Background: In Burkina Faso dirty water in particular those of the stoppings and the gutter ones are used for vegetables irrigation in the gardens. The aim of this study was to determine the prevalence and antibiotic susceptibility of Salmonella serotypes from humans and lettuce samples in Burkina Faso. Materials and Methods: Salmonella strains isolated from patients in 2009 to 2015 and lettuce samples in 2014 in Burkina Faso were serotyped using specific antisera. All strains were subjected to a set of 14 antibiotics to study their antibiogram by using Baeur-Kirby disk diffusion method. Results: Out of 154 Salmonella isolated, 60 were from human and 94 from lettuce samples. Serotyping revealed four different serotypes and 39% (60) untypeable strains from human and lettuce (14 and 46 strains). Salmonella serotypes from human and lettuce samples were: Paratyphi A (10% and 22%), Paratyphi B (34% and 8%), Paratyphi C (14% and 18%) and Typhi (21% and 1%). A high resistance of Salmonella Paratyphi B and Salmonella spp to tetracycline were 70% from human and 35 % from lettuce samples. Multiresistance was observed to tetracycline, chloramphenicol and amoxicillin/clavulanic-acid or ampicillin with Salmonella Paratyphi B 35% and Salmonella Typhi 33% from human samples and Salmonella spp 4% from lettuce samples.
Conclusion:This study showed the diversity of Salmonella serotypes from both clinical and environmental samples and emergence of multiresistant Salmonella to antibiotics in Burkina Faso. A lettuce is a potential source of transmission of Salmonella causing diarrhea among human in Burkina Faso.
This study deals with Salmonella enterica serovar Typhi and Paratyphi responsible of typhoid and paratyphoid fevers transmitted by environment and foods. Typhoid and paratyphoid fevers are systemic diseases caused by the bacteria Salmonella Typhi and Salmonella Paratyphi, respectively. Humans are the only reservoir for Salmonella Typhi (which is the most serious), whereas Salmonella Paratyphi also has animal reservoirs. Humans can carry the bacteria in the gut for very long times (chronic carriers), and transmit the bacteria to other persons (either directly or via food or water contamination). Although S. Typhi and S. Paratyphi are strictly adapted to humans, both serovars can remain viable in the environment, surviving in water and underlying sediment for days to weeks. Foods are susceptible to be contaminated and transport Salmonella include vegetable products such as lettuce. In developping countries, typhoid and paratyphoide fever were generally treat with using antimicrobial such as quinolones, and cephalosporin. Patients were not responding to the most available antibiotics of choice. Some patients, because of ignorance and lack of financial means, prefer street drugs, so they practice self-medication. Those practices can enhance the antibiotics resistances genes. As the ultimate solution for the prevention and eradication of paratyphoid fever, it is essential to improve sanitation such as the provision of safe water and food as well as enhanced public health awareness.
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