Antimicrobial resistance profiles of Campylobacter jejuni and Salmonella spp. isolated from enteritis patients in Japan

J Vet Med Sci. 2023 Apr 22;85(4):463-470. doi: 10.1292/jvms.22-0424. Epub 2023 Mar 3.

Abstract

Understanding the antimicrobial resistance of Campylobacter jejuni and Salmonella spp. isolated from patients with enteritis will aid in therapeutic decision-making. This study aimed to characterize C. jejuni and Salmonella spp. isolates from patients with enteritis. For C. jejuni, the resistance rates against ampicillin, tetracycline, and ciprofloxacin were 17.2%, 23.8%, and 46.4%, respectively. All the C. jejuni isolates were susceptible to erythromycin, which is recommended as a first-choice antimicrobial if Campylobacter enteritis is strongly suspected. C. jejuni was classified into 64 sequence types (STs), and the five major STs were ST22, ST354, ST21, ST918, and ST50. The ciprofloxacin-resistance rate of ST22 was 85.7%. For Salmonella, the resistance rates against ampicillin, cefotaxime, streptomycin, kanamycin, tetracycline, and nalidixic acid were 14.7%, 2.0%, 57.8%, 10.8%, 16.7%, and 11.8%, respectively. All the Salmonella spp. isolates were susceptible to ciprofloxacin. Therefore, fluoroquinolones are the recommended antimicrobials against Salmonella enteritis. S. Thompson, S. Enteritidis, and S. Schwarzengrund were the three most prevalent serotypes. The two cefotaxime-resistant isolates were serotyped as S. Typhimurium and were found to harbor blaCMY-2. The results of this study would help select antimicrobials for treating patients with Campylobacter and Salmonella enteritis.

Keywords: Campylobacter; Salmonella; antimicrobial resistance; enteritis.

MeSH terms

  • Ampicillin / therapeutic use
  • Animals
  • Anti-Bacterial Agents / pharmacology
  • Anti-Bacterial Agents / therapeutic use
  • Anti-Infective Agents* / therapeutic use
  • Campylobacter Infections* / drug therapy
  • Campylobacter Infections* / epidemiology
  • Campylobacter Infections* / veterinary
  • Campylobacter jejuni*
  • Cefotaxime / therapeutic use
  • Ciprofloxacin / pharmacology
  • Drug Resistance, Bacterial
  • Enteritis* / epidemiology
  • Enteritis* / veterinary
  • Japan / epidemiology
  • Microbial Sensitivity Tests / veterinary
  • Salmonella
  • Tetracycline / therapeutic use

Substances

  • Anti-Bacterial Agents
  • Ciprofloxacin
  • Tetracycline
  • Anti-Infective Agents
  • Ampicillin
  • Cefotaxime