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A steady decrease in occurrence of Salmonella typhi infection in Rourkela, Orissa.

S S Bhattacharya1, Usha Das

  • 1Department of Microbiology, Ispat General Hospital, Rourkela Orissa.

Indian Journal of Pathology & Microbiology
|March 18, 2004
PubMed
Summary
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Salmonella typhi (S. typhi) isolation rates decreased in Rourkela between 1999-2001. Public health interventions, including improved sanitation and water management, contributed to this reduction in enteric fever.

Area of Science:

  • Microbiology and Infectious Diseases
  • Public Health and Epidemiology

Background:

  • Enteric fever, caused by Salmonella typhi (S. typhi), poses a significant public health challenge.
  • Previous studies indicated varying isolation rates of S. typhi in Rourkela.
  • The emergence of multi-drug resistant (MDR) strains necessitates ongoing surveillance and control measures.

Purpose of the Study:

  • To analyze the trend of Salmonella typhi isolation rates in Rourkela from 1999 to 2001.
  • To assess the prevalence of multi-drug resistant (MDR) S. typhi strains during the study period.
  • To evaluate the impact of public health interventions on enteric fever morbidity.

Main Methods:

  • Retrospective analysis of S. typhi isolation data from blood samples collected between January 1999 and December 2001.

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  • Comparison of isolation rates with data from the preceding period (1996-1998).
  • Assessment of antimicrobial susceptibility patterns to identify MDR strains.

    • Main Results:

    • A steady decline in S. typhi isolation rates was observed during 1999-2001 compared to 1996-1998.
    • Out of 4378 blood samples, 254 (5.8%) were positive for S. typhi.
    • Multi-drug resistant (MDR) S. typhi strains accounted for 30.7% of isolates.

    Conclusions:

    • Public health initiatives, including health education and improvements in sanitation and water supply, were associated with a reduction in enteric fever.
    • Despite the declining trend, the presence of MDR S. typhi strains remains a concern.
    • Sustained public health efforts are crucial for controlling enteric fever in the region.