{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T16:19:30Z","timestamp":1787761170832,"version":"build-2784847793"},"reference-count":23,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"4","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2022,10]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Context:<\/jats:title>\n                    <jats:p>\n                      <jats:italic toggle=\"yes\">Salmonella<\/jats:italic>\n                      Typhi has developed resistance to different groups of antibiotics.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aims:<\/jats:title>\n                    <jats:p>\n                      The purpose of the present study was to assess the distribution of ciprofloxacin- and azithromycin-resistant genes among\n                      <jats:italic toggle=\"yes\">Salmonella<\/jats:italic>\n                      Typhi isolated from human blood.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Settings and Design:<\/jats:title>\n                    <jats:p>This cross-sectional study was conducted in the Department of Microbiology of a tertiary care hospital in Bangladesh from July 2019\u2013June 2020.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Subjects and Methods:<\/jats:title>\n                    <jats:p>\n                      Clinically suspected enteric fever patients, irrespective of age and gender, who attended the laboratory of the Department of Microbiology and outpatient department of Medicine of tertiary care hospital. Blood culture and sensitivity tests were done. The positive growth of\n                      <jats:italic toggle=\"yes\">Salmonella<\/jats:italic>\n                      Typhi was identified by Gram staining, colony morphology, and biochemical test. Then,\n                      <jats:italic toggle=\"yes\">Salmonella Typhi<\/jats:italic>\n                      was identified by using\n                      <jats:italic toggle=\"yes\">Salmonella<\/jats:italic>\n                      -specific antisera. Final identification was made by using 16s rRNA by polymerase chain reaction (PCR). PCR was also done to detect quinolone and azithromycin resistance genes.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      A total number of 83 samples yielded positive cultures, of which 50 isolated organisms were identified as\n                      <jats:italic toggle=\"yes\">Salmonella<\/jats:italic>\n                      species; however, among these isolates,\n                      <jats:italic toggle=\"yes\">Salmonella<\/jats:italic>\n                      Typhi was detected in 40 (48.2%) isolates. Among 12 ciprofloxacin-resistant isolates, 8 (66.67%) were positive for the gyrA gene, 1 (8.33%) was positive for the\n                      <jats:italic toggle=\"yes\">qnrB<\/jats:italic>\n                      gene and\n                      <jats:italic toggle=\"yes\">qnrS<\/jats:italic>\n                      gene, 2 (16.67%) were positive for aac (6\u00b4)-Ib-cr. Among 12 azithromycin-resistant isolates, 2 (16.66%) were positive for\n                      <jats:italic toggle=\"yes\">mphA<\/jats:italic>\n                      and\n                      <jats:italic toggle=\"yes\">mefA<\/jats:italic>\n                      genes, respectively.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>\n                      In conclusion, the\n                      <jats:italic toggle=\"yes\">gyrA, aac (6\u00b4)-Ib-cr, mphA<\/jats:italic>\n                      , and\n                      <jats:italic toggle=\"yes\">mefA<\/jats:italic>\n                      genes are found for the first time in tertiary care hospitals from the quinolones and azithromycin-resistant\n                      <jats:italic toggle=\"yes\">Salmonella<\/jats:italic>\n                      Typhi.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/ijabmr.ijabmr_17_22","type":"journal-article","created":{"date-parts":[[2022,12,21]],"date-time":"2022-12-21T01:30:37Z","timestamp":1671586237000},"page":"254-259","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":3,"title":["Distribution of Ciprofloxacin- and Azithromycin-Resistant Genes among Salmonella Typhi Isolated from Human Blood"],"prefix":"10.4103","volume":"12","author":[{"given":"Nigha Zannat","family":"Dola","sequence":"first","affiliation":[{"name":"Department of Microbiology, Green Life Medical College, Dhaka, Bangladesh"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S. M.","family":"Shamsuzzaman","sequence":"additional","affiliation":[{"name":"Department of Microbiology, Dhaka Medical College, Dhaka, Bangladesh"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Saiful","family":"Islam","sequence":"additional","affiliation":[{"name":"Department of Anaesthesia, Green Life Medical College, Dhaka, Bangladesh"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Asma","family":"Rahman","sequence":"additional","affiliation":[{"name":"Department of Microbiology, Ad-Din Medical College, Dhaka, Bangladesh"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nafisa Jabin","family":"Mishu","sequence":"additional","affiliation":[{"name":"Department of Microbiology, Army Medical College, Bogura, Bangladesh"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Modina Ansaree","family":"Nabonee","sequence":"additional","affiliation":[{"name":"Department of Microbiology, Shahabuddin Medical College, Dhaka, Bangladesh"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2022,12,19]]},"reference":[{"key":"R1-20240902","doi-asserted-by":"crossref","first-page":"241","DOI":"10.1086\/649541","article-title":"Global trends in typhoid and paratyphoid fever","volume":"50","author":"Crump","year":"2010","journal-title":"Clin Infect Dis"},{"key":"R2-20240902","doi-asserted-by":"crossref","first-page":"901","DOI":"10.1128\/CMR.00002-15","article-title":"Epidemiology, clinical presentation, laboratory diagnosis, antimicrobial resistance, and antimicrobial management of invasive Salmonella infections","volume":"28","author":"Crump","year":"2015","journal-title":"Clin Microbiol Rev"},{"key":"R3-20240902","doi-asserted-by":"crossref","first-page":"2489","DOI":"10.1016\/S0140-6736(11)61752-2","article-title":"Invasive non-typhoidal Salmonella disease:An emerging and neglected tropical disease in Africa","volume":"379","author":"Feasey","year":"2012","journal-title":"Lancet"},{"key":"R4-20240902","doi-asserted-by":"crossref","first-page":"106","DOI":"10.3329\/bmj.v43i2.21394","article-title":"Current status of typhoid fever:A review","volume":"43","author":"Chowdhury","year":"2014","journal-title":"Bangladesh Med J"},{"key":"R5-20240902","doi-asserted-by":"crossref","first-page":"1770","DOI":"10.1056\/NEJMra020201","article-title":"Typhoid fever","volume":"347","author":"Parry","year":"2002","journal-title":"N Engl J Med"},{"key":"R6-20240902","doi-asserted-by":"crossref","first-page":"4342","DOI":"10.1128\/IAI.01571-06","article-title":"The capsule encoding the viaB locus reduces interleukin-17 expression and mucosal innate responses in the bovine intestinal mucosa during infection with Salmonella enterica serotype Typhi","volume":"75","author":"Raffatellu","year":"2007","journal-title":"Infect Immun"},{"issue":"3","key":"R7-20240902","doi-asserted-by":"crossref","first-page":"e93","DOI":"10.1016\/j.ijid.2009.11.023","article-title":"Burden of typhoid and paratyphoid fever in a densely populated urban community, Dhaka, Bangladesh","volume":"14","author":"Naheed","year":"2010","journal-title":"Int J Infect Dis"},{"key":"R8-20240902","doi-asserted-by":"crossref","first-page":"223","DOI":"10.4103\/0255-0857.83904","article-title":"Antimicrobial resistance in typhoidal salmonellae","volume":"29","author":"Harish","year":"2011","journal-title":"Indian J Med Microbiol"},{"key":"R9-20240902","doi-asserted-by":"crossref","first-page":"63","DOI":"10.4236\/aim.2014.41010","article-title":"Molecular detection and association of qnrA, qnrB, qnrS and blaCMY resistance genes among clinical isolates of Salmonella spp","volume":"4","author":"Saboohi","year":"2014","journal-title":"In Iran. Adv Microbiol"},{"key":"R10-20240902","doi-asserted-by":"crossref","first-page":"1071","DOI":"10.1093\/jac\/dkm081","article-title":"Plasmid-mediated quinolone resistance determinant qnrS1 found in Salmonella enterica strains isolated in the UK","volume":"59","author":"Hopkins","year":"2007","journal-title":"J Antimicrob Chemother"},{"issue":"3","key":"R11-20240902","first-page":"CD006083","article-title":"Azithromycin for treating uncomplicated typhoid and paratyphoid fever (enteric fever)","author":"Effa","year":"2006","journal-title":"Cochrane Database Syst Rev"},{"key":"R12-20240902","doi-asserted-by":"crossref","first-page":"3985","DOI":"10.1128\/AAC.00590-11","article-title":"Antimicrobial susceptibility to azithromycin among Salmonella enterica isolates from the United States","volume":"55","author":"Sj\u00f6lund-Karlsson","year":"2011","journal-title":"Antimicrob Agents Chemother"},{"key":"R13-20240902","doi-asserted-by":"crossref","first-page":"e101347","DOI":"10.1371\/journal.pone.0101347","article-title":"Antimicrobial resistance, virulence profiles and molecular subtypes of Salmonella enterica serovars typhi and paratyphi a blood isolates from Kolkata, India during 2009-2013","volume":"9","author":"Dutta","year":"2014","journal-title":"PLoS One"},{"key":"R14-20240902","doi-asserted-by":"crossref","first-page":"1","DOI":"10.3109\/1040841X.2015.1136261","article-title":"Macrolide resistance mechanisms in Enterobacteriaceae:Focus on azithromycin","volume":"43","author":"Gomes","year":"2017","journal-title":"Crit Rev Microbiol"},{"key":"R15-20240902","doi-asserted-by":"crossref","first-page":"287","DOI":"10.4103\/0255-0857.115641","article-title":"Antimicrobial resistance pattern and in-vitro activity of azithromycin in Salmonella isolates [corrected]","volume":"31","author":"Garg","year":"2013","journal-title":"Indian J Med Microbiol"},{"issue":"1","key":"R17-20240902","doi-asserted-by":"crossref","first-page":"5","DOI":"10.1093\/jac\/48.suppl_1.5","article-title":"Determination of minimum inhibitory concentrations","volume":"48","author":"Andrews","year":"2001","journal-title":"J Antimicrob Chemother"},{"key":"R18-20240902","doi-asserted-by":"crossref","first-page":"787","DOI":"10.12980\/jclm.3.2015j5-95","article-title":"Isolation and species identification of enterococci from clinical specimen with their antimicrobial susceptibility pattern in a tertiary care hospital, Bangladesh","volume":"3","author":"Islam","year":"2015","journal-title":"J Coast Life Med"},{"key":"R19-20240902","first-page":"101","article-title":"Prevalence and antimicrobial susceptibility pattern of Salmonella spp. Isolated from clinical samples of Bangladesh","volume":"4","author":"Akter","year":"2016","journal-title":"Am J Pharm Health Res"},{"key":"R21-20240902","first-page":"77","article-title":"Phenotypic and genotypic characterization of Salmonella typhi virulence factors isolated from patients with typhoid fever in Najaf province\/Iraq","volume":"3","author":"Dahhan","year":"2015","journal-title":"J Res Stud Biosci"},{"key":"R22-20240902","article-title":"Antibiotic Susceptibility Pattern and Distribution of Quinolone and Fosfomycin Resistance Genes among Salmonella Isolated from Enteric Fever Patients from Dhaka Medical College Hospital","author":"Naser","year":"2018","journal-title":"DMC"},{"key":"R23-20240902","doi-asserted-by":"crossref","first-page":"e0003619","DOI":"10.1371\/journal.pntd.0003619","article-title":"Typhoid fever in young children in Bangladesh:Clinical findings, antibiotic susceptibility pattern and immune responses","volume":"9","author":"Khanam","year":"2015","journal-title":"PLoS Negl Trop Dis"},{"key":"R24-20240902","doi-asserted-by":"crossref","first-page":"171","DOI":"10.3923\/jbs.2017.171.184","article-title":"Prevalence of some antimicrobials resistance associated genes in Salmonella Typhi isolated from patients infected with typhoid fever","volume":"17","author":"Aljanaby","year":"2017","journal-title":"J Biol Sci"},{"key":"R25-20240902","doi-asserted-by":"crossref","first-page":"3","DOI":"10.3329\/bjmm.v10i1.31431","article-title":"Detection of mutated gyrA gene from nalidixic acid resistant Salmonella typhi and paratyphi a isolated from enteric fever patients in a tertiary care hospital of Bangladesh","volume":"10","author":"Suman","year":"2016","journal-title":"Bangladesh J Med Microbiol"}],"container-title":["International Journal of Applied &amp; Basic Medical Research"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/ijabmr.ijabmr_17_22","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T15:25:36Z","timestamp":1787757936000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/ijabmr.ijabmr_17_22"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,10]]},"references-count":23,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2022]]}},"URL":"https:\/\/doi.org\/10.4103\/ijabmr.ijabmr_17_22","relation":{},"ISSN":["2229-516X","2248-9606"],"issn-type":[{"value":"2229-516X","type":"print"},{"value":"2248-9606","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,10]]},"assertion":[{"value":"2022-01-07","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-10-31","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}