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Spurious sulfamethoxazole-trimethoprim resistance of Salmonella typhi.

Abstract
Several studies have identified thymidine excess in susceptibility test media as the cause of spurious resistance of various bacteria to sulfamethoxazole-trimethoprim. We document the phenomenon in Salmonella typhi and Salmonella paratyphi-A and demonstrate its occurrence in 3 of 17 (18%) lots of Mueller-Hinton agars now in use in major medical laboratories in Lima, Peru. The findings are particularly significant because sulfamethoxazole-trimethoprim is an important alternative to chloramphenicol or ampicillin for the treatment of typhoid and paratyphoid fevers.
AuthorsJ Escamilla, M E Kilpatrick, H F Ugarte
JournalJournal of clinical microbiology (J Clin Microbiol) Vol. 23 Issue 1 Pg. 205-6 (Jan 1986) ISSN: 0095-1137 [Print] United States
PMID3486190 (Publication Type: Journal Article, Research Support, Non-U.S. Gov't, Research Support, U.S. Gov't, Non-P.H.S.)
Chemical References
  • Anti-Bacterial Agents
  • Culture Media
  • Drug Combinations
  • Trimethoprim, Sulfamethoxazole Drug Combination
  • Trimethoprim
  • Sulfamethoxazole
Topics
  • Anti-Bacterial Agents (pharmacology)
  • Culture Media
  • Drug Combinations (pharmacology)
  • Drug Resistance, Microbial
  • Microbial Sensitivity Tests
  • Salmonella paratyphi A (drug effects)
  • Salmonella typhi (drug effects)
  • Sulfamethoxazole (pharmacology)
  • Trimethoprim (pharmacology)
  • Trimethoprim, Sulfamethoxazole Drug Combination

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