Salmonella typhi

Precautions

Contact Precautions

General Information

Aerobic gram negative rod

Humans are the reservoir - fecal-oral transmission.

Increased prevalence in developing countries.

Highest prevalence South Asia

Fever in Returning Traveler, Enteric fever, FUO, Bacteremia, Intra-abdominal abscess, Meningitis, 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 - think "Typhoid Mary"

Notify Medical Officer of Health (Reportable)