Salmonella Infections in The Gambia, 2005–2015

Background. There are large data gaps in the epidemiology of diseases caused by Salmonella enterica in West Africa. Regional surveillance of Salmonella infections is necessary, especially with the emergence and spread of multidrug-resistant clones. Methods. Data on Salmonella isolated from various c...

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Veröffentlicht in:Clinical infectious diseases 2015-11, Vol.61 (suppl 4), p.S354-S362
Hauptverfasser: Kwambana-Adams, Brenda, Darboe, Saffiatou, Nabwera, Helen, Foster-Nyarko, Ebenezer, Ikumapayi, Usman N., Secka, Ousman, Betts, Modupeh, Bradbury, Richard, Wegmüller, Rita, Lawal, Bolarinde, Saha, Debasish, Hossain, M. Jahangir, Prentice, Andrew M., Kampmann, Beate, Anderson, Suzanne, Dalessandro, Umberto, Antonio, Martin
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container_end_page S362
container_issue suppl 4
container_start_page S354
container_title Clinical infectious diseases
container_volume 61
creator Kwambana-Adams, Brenda
Darboe, Saffiatou
Nabwera, Helen
Foster-Nyarko, Ebenezer
Ikumapayi, Usman N.
Secka, Ousman
Betts, Modupeh
Bradbury, Richard
Wegmüller, Rita
Lawal, Bolarinde
Saha, Debasish
Hossain, M. Jahangir
Prentice, Andrew M.
Kampmann, Beate
Anderson, Suzanne
Dalessandro, Umberto
Antonio, Martin
description Background. There are large data gaps in the epidemiology of diseases caused by Salmonella enterica in West Africa. Regional surveillance of Salmonella infections is necessary, especially with the emergence and spread of multidrug-resistant clones. Methods. Data on Salmonella isolated from various clinical specimens from patients from across The Gambia were collected and analyzed retrospectively from 2005 to April 2015. Antibiotic sensitivity testing of Salmonella isolates was performed by disk diffusion method. Serotyping and serogrouping of Salmonella isolates was performed using stand microbiology techniques. Results. Two hundred three Salmonella isolates were isolated from 190 patients: 52% (106/203) from blood and 39% (79/203) from stool specimens. Salmonella was also isolated from urine, aspirates, cerebrospinal fluid, wounds, and abscesses. The prevalence of Salmonella in blood cultures was 0.8% (106/13 905). Of the serotyped salmonellae, 14% (21/152) were Salmonella enterica serovar Typhi, whereas 86% (131/152) were serovars other than Typhi nontyphoidal Salmonella). Of the 102 typed NTS isolates, 40% (41) were Salmonella enterica serovar Typhimurium, 10% (10) were Salmonella enterica serovar Enteritidis, and 3% (3) were Salmonella enterica serovar Arizonae. Overall, 70% (142/203) of the salmonellae were pansusceptible. Multidrug resistance was found in 4% (9/203) of the isolates, 3 of which were Salmonella Enteritidis. Conclusions. Salmonellae are associated with a wide spectrum of invasive and noninvasive infections across all ages in The Gambia. There is evidence of multidrug resistance in salmonellae that warrants vigilant monitoring and surveillance.
doi_str_mv 10.1093/cid/civ781
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Jahangir ; Prentice, Andrew M. ; Kampmann, Beate ; Anderson, Suzanne ; Dalessandro, Umberto ; Antonio, Martin</creator><creatorcontrib>Kwambana-Adams, Brenda ; Darboe, Saffiatou ; Nabwera, Helen ; Foster-Nyarko, Ebenezer ; Ikumapayi, Usman N. ; Secka, Ousman ; Betts, Modupeh ; Bradbury, Richard ; Wegmüller, Rita ; Lawal, Bolarinde ; Saha, Debasish ; Hossain, M. Jahangir ; Prentice, Andrew M. ; Kampmann, Beate ; Anderson, Suzanne ; Dalessandro, Umberto ; Antonio, Martin</creatorcontrib><description>Background. There are large data gaps in the epidemiology of diseases caused by Salmonella enterica in West Africa. Regional surveillance of Salmonella infections is necessary, especially with the emergence and spread of multidrug-resistant clones. Methods. Data on Salmonella isolated from various clinical specimens from patients from across The Gambia were collected and analyzed retrospectively from 2005 to April 2015. Antibiotic sensitivity testing of Salmonella isolates was performed by disk diffusion method. Serotyping and serogrouping of Salmonella isolates was performed using stand microbiology techniques. Results. Two hundred three Salmonella isolates were isolated from 190 patients: 52% (106/203) from blood and 39% (79/203) from stool specimens. Salmonella was also isolated from urine, aspirates, cerebrospinal fluid, wounds, and abscesses. The prevalence of Salmonella in blood cultures was 0.8% (106/13 905). Of the serotyped salmonellae, 14% (21/152) were Salmonella enterica serovar Typhi, whereas 86% (131/152) were serovars other than Typhi nontyphoidal Salmonella). Of the 102 typed NTS isolates, 40% (41) were Salmonella enterica serovar Typhimurium, 10% (10) were Salmonella enterica serovar Enteritidis, and 3% (3) were Salmonella enterica serovar Arizonae. Overall, 70% (142/203) of the salmonellae were pansusceptible. Multidrug resistance was found in 4% (9/203) of the isolates, 3 of which were Salmonella Enteritidis. Conclusions. Salmonellae are associated with a wide spectrum of invasive and noninvasive infections across all ages in The Gambia. There is evidence of multidrug resistance in salmonellae that warrants vigilant monitoring and surveillance.</description><identifier>ISSN: 1058-4838</identifier><identifier>EISSN: 1537-6591</identifier><identifier>DOI: 10.1093/cid/civ781</identifier><identifier>PMID: 26449952</identifier><language>eng</language><publisher>United States: Oxford University Press</publisher><subject>Abscess - microbiology ; Adolescent ; Adult ; Anti-Bacterial Agents - pharmacology ; Child ; Child, Preschool ; Drug Resistance, Multiple, Bacterial ; Epidemiological Monitoring ; Epidemiology ; Female ; Gambia - epidemiology ; Humans ; Infant ; Male ; Microbial Sensitivity Tests ; Microbiology ; Middle Aged ; Multidrug resistant organisms ; Prevalence ; Retrospective Studies ; Salmonella ; Salmonella enterica - classification ; Salmonella enterica - drug effects ; Salmonella enterica - isolation &amp; purification ; Salmonella enteritidis - drug effects ; Salmonella enteritidis - isolation &amp; purification ; Salmonella Infections - epidemiology ; Salmonella Infections - microbiology ; Salmonella typhi - drug effects ; Salmonella typhi - isolation &amp; purification ; Salmonella typhimurium - drug effects ; Salmonella typhimurium - isolation &amp; purification ; Serotyping ; Urine - microbiology ; Wounds and Injuries - microbiology ; Young Adult</subject><ispartof>Clinical infectious diseases, 2015-11, Vol.61 (suppl 4), p.S354-S362</ispartof><rights>The Author 2015. Published by Oxford University Press on behalf of the Infectious Diseases Society of America. All rights reserved. For Permissions, please e-mail: journals.permissions@oup.com.</rights><rights>Copyright Oxford University Press, UK Nov 1, 2015</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c337t-421509c62ef11ea7d190f70ca9bdd6500b4ac7ff3039a1580b8d74fa2b9672313</citedby><cites>FETCH-LOGICAL-c337t-421509c62ef11ea7d190f70ca9bdd6500b4ac7ff3039a1580b8d74fa2b9672313</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.jstor.org/stable/pdf/26369051$$EPDF$$P50$$Gjstor$$H</linktopdf><linktohtml>$$Uhttps://www.jstor.org/stable/26369051$$EHTML$$P50$$Gjstor$$H</linktohtml><link.rule.ids>314,780,784,803,27923,27924,58016,58249</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26449952$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kwambana-Adams, Brenda</creatorcontrib><creatorcontrib>Darboe, Saffiatou</creatorcontrib><creatorcontrib>Nabwera, Helen</creatorcontrib><creatorcontrib>Foster-Nyarko, Ebenezer</creatorcontrib><creatorcontrib>Ikumapayi, Usman N.</creatorcontrib><creatorcontrib>Secka, Ousman</creatorcontrib><creatorcontrib>Betts, Modupeh</creatorcontrib><creatorcontrib>Bradbury, Richard</creatorcontrib><creatorcontrib>Wegmüller, Rita</creatorcontrib><creatorcontrib>Lawal, Bolarinde</creatorcontrib><creatorcontrib>Saha, Debasish</creatorcontrib><creatorcontrib>Hossain, M. Jahangir</creatorcontrib><creatorcontrib>Prentice, Andrew M.</creatorcontrib><creatorcontrib>Kampmann, Beate</creatorcontrib><creatorcontrib>Anderson, Suzanne</creatorcontrib><creatorcontrib>Dalessandro, Umberto</creatorcontrib><creatorcontrib>Antonio, Martin</creatorcontrib><title>Salmonella Infections in The Gambia, 2005–2015</title><title>Clinical infectious diseases</title><addtitle>Clin Infect Dis</addtitle><description>Background. There are large data gaps in the epidemiology of diseases caused by Salmonella enterica in West Africa. Regional surveillance of Salmonella infections is necessary, especially with the emergence and spread of multidrug-resistant clones. Methods. Data on Salmonella isolated from various clinical specimens from patients from across The Gambia were collected and analyzed retrospectively from 2005 to April 2015. Antibiotic sensitivity testing of Salmonella isolates was performed by disk diffusion method. Serotyping and serogrouping of Salmonella isolates was performed using stand microbiology techniques. Results. Two hundred three Salmonella isolates were isolated from 190 patients: 52% (106/203) from blood and 39% (79/203) from stool specimens. Salmonella was also isolated from urine, aspirates, cerebrospinal fluid, wounds, and abscesses. The prevalence of Salmonella in blood cultures was 0.8% (106/13 905). Of the serotyped salmonellae, 14% (21/152) were Salmonella enterica serovar Typhi, whereas 86% (131/152) were serovars other than Typhi nontyphoidal Salmonella). Of the 102 typed NTS isolates, 40% (41) were Salmonella enterica serovar Typhimurium, 10% (10) were Salmonella enterica serovar Enteritidis, and 3% (3) were Salmonella enterica serovar Arizonae. Overall, 70% (142/203) of the salmonellae were pansusceptible. Multidrug resistance was found in 4% (9/203) of the isolates, 3 of which were Salmonella Enteritidis. Conclusions. Salmonellae are associated with a wide spectrum of invasive and noninvasive infections across all ages in The Gambia. There is evidence of multidrug resistance in salmonellae that warrants vigilant monitoring and surveillance.</description><subject>Abscess - microbiology</subject><subject>Adolescent</subject><subject>Adult</subject><subject>Anti-Bacterial Agents - pharmacology</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Drug Resistance, Multiple, Bacterial</subject><subject>Epidemiological Monitoring</subject><subject>Epidemiology</subject><subject>Female</subject><subject>Gambia - epidemiology</subject><subject>Humans</subject><subject>Infant</subject><subject>Male</subject><subject>Microbial Sensitivity Tests</subject><subject>Microbiology</subject><subject>Middle Aged</subject><subject>Multidrug resistant organisms</subject><subject>Prevalence</subject><subject>Retrospective Studies</subject><subject>Salmonella</subject><subject>Salmonella enterica - classification</subject><subject>Salmonella enterica - drug effects</subject><subject>Salmonella enterica - isolation &amp; purification</subject><subject>Salmonella enteritidis - drug effects</subject><subject>Salmonella enteritidis - isolation &amp; purification</subject><subject>Salmonella Infections - epidemiology</subject><subject>Salmonella Infections - microbiology</subject><subject>Salmonella typhi - drug effects</subject><subject>Salmonella typhi - isolation &amp; purification</subject><subject>Salmonella typhimurium - drug effects</subject><subject>Salmonella typhimurium - isolation &amp; purification</subject><subject>Serotyping</subject><subject>Urine - microbiology</subject><subject>Wounds and Injuries - microbiology</subject><subject>Young Adult</subject><issn>1058-4838</issn><issn>1537-6591</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpd0M1KxDAQB_AgiruuXrwrBS8iVmeSpkmOsvixsODB9VzSNMEu_VibVvDmO_iGPoktXUU8DDMwP4bhT8gxwhWCYtcmz_p6ExJ3yBQ5E2HMFe72M3AZRpLJCTnwfg2AKIHvkwmNo0gpTqcEnnRR1pUtCh0sKmdNm9eVD_IqWL3Y4F6Xaa4vAwrAvz4-KSA_JHtOF94ebfuMPN_druYP4fLxfjG_WYaGMdGGEUUOysTUOkSrRYYKnACjVZplMQdII22EcwyY0sglpDITkdM0VbGgDNmMnI93N0392lnfJmXuzfBnZevOJygoMs4UHejZP7quu6bqvxsURUUZjXt1MSrT1N431iWbJi91854gJEOOSZ9jMubY49PtyS4tbfZLf4LrwckI1r6tmz97FivgyL4BI9l0og</recordid><startdate>20151101</startdate><enddate>20151101</enddate><creator>Kwambana-Adams, Brenda</creator><creator>Darboe, Saffiatou</creator><creator>Nabwera, Helen</creator><creator>Foster-Nyarko, Ebenezer</creator><creator>Ikumapayi, Usman N.</creator><creator>Secka, Ousman</creator><creator>Betts, Modupeh</creator><creator>Bradbury, Richard</creator><creator>Wegmüller, Rita</creator><creator>Lawal, Bolarinde</creator><creator>Saha, Debasish</creator><creator>Hossain, M. Jahangir</creator><creator>Prentice, Andrew M.</creator><creator>Kampmann, Beate</creator><creator>Anderson, Suzanne</creator><creator>Dalessandro, Umberto</creator><creator>Antonio, Martin</creator><general>Oxford University Press</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QL</scope><scope>7T2</scope><scope>7T7</scope><scope>7U7</scope><scope>7U9</scope><scope>8FD</scope><scope>C1K</scope><scope>FR3</scope><scope>H94</scope><scope>K9.</scope><scope>M7N</scope><scope>P64</scope><scope>7X8</scope></search><sort><creationdate>20151101</creationdate><title>Salmonella Infections in The Gambia, 2005–2015</title><author>Kwambana-Adams, Brenda ; Darboe, Saffiatou ; Nabwera, Helen ; Foster-Nyarko, Ebenezer ; Ikumapayi, Usman N. ; Secka, Ousman ; Betts, Modupeh ; Bradbury, Richard ; Wegmüller, Rita ; Lawal, Bolarinde ; Saha, Debasish ; Hossain, M. 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Jahangir</creatorcontrib><creatorcontrib>Prentice, Andrew M.</creatorcontrib><creatorcontrib>Kampmann, Beate</creatorcontrib><creatorcontrib>Anderson, Suzanne</creatorcontrib><creatorcontrib>Dalessandro, Umberto</creatorcontrib><creatorcontrib>Antonio, Martin</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Bacteriology Abstracts (Microbiology B)</collection><collection>Health and Safety Science Abstracts (Full archive)</collection><collection>Industrial and Applied Microbiology Abstracts (Microbiology A)</collection><collection>Toxicology Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>Technology Research Database</collection><collection>Environmental Sciences and Pollution Management</collection><collection>Engineering Research Database</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>Clinical infectious diseases</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kwambana-Adams, Brenda</au><au>Darboe, Saffiatou</au><au>Nabwera, Helen</au><au>Foster-Nyarko, Ebenezer</au><au>Ikumapayi, Usman N.</au><au>Secka, Ousman</au><au>Betts, Modupeh</au><au>Bradbury, Richard</au><au>Wegmüller, Rita</au><au>Lawal, Bolarinde</au><au>Saha, Debasish</au><au>Hossain, M. Jahangir</au><au>Prentice, Andrew M.</au><au>Kampmann, Beate</au><au>Anderson, Suzanne</au><au>Dalessandro, Umberto</au><au>Antonio, Martin</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Salmonella Infections in The Gambia, 2005–2015</atitle><jtitle>Clinical infectious diseases</jtitle><addtitle>Clin Infect Dis</addtitle><date>2015-11-01</date><risdate>2015</risdate><volume>61</volume><issue>suppl 4</issue><spage>S354</spage><epage>S362</epage><pages>S354-S362</pages><issn>1058-4838</issn><eissn>1537-6591</eissn><abstract>Background. There are large data gaps in the epidemiology of diseases caused by Salmonella enterica in West Africa. Regional surveillance of Salmonella infections is necessary, especially with the emergence and spread of multidrug-resistant clones. Methods. Data on Salmonella isolated from various clinical specimens from patients from across The Gambia were collected and analyzed retrospectively from 2005 to April 2015. Antibiotic sensitivity testing of Salmonella isolates was performed by disk diffusion method. Serotyping and serogrouping of Salmonella isolates was performed using stand microbiology techniques. Results. Two hundred three Salmonella isolates were isolated from 190 patients: 52% (106/203) from blood and 39% (79/203) from stool specimens. Salmonella was also isolated from urine, aspirates, cerebrospinal fluid, wounds, and abscesses. The prevalence of Salmonella in blood cultures was 0.8% (106/13 905). Of the serotyped salmonellae, 14% (21/152) were Salmonella enterica serovar Typhi, whereas 86% (131/152) were serovars other than Typhi nontyphoidal Salmonella). Of the 102 typed NTS isolates, 40% (41) were Salmonella enterica serovar Typhimurium, 10% (10) were Salmonella enterica serovar Enteritidis, and 3% (3) were Salmonella enterica serovar Arizonae. Overall, 70% (142/203) of the salmonellae were pansusceptible. Multidrug resistance was found in 4% (9/203) of the isolates, 3 of which were Salmonella Enteritidis. Conclusions. Salmonellae are associated with a wide spectrum of invasive and noninvasive infections across all ages in The Gambia. There is evidence of multidrug resistance in salmonellae that warrants vigilant monitoring and surveillance.</abstract><cop>United States</cop><pub>Oxford University Press</pub><pmid>26449952</pmid><doi>10.1093/cid/civ781</doi></addata></record>
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subjects Abscess - microbiology
Adolescent
Adult
Anti-Bacterial Agents - pharmacology
Child
Child, Preschool
Drug Resistance, Multiple, Bacterial
Epidemiological Monitoring
Epidemiology
Female
Gambia - epidemiology
Humans
Infant
Male
Microbial Sensitivity Tests
Microbiology
Middle Aged
Multidrug resistant organisms
Prevalence
Retrospective Studies
Salmonella
Salmonella enterica - classification
Salmonella enterica - drug effects
Salmonella enterica - isolation & purification
Salmonella enteritidis - drug effects
Salmonella enteritidis - isolation & purification
Salmonella Infections - epidemiology
Salmonella Infections - microbiology
Salmonella typhi - drug effects
Salmonella typhi - isolation & purification
Salmonella typhimurium - drug effects
Salmonella typhimurium - isolation & purification
Serotyping
Urine - microbiology
Wounds and Injuries - microbiology
Young Adult
title Salmonella Infections in The Gambia, 2005–2015
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