Salmonellosis
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※non-typhoidal salmonellosis
pathogens
- normal habitat of many serotypes in gut of wide range of animals including cold-blooded vertebrates
- most infection food-borne
- meat, egg, process food (chocolate, peanut butter)
- increasing by centralization and industrialization
epidemiology
- UK
- mean 40 y/o
- 24% > 65 y/o
- 34 serovars
- 10% bacteremia
- antimicrobial resistance of non-typhoid salmonellosis
- serovar Typhimurium and Enteritidis are common
HIV
- high risk of bacteremia of non-typhoid salmonella in HIV
clinical pictures
- diarrhea
- bacteremia occasionally
- predominant in younger children and elderly
diagnosis
treatment
- Cochrane review 2000 concluded that no evidence of clinical benefit of antibiotic treatment of non-typhoid salmonellosis was shown
