| Summary: | <p>Abstract</p> <p>Background</p> <p>Typhoid and paratyphoid fever are endemic in China. The objective of this investigation was to determine the molecular features of nalidixic acid-resistant <it>Salmonella enteric </it>serovar Typhi (<it>S. typhi</it>) and Paratyphi (<it>S. paratyphi</it>) from blood isolates in Shenzhen, China.</p> <p>Results</p> <p>Twenty-five <it>S. typhi </it>and 66 <it>S. paratyphi </it>were isolated from 91 bacteriemic patients between 2002 and 2007 at a hospital in Shenzhen, Southern China. Fifty-two percent (13/25) of <it>S. typhi </it>and 95.3% (61/64) of <it>S. paratyphi </it>A were resistant to nalidixic acid. Sixty-seven isolates of nalidixic acid-resistant <it>Salmonella </it>(NARS) showed decreased susceptibility to ciprofloxacin (MICs of 0.125-1 μg/mL). All 75 NARS isolates had a single substitution in the quinolone resistance-determining region (QRDR) of GyrA (Ser83→Phe/Pro/Tyr, or Asp87→Gly/Asn), and 90.7% of these isolates carried the substitution Ser83Phe in GyrA. No mutation was found in the QRDR of <it>gyrB</it>, <it>parC</it>, or <it>parE</it>. Plasmid mediated quinolone resistance genes including <it>qnr </it>and <it>aac(6')-Ib-cr </it>were not detected in any isolate. Twenty-two distinct pulsed field gel electrophoresis (PFGE) patterns were observed among <it>S. typhi</it>. Sixty-four isolates of <it>S. paratyphi </it>A belonged to one clone. Eighty-seven investigated inpatients were infected in the community. Six patients infected by <it>S. paratyphi </it>A had a travel history before infection.</p> <p>Conclusions</p> <p>Nalidixic acid-resistant <it>S. typhi </it>and <it>S. paratyphi </it>A blood isolates were highly prevalent in Shenzhen, China. PFGE showed the variable genetic diversity of nalidixic acid-resistant <it>S. typhi </it>and limited genetic diversity of nalidixic acid -resistant <it>S. paratyphi </it>A.</p>
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