Identification of Carriers Among Individuals Recruited in the Typhoid Registry in Malaysia Using Stool Culture, Polymerase Chain Reaction, and Dot Enzyme Immunoassay as Detection Tools

Chronic carriers of Salmonella Typhi act as reservoirs for the organism and become the agents of typhoid outbreaks in a community. In this study, chronic carriers in Kelantan, Malaysia were first identified using the culture and polymerase chain reaction method. Then, a novel serological tool, desig...

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Veröffentlicht in:Asia-Pacific journal of public health 2015-03, Vol.27 (2), p.NP2740-NP2748
Hauptverfasser: Chua, Ang Lim, Aziah, Ismail, Balaram, Prabha, Bhuvanendran, Saatheeyavaane, Anthony, Amy Amilda, Mohmad, Siti Norazura, Nasir, Norhafiza M., Hassan, Haslizai, Naim, Rochman, Meran, Lila P., Hussin, Hani M., Ismail, Asma
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container_end_page NP2748
container_issue 2
container_start_page NP2740
container_title Asia-Pacific journal of public health
container_volume 27
creator Chua, Ang Lim
Aziah, Ismail
Balaram, Prabha
Bhuvanendran, Saatheeyavaane
Anthony, Amy Amilda
Mohmad, Siti Norazura
Nasir, Norhafiza M.
Hassan, Haslizai
Naim, Rochman
Meran, Lila P.
Hussin, Hani M.
Ismail, Asma
description Chronic carriers of Salmonella Typhi act as reservoirs for the organism and become the agents of typhoid outbreaks in a community. In this study, chronic carriers in Kelantan, Malaysia were first identified using the culture and polymerase chain reaction method. Then, a novel serological tool, designated Typhidot-C, was evaluated in retrospect using the detected individuals as control positives. Chronic carriage positive by the culture and polymerase chain reaction method was recorded at 3.6% (4 out of 110) among individuals who previously had acute typhoid fever and a 9.4% (10 out of 106) carriage rate was observed among food handlers screened during outbreaks. The Typhidot-C assay was able to detect all these positive carriers showing its potential as a viable carrier screening tool and can be used for efficient detection of typhoid carriers in an endemic area. These findings were used to establish the first carrier registry for S Typhi carriers in Malaysia.
doi_str_mv 10.1177/1010539512458521
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subjects Carrier State - epidemiology
Feces - microbiology
Food Handling
Humans
Immunoenzyme Techniques
Malaysia - epidemiology
Polymerase Chain Reaction
Registries - statistics & numerical data
Salmonella typhi - isolation & purification
Typhoid Fever - epidemiology
title Identification of Carriers Among Individuals Recruited in the Typhoid Registry in Malaysia Using Stool Culture, Polymerase Chain Reaction, and Dot Enzyme Immunoassay as Detection Tools
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