Aerobic Gram negative rod
Humans are the reservoir - fecal-oral transmission.
Increased prevalence in developing countries. Highest prevalence South Asia
Fever in Returning Traveler
Endovascular infection including endocarditis and infected atherosclerotic plaque/aneurysm - "sticky" organism
Very high rates of FQ resistance in Indian Subcontinent.
Vaccination only prevents ~75% of disease.
Chronic carriage associated with gallbladder disease
Reportable - notify Public Health
Contact Precautions should be continued until 3 cultures, performed 48 hours after stopping antibiotics, are negative