Increase in drug resistance among Shigella dysenteriae,Sh flexneri,and Sh boydii.

Two thousand three hundred and seventy strains of Shigella dysenteriae, Sh flexneri, and Sh boydii isolated in England and Wales from 1974 to 1978 were tested for resistance to 12 antimicrobial drugs. Eighty per cent of strains were resistant to one or more drugs, with sulphonamide resistance occurring most frequently. Resistance to streptomycin, tetracycline, ampicillin, and chloramphenicol increased during the period, as did the incidence of multiple resistance. Most infections due to Sh dysenteriae, Sh flexneri, and Sh boydii are acquired abroad, and the increasing incidence of drug resistance among these organisms contrasts with the decreasing incidence of resistance among the indigenous Sh sonnei. These findings may indicate the need for better control of antibiotic use, particularly in developing countries.     

Soluble surface antigens of virulent Sh. sonnei]

The authors conducted an immunochemical analysis of the surface soluble antigen preparations (SSAP) obtained by extraction with physiological saline of the virulent Sh. sonnei microbes killed with acetone. Immunochemical studies by the immunoelectrophoresis and immunodiffusion methods in agar gel, separation on sepharose 4B and in polyacrylamide gel showed the presence of 3 groups of the antigens in the SSAP composition: 1) protein antigens, determining the commonness with the Sonne microbes of the II phase and intergenera associations with typhoid and enteropathogenic E. coli; 2) specific somatic antigen of the Boiven type present in small amounts in the SSAP; 3) specific antigens differing by specificity from the Boiven antigen detected in the microbes of the I phase only and possibly playing a role in the virulent and immunogenic properties of the causative agent.     

Antigenic composition of different forms of Sh. sonnei]

Data are presented on the study, with the aid of immunophoresis, of the antigenic composition of the I, II phases and R-forms of Sh. sonnei. From 5 to 7 antigens differing by thermoresistance, electrophoretic and diffuse mobility were found in the composition of microbial cells of various forms Sh. sonnei. Differences between the I phase on the one hand and cells of the II phase and R-form, on the other hand, consisted both in the quantitative composition of components of their thermostable O-antigens and in the structure of specific lipopolysaccharides of the forms.     

Immunoelectrophoretic analysis of the antigenic structure of Sh. sonnei]

The authors studied the antigenic composition of 105 Sh. sonnei strains freshly isolated from patients suffering from acute dysentery and carriers. Immunophoregrams of pure S-and R-forms species were obtained. Up to 13 antigens differing by electrophoretic and diffusion mobility and immunological specificity were revealed among soluble Sh. sonnei antigens The position of common and specific antigens was determined on the immunophoregram. Along with the thermostable somatic O-antigen detected at the I phase of the S-forms, and two thermolabile O-antigen components at the II phase, and the R-forms, there was revealed a surface, relatively thermolabile, K-antigen of A-type capable of agglutinating live bacteria in the O-antiserum; position of the latter on the immunophoregram was also determined.     

Immunogenic complexes of the soluble surface antigens of Sh. sonnei]

The comparative study of the immunogenic properties of Sh. sonnei (phases I and II) soluble surface antigens obtained by the modified method of aqueous-saline extraction and Sh. sonnei (phase I) antigen obtained by Boivin's method was made with the use of the keratoconjunctival test in guinea pigs. The protective activity of a high molecular fraction obtained by the fractionation of phase I soluble surface antigens in Sepharose 4B was studied. Boivin's antigen, when used for immunization in optimum doses, was found to have pronounced protective properties, whereas phase II soluble surface antigens showed no protective activity. A high molecular fraction obtained from phase I soluble surface antigen was found to be the most immunogenic. Protective activity was largely connected with protein antigen. The question whether protein antigen was an independent protective antigen or whether it constituted a part of a complex which determined the protective activity of a high molecular fraction remained unsolved.