Salmonella
are intracellular bacterial pathogens for which, as with many of the other
Enterobacteriaceae
, antibiotic resistance is becoming an increasing problem. New antibiotics are being sought as recommended by the World Health Organization and other international institutions. These must be able to penetrate macrophages, and infect the major host cells and the
Salmonella
-containing vacuole. This study reports screening a small library of Food and Drug Administration (FDA)-approved drugs for their antibacterial effect in macrophages infected with a rapid-multiplying mutant of
Salmonella
Enteritidis. The most effective drug that was least toxic for macrophages was Nifuratel, a nitrofuran antibiotic already in use for parasitic infections. In mice, it provided 60% protection after oral infection with a lethal
S
. Enteritidis dose with reduced bacterial numbers in the tissues. It was effective against different serovars, including multidrug-resistant strains of
Salmonella
Typhimurium, and in macrophages from different host species and against
Listeria monocytogenes
and
Shigella flexneri
. It reduced IL-10 and STAT3 production in infected macrophages which should increase the inflammatory response against
Salmonella
.
IMPORTANCE
Salmonella
can keep long-term persistence in host's macrophages to evade cellular immune defense and antibiotic attack and exit in some condition and reinfect to cause salmonellosis again. In addition to multidrug resistance, this infection circle causes
Salmonella
clearance difficult in the host, and so there is a great need for new antibacterial agents that reduce intramacrophage
Salmonella
survival to block endogenous
Salmonella
reinfection.