region and is associated with multidrug resistance (MDR) to chloramphenicol, cotrimoxazole, and ampicillin (4,5). As a conse…

Microbiology (medical)MalawiLetterEpidemiologyDrug Resistance in Salmonella enterica ser. Typhimurium Bloodstream Infection Malawiwh_120lcsh:MedicineVirulenceDrug resistancewc_269fluoroquine resistancelcsh:Infectious and parasitic diseasesMicrobiologyqw_45PlasmidAntibiotic resistanceSalmonellalcsh:RC109-216antimicrobial resistanceLetters to the Editorbacteriawb_330biologyAccession number (library science)lcsh:RSalmonella entericaHIVbiology.organism_classificationVirologyEnterobacteriaceaeR13. Good healthMultiple drug resistanceInfectious DiseasesESBLSalmonella entericaAfricaserotype TyphimuriumHuman medicineKeywords: Salmonella
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