Salmonella infections in Denmark from 2013–2022 with focus on serotype distribution, invasiveness, age, sex, and travel exposition
Purpose To analyze the nationwide incidence of Salmonella infections in Denmark from 2013 to 2022. Methods Confirmed cases of Salmonella enterica subsp. enterica were examined using the National Register of Enteric Pathogens during 2013–2022. Proportions, incidence rates (IR), relative risk (RR), an...
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| Veröffentlicht in: | European journal of clinical microbiology & infectious diseases 2024-05, Vol.43 (5), p.947-957 |
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| creator | Aarø, Nicholas Slinning Torpdahl, Mia Rasmussen, Torben Jensen, Martin Nielsen, Hans Linde |
| description | Purpose
To analyze the nationwide incidence of
Salmonella
infections in Denmark from 2013 to 2022.
Methods
Confirmed cases of
Salmonella enterica
subsp.
enterica
were examined using the National Register of Enteric Pathogens during 2013–2022. Proportions, incidence rates (IR), relative risk (RR), and 95% confidence intervals (CI) were calculated to assess differences in serotypes, invasiveness, age, sex, and travel exposure.
Results
We identified 9,944 Danish
Salmonella enterica
subsp.
enterica
cases, with an average annual incidence rate of 16.9 per 100,000 inhabitants, declining during the COVID-19 pandemic. Typhoidal cases totaled 206, with an average annual IR of 0.35 per 100,000 inhabitants. Enteric fever patients had a median age of 24 years (IQR:17–36). Leading non-typhoid
Salmonella
(NTS) serotypes were
S.
Enteritidis (26.4%), monophasic
S.
Typhimurium (16.5%), and
S.
Typhimurium (13.5%). Median age for NTS cases was 42 (IQR: 18–62), with even sex distribution, and a third reported travel prior to onset of disease. The overall percentage of invasive NTS (iNTS) infection was 8.1% (CI: 7.6–8.7). Eleven serotypes were associated with higher invasiveness, with
S.
Dublin and
S.
Panama having the highest invasiveness with age and sex-adjusted RR of 7.31 (CI: 6.35–8.43) and 5.42 (CI: 3.42–8.60), respectively, compared to all other NTS serotypes. Increased age was associated with higher RR for iNTS infection.
Conclusion
During the decade, there was a limited number of typhoidal cases. The dominant NTS serotypes were
S.
Enteritidis and monophasic
S.
Typhimurium, whereas
S.
Dublin and
S.
Panama exhibited the highest invasive potential. |
| doi_str_mv | 10.1007/s10096-024-04808-9 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_11108954</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2974007326</sourcerecordid><originalsourceid>FETCH-LOGICAL-c426t-a95e350a23f04379dd8f1b39ec4100ed2dcef528766d791cdbefaa87cf2bc1eb3</originalsourceid><addsrcrecordid>eNp9kbtuFDEUhi0EIkvgBSiQJRqKHfB1PK4QClcpEgVQWx7P8cZhxl7smSXpKHgD3pAnwcuGcClobEvnO7_Pf36E7lPymBKinpR66rYhTDREdKRr9A20ooLLRnDFb6IV0Vw0WjF-hO6Uck5qU6fUbXTEO0mZpGKFvr6z45QijKPFIXpwc0ix1Cd-DnGy-SP2OU2YEcq_f_nGCGP4c5jPsE9uKThFXCCn-XILeAhlzqFf9gLrKrCzJewgQilrbDewruRFfcUBz9nuYMRwsU0l7PG76Ja3Y4F7V_cx-vDyxfuT183p21dvTp6dNk6wdm6slsAlsYx7Uh3qYeg87bkGJ-omYGCDAy9Zp9p2UJq6oQdvbaecZ72j0PNj9PSgu136CSod6yij2eZQnV6aZIP5uxLDmdmknaGUkk5LURUeXSnk9GmBMpspFLffXoS0FMO0EnXLnLUVffgPep6WHKs_w4lUsm215JViB8rlVEoGfz0NJWafsjmkbGrK5mfKRtemB3_6uG75FWsF-AEotRQ3kH___R_ZHwHhtdQ</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>3057566953</pqid></control><display><type>article</type><title>Salmonella infections in Denmark from 2013–2022 with focus on serotype distribution, invasiveness, age, sex, and travel exposition</title><source>MEDLINE</source><source>SpringerLink Journals - AutoHoldings</source><creator>Aarø, Nicholas Slinning ; Torpdahl, Mia ; Rasmussen, Torben ; Jensen, Martin ; Nielsen, Hans Linde</creator><creatorcontrib>Aarø, Nicholas Slinning ; Torpdahl, Mia ; Rasmussen, Torben ; Jensen, Martin ; Nielsen, Hans Linde ; Danish Study Group for Enteric Infection has the following members ; The Danish Study Group for Enteric Infection has the following members</creatorcontrib><description>Purpose
To analyze the nationwide incidence of
Salmonella
infections in Denmark from 2013 to 2022.
Methods
Confirmed cases of
Salmonella enterica
subsp.
enterica
were examined using the National Register of Enteric Pathogens during 2013–2022. Proportions, incidence rates (IR), relative risk (RR), and 95% confidence intervals (CI) were calculated to assess differences in serotypes, invasiveness, age, sex, and travel exposure.
Results
We identified 9,944 Danish
Salmonella enterica
subsp.
enterica
cases, with an average annual incidence rate of 16.9 per 100,000 inhabitants, declining during the COVID-19 pandemic. Typhoidal cases totaled 206, with an average annual IR of 0.35 per 100,000 inhabitants. Enteric fever patients had a median age of 24 years (IQR:17–36). Leading non-typhoid
Salmonella
(NTS) serotypes were
S.
Enteritidis (26.4%), monophasic
S.
Typhimurium (16.5%), and
S.
Typhimurium (13.5%). Median age for NTS cases was 42 (IQR: 18–62), with even sex distribution, and a third reported travel prior to onset of disease. The overall percentage of invasive NTS (iNTS) infection was 8.1% (CI: 7.6–8.7). Eleven serotypes were associated with higher invasiveness, with
S.
Dublin and
S.
Panama having the highest invasiveness with age and sex-adjusted RR of 7.31 (CI: 6.35–8.43) and 5.42 (CI: 3.42–8.60), respectively, compared to all other NTS serotypes. Increased age was associated with higher RR for iNTS infection.
Conclusion
During the decade, there was a limited number of typhoidal cases. The dominant NTS serotypes were
S.
Enteritidis and monophasic
S.
Typhimurium, whereas
S.
Dublin and
S.
Panama exhibited the highest invasive potential.</description><identifier>ISSN: 0934-9723</identifier><identifier>EISSN: 1435-4373</identifier><identifier>DOI: 10.1007/s10096-024-04808-9</identifier><identifier>PMID: 38512514</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Adolescent ; Adult ; Age ; Age composition ; Age Factors ; Aged ; Biomedical and Life Sciences ; Biomedicine ; Child ; Child, Preschool ; COVID-19 ; Denmark - epidemiology ; Female ; Humans ; Incidence ; Infant ; Inhabitants ; Internal Medicine ; Invasiveness ; Male ; Medical Microbiology ; Middle Aged ; Original ; Original Article ; Pandemics ; Salmonella ; Salmonella - classification ; Salmonella enterica ; Salmonella Infections - epidemiology ; Salmonella Infections - microbiology ; Serogroup ; Serotypes ; Sex ; Sex Factors ; Travel ; Travel - statistics & numerical data ; Typhoid ; Young Adult</subject><ispartof>European journal of clinical microbiology & infectious diseases, 2024-05, Vol.43 (5), p.947-957</ispartof><rights>The Author(s) 2024</rights><rights>2024. The Author(s).</rights><rights>The Author(s) 2024. This work is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c426t-a95e350a23f04379dd8f1b39ec4100ed2dcef528766d791cdbefaa87cf2bc1eb3</cites><orcidid>0000-0002-2370-417X ; 0000-0002-1915-9877</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s10096-024-04808-9$$EPDF$$P50$$Gspringer$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s10096-024-04808-9$$EHTML$$P50$$Gspringer$$Hfree_for_read</linktohtml><link.rule.ids>230,314,780,784,885,27924,27925,41488,42557,51319</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/38512514$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Aarø, Nicholas Slinning</creatorcontrib><creatorcontrib>Torpdahl, Mia</creatorcontrib><creatorcontrib>Rasmussen, Torben</creatorcontrib><creatorcontrib>Jensen, Martin</creatorcontrib><creatorcontrib>Nielsen, Hans Linde</creatorcontrib><creatorcontrib>Danish Study Group for Enteric Infection has the following members</creatorcontrib><creatorcontrib>The Danish Study Group for Enteric Infection has the following members</creatorcontrib><title>Salmonella infections in Denmark from 2013–2022 with focus on serotype distribution, invasiveness, age, sex, and travel exposition</title><title>European journal of clinical microbiology & infectious diseases</title><addtitle>Eur J Clin Microbiol Infect Dis</addtitle><addtitle>Eur J Clin Microbiol Infect Dis</addtitle><description>Purpose
To analyze the nationwide incidence of
Salmonella
infections in Denmark from 2013 to 2022.
Methods
Confirmed cases of
Salmonella enterica
subsp.
enterica
were examined using the National Register of Enteric Pathogens during 2013–2022. Proportions, incidence rates (IR), relative risk (RR), and 95% confidence intervals (CI) were calculated to assess differences in serotypes, invasiveness, age, sex, and travel exposure.
Results
We identified 9,944 Danish
Salmonella enterica
subsp.
enterica
cases, with an average annual incidence rate of 16.9 per 100,000 inhabitants, declining during the COVID-19 pandemic. Typhoidal cases totaled 206, with an average annual IR of 0.35 per 100,000 inhabitants. Enteric fever patients had a median age of 24 years (IQR:17–36). Leading non-typhoid
Salmonella
(NTS) serotypes were
S.
Enteritidis (26.4%), monophasic
S.
Typhimurium (16.5%), and
S.
Typhimurium (13.5%). Median age for NTS cases was 42 (IQR: 18–62), with even sex distribution, and a third reported travel prior to onset of disease. The overall percentage of invasive NTS (iNTS) infection was 8.1% (CI: 7.6–8.7). Eleven serotypes were associated with higher invasiveness, with
S.
Dublin and
S.
Panama having the highest invasiveness with age and sex-adjusted RR of 7.31 (CI: 6.35–8.43) and 5.42 (CI: 3.42–8.60), respectively, compared to all other NTS serotypes. Increased age was associated with higher RR for iNTS infection.
Conclusion
During the decade, there was a limited number of typhoidal cases. The dominant NTS serotypes were
S.
Enteritidis and monophasic
S.
Typhimurium, whereas
S.
Dublin and
S.
Panama exhibited the highest invasive potential.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Age</subject><subject>Age composition</subject><subject>Age Factors</subject><subject>Aged</subject><subject>Biomedical and Life Sciences</subject><subject>Biomedicine</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>COVID-19</subject><subject>Denmark - epidemiology</subject><subject>Female</subject><subject>Humans</subject><subject>Incidence</subject><subject>Infant</subject><subject>Inhabitants</subject><subject>Internal Medicine</subject><subject>Invasiveness</subject><subject>Male</subject><subject>Medical Microbiology</subject><subject>Middle Aged</subject><subject>Original</subject><subject>Original Article</subject><subject>Pandemics</subject><subject>Salmonella</subject><subject>Salmonella - classification</subject><subject>Salmonella enterica</subject><subject>Salmonella Infections - epidemiology</subject><subject>Salmonella Infections - microbiology</subject><subject>Serogroup</subject><subject>Serotypes</subject><subject>Sex</subject><subject>Sex Factors</subject><subject>Travel</subject><subject>Travel - statistics & numerical data</subject><subject>Typhoid</subject><subject>Young Adult</subject><issn>0934-9723</issn><issn>1435-4373</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>C6C</sourceid><sourceid>EIF</sourceid><recordid>eNp9kbtuFDEUhi0EIkvgBSiQJRqKHfB1PK4QClcpEgVQWx7P8cZhxl7smSXpKHgD3pAnwcuGcClobEvnO7_Pf36E7lPymBKinpR66rYhTDREdKRr9A20ooLLRnDFb6IV0Vw0WjF-hO6Uck5qU6fUbXTEO0mZpGKFvr6z45QijKPFIXpwc0ix1Cd-DnGy-SP2OU2YEcq_f_nGCGP4c5jPsE9uKThFXCCn-XILeAhlzqFf9gLrKrCzJewgQilrbDewruRFfcUBz9nuYMRwsU0l7PG76Ja3Y4F7V_cx-vDyxfuT183p21dvTp6dNk6wdm6slsAlsYx7Uh3qYeg87bkGJ-omYGCDAy9Zp9p2UJq6oQdvbaecZ72j0PNj9PSgu136CSod6yij2eZQnV6aZIP5uxLDmdmknaGUkk5LURUeXSnk9GmBMpspFLffXoS0FMO0EnXLnLUVffgPep6WHKs_w4lUsm215JViB8rlVEoGfz0NJWafsjmkbGrK5mfKRtemB3_6uG75FWsF-AEotRQ3kH___R_ZHwHhtdQ</recordid><startdate>20240501</startdate><enddate>20240501</enddate><creator>Aarø, Nicholas Slinning</creator><creator>Torpdahl, Mia</creator><creator>Rasmussen, Torben</creator><creator>Jensen, Martin</creator><creator>Nielsen, Hans Linde</creator><general>Springer Berlin Heidelberg</general><general>Springer Nature B.V</general><scope>C6C</scope><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>7U9</scope><scope>C1K</scope><scope>H94</scope><scope>K9.</scope><scope>M7N</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0002-2370-417X</orcidid><orcidid>https://orcid.org/0000-0002-1915-9877</orcidid></search><sort><creationdate>20240501</creationdate><title>Salmonella infections in Denmark from 2013–2022 with focus on serotype distribution, invasiveness, age, sex, and travel exposition</title><author>Aarø, Nicholas Slinning ; Torpdahl, Mia ; Rasmussen, Torben ; Jensen, Martin ; Nielsen, Hans Linde</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c426t-a95e350a23f04379dd8f1b39ec4100ed2dcef528766d791cdbefaa87cf2bc1eb3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Age</topic><topic>Age composition</topic><topic>Age Factors</topic><topic>Aged</topic><topic>Biomedical and Life Sciences</topic><topic>Biomedicine</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>COVID-19</topic><topic>Denmark - epidemiology</topic><topic>Female</topic><topic>Humans</topic><topic>Incidence</topic><topic>Infant</topic><topic>Inhabitants</topic><topic>Internal Medicine</topic><topic>Invasiveness</topic><topic>Male</topic><topic>Medical Microbiology</topic><topic>Middle Aged</topic><topic>Original</topic><topic>Original Article</topic><topic>Pandemics</topic><topic>Salmonella</topic><topic>Salmonella - classification</topic><topic>Salmonella enterica</topic><topic>Salmonella Infections - epidemiology</topic><topic>Salmonella Infections - microbiology</topic><topic>Serogroup</topic><topic>Serotypes</topic><topic>Sex</topic><topic>Sex Factors</topic><topic>Travel</topic><topic>Travel - statistics & numerical data</topic><topic>Typhoid</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Aarø, Nicholas Slinning</creatorcontrib><creatorcontrib>Torpdahl, Mia</creatorcontrib><creatorcontrib>Rasmussen, Torben</creatorcontrib><creatorcontrib>Jensen, Martin</creatorcontrib><creatorcontrib>Nielsen, Hans Linde</creatorcontrib><creatorcontrib>Danish Study Group for Enteric Infection has the following members</creatorcontrib><creatorcontrib>The Danish Study Group for Enteric Infection has the following members</creatorcontrib><collection>Springer Nature OA Free Journals</collection><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>Virology and AIDS Abstracts</collection><collection>Environmental Sciences and Pollution Management</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>European journal of clinical microbiology & infectious diseases</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Aarø, Nicholas Slinning</au><au>Torpdahl, Mia</au><au>Rasmussen, Torben</au><au>Jensen, Martin</au><au>Nielsen, Hans Linde</au><aucorp>Danish Study Group for Enteric Infection has the following members</aucorp><aucorp>The Danish Study Group for Enteric Infection has the following members</aucorp><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Salmonella infections in Denmark from 2013–2022 with focus on serotype distribution, invasiveness, age, sex, and travel exposition</atitle><jtitle>European journal of clinical microbiology & infectious diseases</jtitle><stitle>Eur J Clin Microbiol Infect Dis</stitle><addtitle>Eur J Clin Microbiol Infect Dis</addtitle><date>2024-05-01</date><risdate>2024</risdate><volume>43</volume><issue>5</issue><spage>947</spage><epage>957</epage><pages>947-957</pages><issn>0934-9723</issn><eissn>1435-4373</eissn><abstract>Purpose
To analyze the nationwide incidence of
Salmonella
infections in Denmark from 2013 to 2022.
Methods
Confirmed cases of
Salmonella enterica
subsp.
enterica
were examined using the National Register of Enteric Pathogens during 2013–2022. Proportions, incidence rates (IR), relative risk (RR), and 95% confidence intervals (CI) were calculated to assess differences in serotypes, invasiveness, age, sex, and travel exposure.
Results
We identified 9,944 Danish
Salmonella enterica
subsp.
enterica
cases, with an average annual incidence rate of 16.9 per 100,000 inhabitants, declining during the COVID-19 pandemic. Typhoidal cases totaled 206, with an average annual IR of 0.35 per 100,000 inhabitants. Enteric fever patients had a median age of 24 years (IQR:17–36). Leading non-typhoid
Salmonella
(NTS) serotypes were
S.
Enteritidis (26.4%), monophasic
S.
Typhimurium (16.5%), and
S.
Typhimurium (13.5%). Median age for NTS cases was 42 (IQR: 18–62), with even sex distribution, and a third reported travel prior to onset of disease. The overall percentage of invasive NTS (iNTS) infection was 8.1% (CI: 7.6–8.7). Eleven serotypes were associated with higher invasiveness, with
S.
Dublin and
S.
Panama having the highest invasiveness with age and sex-adjusted RR of 7.31 (CI: 6.35–8.43) and 5.42 (CI: 3.42–8.60), respectively, compared to all other NTS serotypes. Increased age was associated with higher RR for iNTS infection.
Conclusion
During the decade, there was a limited number of typhoidal cases. The dominant NTS serotypes were
S.
Enteritidis and monophasic
S.
Typhimurium, whereas
S.
Dublin and
S.
Panama exhibited the highest invasive potential.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>38512514</pmid><doi>10.1007/s10096-024-04808-9</doi><tpages>11</tpages><orcidid>https://orcid.org/0000-0002-2370-417X</orcidid><orcidid>https://orcid.org/0000-0002-1915-9877</orcidid><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0934-9723 |
| ispartof | European journal of clinical microbiology & infectious diseases, 2024-05, Vol.43 (5), p.947-957 |
| issn | 0934-9723 1435-4373 |
| language | eng |
| recordid | cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_11108954 |
| source | MEDLINE; SpringerLink Journals - AutoHoldings |
| subjects | Adolescent Adult Age Age composition Age Factors Aged Biomedical and Life Sciences Biomedicine Child Child, Preschool COVID-19 Denmark - epidemiology Female Humans Incidence Infant Inhabitants Internal Medicine Invasiveness Male Medical Microbiology Middle Aged Original Original Article Pandemics Salmonella Salmonella - classification Salmonella enterica Salmonella Infections - epidemiology Salmonella Infections - microbiology Serogroup Serotypes Sex Sex Factors Travel Travel - statistics & numerical data Typhoid Young Adult |
| title | Salmonella infections in Denmark from 2013–2022 with focus on serotype distribution, invasiveness, age, sex, and travel exposition |
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