1977
DOI: 10.1128/aac.11.4.645
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Therapy of Antimicrobial-Resistant Typhoid Fever

Abstract: Antimicrobial-resistant typhoid fever in Saigon was studied by examining in vitro antimicrobial susceptibilities ofSalmonella typhi strains and conducting a randomized clinical trial of ampicillin and trimethoprim-sulfamethoxazole (TMP-SMZ). Isolates of S. typhi were obtained from blood or stool cultures of 90 patients. Of 87 isolates tested for antimicrobial susceptibility, 65 (75%) were resistant (R) to chloramphenicol, streptomycin, sulfonamide, and tetracycline, and 22 (25%) were susceptible (S). The drug … Show more

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Cited by 31 publications
(14 citation statements)
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“…The role of ceftriaxone and other newer cephalosporins in typhoid fever will be in disease due to multiply resistant strains of S. typhi [23]. From studies of ampicillinresistant Salmonella, it can be predicted that certain cephalosporins, including ceftriaxone, cefotaxime, and cefoxitin, will have good therapeutic activity, because they are more stable in the presence of 13-lactamase than are other cephalosporins [24].…”
Section: Discussionmentioning
confidence: 99%
“…The role of ceftriaxone and other newer cephalosporins in typhoid fever will be in disease due to multiply resistant strains of S. typhi [23]. From studies of ampicillinresistant Salmonella, it can be predicted that certain cephalosporins, including ceftriaxone, cefotaxime, and cefoxitin, will have good therapeutic activity, because they are more stable in the presence of 13-lactamase than are other cephalosporins [24].…”
Section: Discussionmentioning
confidence: 99%
“…Dose-related and reversible bone marrow depression and irreversible bone marrow aplasia that is rare, unpredictable, and often fatal may occur (448). Amoxicillin and trimethoprim-sulfamethoxazole were shown to have efficacy generally comparable to that of chloramphenicol with less risk of toxicity, although they also needed to be given for at least 2 weeks to avoid relapse (439,(449)(450)(451)(452)(453)(454)(455)(456). The experience with mecillinam was less convincing (456)(457)(458).…”
Section: Traditional First-line Antimicrobialsmentioning
confidence: 99%
“…This experimental disease has therefore been well accepted for studies on the in vivo efficacy of chemotherapeutic drugs (1,5,6,38). S. typhimurium is considered to be a facultative intracellular bacterium in the mouse, because the organisms multiply within macrophages until T-cell-mediated immunity is established during the course of the infection (8,16,23).…”
mentioning
confidence: 99%
“…Therapeutic trials. The model of mouse typhoid has been described in detail previously (1,5,6,8,23,34,38,40). Mice were infected subcuitaneously or orally with lethal doses of the virulent strain of S. typhimurium.…”
mentioning
confidence: 99%