INVESTIGATION OF AN OUTBREAK OF SALMONELLA-TYPHI IN A PUBLIC-SCHOOL IN MADRID

被引:10
作者
USERA, MA
ALADUENA, A
ECHEITA, A
AMOR, E
GOMEZGARCES, JL
IBANEZ, C
MENDEZ, I
SANZ, JC
LOPEZBREA, M
机构
[1] Seccíon de Enterobacterias - Servicio de Bacteriologia, Centro Nacional de Microbiologia Virologia e Inmunologia Sanitarias, Majadahonda - Madrid
[2] Servicio de Microbiologia - Hospital de Móstoles, C/ Rio Júcar s/n Móstoles, Madrid
[3] Seccíon de Emergencias Epidemiológicas, Servicio de Epidemiología de la Comunidad Autónoma de Madrid, Madrid
[4] Servicio de Microbiologia - Hospital de La Princesa, Universidad Autónoma, Madrid
关键词
TYPHOID FEVER; EPIDEMIOLOGY; SALMONELLA-TYPHI; PLASMID ANALYSIS;
D O I
10.1007/BF00146259
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
A typhoid fever outbreak affecting 54 school students occurred in a Public School of Mostoles, Madrid. The date of onset was 11 June 1991 and the last detected case was 8 July 1991. Salmonella typhi was cultured from blood and/or stool samples corresponding to 54 patients and one food-handler. There were no secondary cases detected. Epidemiological investigation suggested a salad or a custard as the common source. Patients and the food-handler were treated with ampicillin/amoxicillin for up to three weeks. There were seven relapses that were also treated with the same antibiotics with success. None were found to be excreting the organisms when tested after four months. All the Salmonella typhi isolated strains were phagetype 34, biotype Xylose +, Tetrationate Reductase + and harboured a similar 22 Mdal plasmid, they were also susceptible to the antibiotics tested.
引用
收藏
页码:251 / 254
页数:4
相关论文
共 17 条
[1]  
Albert M.J., Haider K., Nahar S., Kibriya A.K.M.G., Hossain M.A., Multiresistant Salmonella typhi in Bangladesh, J. Antimicrob. Chemother, 27, pp. 554-555, (1991)
[2]  
Anderson E.S., Hobbs B.C., Studies of the strain of Salmonella typhi responsible for the Aberdeen typhoid outbreak, Isr. J. Med. Sci., 9, 2, pp. 162-174, (1973)
[3]  
Vigilancia epidemiológica de las fiebres tifoidea y paratifoidea en España: años 1984–1988, Bol. Epidem. Sem., 1847, pp. 1-2, (1989)
[4]  
Comentario epidemiológico de las enfermedades de declaración obligatoria nacional, Año 1990 - Bol. Epidem. Sem., 1877, pp. 1-3, (1991)
[5]  
Métods oficiales de análisis microbiológico de las aguas potables de consumo público, Bol. Ofic. Estado, 193, pp. 2651-2659, (1983)
[6]  
Birnboim H.C., Doly J., A rapid alkaline extraction procedure for screening recombinant plasmid DNA, Nucleic Acids Res, 7, pp. 1513-1523, (1979)
[7]  
Christie A.B., Typhoid and paratyphoid fevers, Infectious disease: epidemiology and clinical practice, pp. 100-164, (1987)
[8]  
Edelman R., Levine M.M., Summary of an International Workshop on Typhoid Fever, Rev. Infect. Dis., 8, 3, pp. 329-349, (1986)
[9]  
Ewing W.H., Edwards and Ewing's Identification of Enterobacteriaceae, pp. 27-72, (1986)
[10]  
Guinnee P.A.M., Van Leeuwen W.J., Norris J.R., Phage Typing of Salmonella, Methods in Microbiology, Vol 11, pp. 157-191, (1978)