We monitored antimicrobial susceptibility data for Salmonella strains isolated from humans, cattle, pigs, and chickens in The Netherlands from 1984 to 2001 in order to provide insight into the dynamics of resistance over time. The strains were tested for their susceptibilities to seven antimicrobial agents by the agar diffusion method. Resistance was most common in Salmonella enterica subsp. enterica serovar Typhimurium. Among the strains from humans, pigs, and chickens, it was found that the level of resistance of serovar Typhimurium strains to tetracycline, ampicillin, chloramphenicol, and trimethoprim-sulfamethoxazole increased from 1984 to 2001. This increase could be attributed to the emergence of multidrug-resistant serovar Typhimurium DT 104. Among the strains from cattle, it was found that the level of resistance of serovar Typhimurium strains, which was already very high in the 1980s, declined during the study period to the same levels as those for the strains from the other species from 1996 to 2001. Serovar Enteritidis isolates remained susceptible during the entire survey period. Among serovar Paratyphi B variation Java strains isolated from chickens, resistance to furazolidone, flumequine, trimethoprim-sulfamethoxazole, and ampicillin emerged, although furazolidone was not used after 1990. Together, the data indicate that the levels and patterns of resistance differed considerably between Salmonella serovars isolated from one host species.Nontyphoid salmonellosis is a major zoonotic disease. In The Netherlands, with a population of 15.8 million, it has been estimated that approximately 50,000 cases of salmonellosis occurred in 1999 (19). The emergence of resistance to antimicrobial drugs within the salmonellae is a problem for humans and animals worldwide. The extensive use of antimicrobials in human and veterinary medicine has led to an increase in multidrug-resistant strains. Salmonella strains may acquire resistance in food animals before transmission to humans through the food chain (15). Therefore, surveillance for antimicrobial resistance in humans and food animals is important in order to detect changes in susceptibility, to implement control measures on the use of antimicrobial drugs, and to prevent the further spread of multidrug-resistant strains. We reviewed susceptibility data for Salmonella strains isolated from humans, cattle, pigs, and chickens in The Netherlands for routine surveillance from 1984 to 2001. We analyzed whether the levels of resistance to antimicrobials increased with time and whether changes in susceptibility coincided for the Salmonella strains isolated from the different sources.
MATERIALS AND METHODS
Bacterial isolates. (i) Human isolates.A total of 45,198 Salmonella isolates tested for antimicrobial resistance were included in this study. The isolates were sent to the Dutch National Institute of Public Health (RIVM) by the Dutch regional public health laboratories. All strains were the first isolates recovered from patients with salmonellosis (clinical isolates). A...