CLONAL RECONQUEST OF ANTIBIOTIC-SUSCEPTIBLE SALMONELLA ENTERICA SEROTYPE TYPHI IN SON LA PROVINCE, VIETNAM

FRANÇOIS-XAVIER WEILL Centre National de Référence des Salmonella, Centre Collaborateur OMS de Référence et de Recherche pour les Salmonella, Unité de Biodiversité des Bactéries Pathogènes Emergentes, INSERM U389, Institut Pasteur, Paris, France; National Reference Laboratory of Enteric Pathogens, Department of Bacteriology, National Institute of Hygiene and Epidemiology, Hanoi, Vietnam; Department of International Health, Institute of General Practice and Community Medicine, University of Oslo, Norway; Max-Planck Institut für Infektionsbiologie, Berlin, Germany; Division of Infectious Disease Control, Norwegian Institute of Public Health, Oslo, Norway; Epicentre, Paris, France

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HOANG HUY TRAN Centre National de Référence des Salmonella, Centre Collaborateur OMS de Référence et de Recherche pour les Salmonella, Unité de Biodiversité des Bactéries Pathogènes Emergentes, INSERM U389, Institut Pasteur, Paris, France; National Reference Laboratory of Enteric Pathogens, Department of Bacteriology, National Institute of Hygiene and Epidemiology, Hanoi, Vietnam; Department of International Health, Institute of General Practice and Community Medicine, University of Oslo, Norway; Max-Planck Institut für Infektionsbiologie, Berlin, Germany; Division of Infectious Disease Control, Norwegian Institute of Public Health, Oslo, Norway; Epicentre, Paris, France

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PHILIPPE ROUMAGNAC Centre National de Référence des Salmonella, Centre Collaborateur OMS de Référence et de Recherche pour les Salmonella, Unité de Biodiversité des Bactéries Pathogènes Emergentes, INSERM U389, Institut Pasteur, Paris, France; National Reference Laboratory of Enteric Pathogens, Department of Bacteriology, National Institute of Hygiene and Epidemiology, Hanoi, Vietnam; Department of International Health, Institute of General Practice and Community Medicine, University of Oslo, Norway; Max-Planck Institut für Infektionsbiologie, Berlin, Germany; Division of Infectious Disease Control, Norwegian Institute of Public Health, Oslo, Norway; Epicentre, Paris, France

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LAËTITIA FABRE Centre National de Référence des Salmonella, Centre Collaborateur OMS de Référence et de Recherche pour les Salmonella, Unité de Biodiversité des Bactéries Pathogènes Emergentes, INSERM U389, Institut Pasteur, Paris, France; National Reference Laboratory of Enteric Pathogens, Department of Bacteriology, National Institute of Hygiene and Epidemiology, Hanoi, Vietnam; Department of International Health, Institute of General Practice and Community Medicine, University of Oslo, Norway; Max-Planck Institut für Infektionsbiologie, Berlin, Germany; Division of Infectious Disease Control, Norwegian Institute of Public Health, Oslo, Norway; Epicentre, Paris, France

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NGUYEN BINH MINH Centre National de Référence des Salmonella, Centre Collaborateur OMS de Référence et de Recherche pour les Salmonella, Unité de Biodiversité des Bactéries Pathogènes Emergentes, INSERM U389, Institut Pasteur, Paris, France; National Reference Laboratory of Enteric Pathogens, Department of Bacteriology, National Institute of Hygiene and Epidemiology, Hanoi, Vietnam; Department of International Health, Institute of General Practice and Community Medicine, University of Oslo, Norway; Max-Planck Institut für Infektionsbiologie, Berlin, Germany; Division of Infectious Disease Control, Norwegian Institute of Public Health, Oslo, Norway; Epicentre, Paris, France

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TRINE LISE STAVNES Centre National de Référence des Salmonella, Centre Collaborateur OMS de Référence et de Recherche pour les Salmonella, Unité de Biodiversité des Bactéries Pathogènes Emergentes, INSERM U389, Institut Pasteur, Paris, France; National Reference Laboratory of Enteric Pathogens, Department of Bacteriology, National Institute of Hygiene and Epidemiology, Hanoi, Vietnam; Department of International Health, Institute of General Practice and Community Medicine, University of Oslo, Norway; Max-Planck Institut für Infektionsbiologie, Berlin, Germany; Division of Infectious Disease Control, Norwegian Institute of Public Health, Oslo, Norway; Epicentre, Paris, France

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JORGEN LASSEN Centre National de Référence des Salmonella, Centre Collaborateur OMS de Référence et de Recherche pour les Salmonella, Unité de Biodiversité des Bactéries Pathogènes Emergentes, INSERM U389, Institut Pasteur, Paris, France; National Reference Laboratory of Enteric Pathogens, Department of Bacteriology, National Institute of Hygiene and Epidemiology, Hanoi, Vietnam; Department of International Health, Institute of General Practice and Community Medicine, University of Oslo, Norway; Max-Planck Institut für Infektionsbiologie, Berlin, Germany; Division of Infectious Disease Control, Norwegian Institute of Public Health, Oslo, Norway; Epicentre, Paris, France

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GUNNAR BJUNE Centre National de Référence des Salmonella, Centre Collaborateur OMS de Référence et de Recherche pour les Salmonella, Unité de Biodiversité des Bactéries Pathogènes Emergentes, INSERM U389, Institut Pasteur, Paris, France; National Reference Laboratory of Enteric Pathogens, Department of Bacteriology, National Institute of Hygiene and Epidemiology, Hanoi, Vietnam; Department of International Health, Institute of General Practice and Community Medicine, University of Oslo, Norway; Max-Planck Institut für Infektionsbiologie, Berlin, Germany; Division of Infectious Disease Control, Norwegian Institute of Public Health, Oslo, Norway; Epicentre, Paris, France

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PATRICK A.D. GRIMONT Centre National de Référence des Salmonella, Centre Collaborateur OMS de Référence et de Recherche pour les Salmonella, Unité de Biodiversité des Bactéries Pathogènes Emergentes, INSERM U389, Institut Pasteur, Paris, France; National Reference Laboratory of Enteric Pathogens, Department of Bacteriology, National Institute of Hygiene and Epidemiology, Hanoi, Vietnam; Department of International Health, Institute of General Practice and Community Medicine, University of Oslo, Norway; Max-Planck Institut für Infektionsbiologie, Berlin, Germany; Division of Infectious Disease Control, Norwegian Institute of Public Health, Oslo, Norway; Epicentre, Paris, France

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PHILIPPE J. GUERIN Centre National de Référence des Salmonella, Centre Collaborateur OMS de Référence et de Recherche pour les Salmonella, Unité de Biodiversité des Bactéries Pathogènes Emergentes, INSERM U389, Institut Pasteur, Paris, France; National Reference Laboratory of Enteric Pathogens, Department of Bacteriology, National Institute of Hygiene and Epidemiology, Hanoi, Vietnam; Department of International Health, Institute of General Practice and Community Medicine, University of Oslo, Norway; Max-Planck Institut für Infektionsbiologie, Berlin, Germany; Division of Infectious Disease Control, Norwegian Institute of Public Health, Oslo, Norway; Epicentre, Paris, France

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In the last three decades, high rates of resistance to common first-line antimicrobial agents have been reported in Salmonella enterica serotype Typhi (Typhi), the causative organism of typhoid fever (TF), in many regions of the world, especially in South East Asia. Analysis of Typhi strains isolated from outbreaks and sporadic cases of TF in Son La province, northwest Vietnam, in 2002 revealed that 94.5% (85/90) of the isolates were fully susceptible to amoxicillin, chloramphenicol, cotrimoxazole, tetracycline, and nalidixic acid. There was a clear decline in the occurrence of multi-drug resistant (MDR) Typhi isolates collected in this province in 2002 (4.4%) compared with the period 1995–1999 in the same province (30.8–100%). By using molecular (IS200 profiling, PstI-ribotyping, XbaI-pulsed-field gel electrophoresis, and haplotyping) and phage-typing methods, we showed that the Typhi isolates from Son La province in 2002 were genetically related; however, they were unrelated to the previous MDR clones established in Vietnam.

Author Notes

Reprint requests: François-Xavier Weill, Centre National de Référence des Salmonella, Centre Collaborateur OMS de Référence et de Recherche pour les Salmonella, Unité de Biodiversité des Bactéries Pathogènes Emergentes, Institut Pasteur, 28 rue du Docteur Roux, 75724 Paris Cedex 15, France, Telephone: +33 (0)1 45 68 83 45, Fax: +33 (0)1 45 68 88 37, E-mail: fxweill@pasteur.fr.
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