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

  •  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)