Nalidixic acid surrogate test for susceptibility to ciprofloxacin in Salmonella. Revisiting the question
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Guzmán-Martín, José Luis; Navarro Marí, José María; Expósito Ruiz, Manuela; Gutiérrez Fernández, JoséEditorial
Microbiology Society
Materia
Enteritis Salmonella Nalidixic acid Ciprofloxacin Stools
Date
2018-07-01Referencia bibliográfica
Guzmán-Martín JL, Navarro-Marí JM, Expósito-Ruiz M, Gutiérrez-Fernández J. Nalidixic acid surrogate test for susceptibility to ciprofloxacin in Salmonella. Revisiting the question. J Med Microbiol. 2018 Jul;67(7):965-967. https://doi.org/10.1099/jmm.0.000755
Sponsorship
Andalusian regional Government CTS-521Abstract
We investigated the reliability of nalidixic acid (NA) susceptibility as a marker of ciprofloxacin susceptibility in Salmonella, analysing 302 stool isolates. NC53 of the MicroScan system was used for NA susceptibility tests and the E-test was used for ciprofloxacin susceptibility tests. Among the isolates, 178 (58.9 %) were serogroup B, 74 (24.5 %) were serogroup D, 27 (8.9 %) were serogroup C and 23 (7.6 %) were from other minor serogroups. Globally, susceptibility to NA correctly predicted the susceptibility of Salmonella to ciprofloxacin, with a sensitivity of 81.5 %, a specificity of 97.6 %, and positive and negative predictive values of 88 and 96 %, respectively. However, there were differences among the serogroups in terms of sensitivity (P<0.001) and positive predictive values (P=0.013). NA is a reliable marker for serogroup D, but not for serogroups B or C. According to these findings, NA susceptibility measured with the MicroScan system can be used as a marker of ciprofloxacin resistance in some serogroups in our setting.