Studies on Shigella Isolated during Recent Twenty Months and Changes of Those Antibiotics Susceptibility Patterns for Last Twenty Years

최근 20개월간 분리된 이질균의 고찰과 과거 20년간의 항균제에 대한 감수성의 변천

Shigella is one of the most prevalent pathogens for the diarrhoeal diseases in the developing countries. One hundered and six strains of shigella were isolated from January 1980 to August 1981 at the dept. of clinical pathology, Han Yang Medical Center. Subgroups of these strains were identified as one strain of S. dysenteriae, 98 strains of S. flexneri and 7 strains of S. sonnei. None of S. boydii was observed. Sex ratio, male to female was 48 to 58. Age distribution disclosed 6 cases under one year, 11 cases one to under 2 years and 21 cases(19.8%) two to under 3 years. Subtotal of 0 to 9 years showed 64 cases(60.4%). Susceptibility for antibiotics of these strains revealed dibekacin 100%, sisomicin 100%, amikacin 98.1%, cefazolin 97.2%, tobramycin 97.1%, gentamicin 95.2%, colistin 93.0%, minocycline 89.6%, kanamycin 83.0%, carbenicillin 18.9%, streptomycin 18.9%, tmp-smz 8.6%, ampicillin 2.8% and chloramphenicol 1.9%. Patterns of resistance to sulfa, streptomycin, chloramphenical and tetracycline have already started at the early part of 1960 decade. Although ampicillin was highly sensitive to shigella at the end of 1960 to the early part of 1970 decade, this study has disclosed high resistance to the strains. New antibiotics such as amikacin, cefazolin, dibekacin, gentamicin, and tobramycin have revealed highly sensitive to these strains, however, multiresistance for those antibiotics will be shown to be prevalent in this country within several years, where it is probably related to the unrestricted sale and use of antibiotics in man.