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Epidemiology and antibiotic resistance of salmonellosis in kinshasa 1974 1975


, : Epidemiology and antibiotic resistance of salmonellosis in kinshasa 1974 1975. Annales de la Societe Belge de Medecine Tropicale 57(6): 545-556

Salmonellosis in Kinshasa [Zaire] continues to be dominated by the outbreak due to Salmonella isangi. This serotype, which emerged in 1970, is responsible for about 50% of all isolations, while a 2nd serotype, of more recent appearance, S. worthington, is at the origin of 1/4 of all cases of salmonellosis recorded in 1975. Both serotypes are characterized by their high affinity for very young children, by their high communicability in the hospital and in particular by their transferable drug-resistance. More than 99% of isolates are resistant to 1 or more antibiotics and 81.6% belong to the same antibiotype: Ap Sm Km Tc Cm Su [resistant to ampicillin, streptomycin, kanamycin, tetracycline, chloramphenicol and sulfafurazole]. Severe restriction of antibiotic use is recommended for control of these hospital outbreaks, which, by virtue of their great potential for diffusion, constitute a serious menace for Central Africa and for the other continents.

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