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

treatment

• Cochrane review 2000 concluded that no evidence of clinical benefit of antibiotic treatment of non-typhoid salmonellosis was shown