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Updated: Jul 11, 2026

High-throughput Assay to Phenotype Salmonella enterica Typhimurium Association, Invasion, and Replication in Macrophages
Published on: August 11, 2014
Epidemiologic attributes of invasive non-typhoidal Salmonella infections in Michigan, 1995--2001
M Mokhtar Arshad1, Melinda J Wilkins, Frances P Downes
1Department of Large Animal Clinical Sciences, Michigan State University, East Lansing, Michigan, USA.
Objectives:
To determine: (1) the incidence of invasive salmonellosis, (2) the distribution of specific Salmonella serotypes associated with invasive disease, and (3) the role of demographic characteristics in invasive salmonellosis in Michigan.
Design:
We conducted a cross-sectional study using laboratory-confirmed cases of salmonellosis reported to the Michigan Department of Community Health between 1995 and 2001.
Methods:
Average annual incidences (AAIs) for invasive salmonellosis were computed, and Poisson regression analysis was used to model the association between demographic attributes and invasive salmonellosis.
Results:
Of 6797 cases of salmonellosis, 347 (5.1%) were characterized as invasive having an AAI of 0.5/100000. A covariate-adjusted Poisson model showed children aged <1 year to be at higher risk for invasive salmonellosis compared to adults aged 40-49 years (rate ratio (RR) 8.98, 95% confidence interval (CI) 5.69-14.17). No significant differences were found between males and females (RR 1.02, 95% CI 0.83-1.26), African-Americans and Caucasians (RR 0.95, 95% CI 0.64-1.42), and urban and rural residents (RR 0.98, 95% CI 0.76-1.26). Among the most common serotypes associated with invasive salmonellosis (Heidelberg, Typhimurium, and Enteritidis), Salmonella serotype Heidelberg had the highest blood invasiveness ratio (15.79/100).
Conclusions:
Children aged <1 year, especially of minority groups, are at higher risk for invasive Salmonella infections. Invasive salmonellosis may be included in the differential diagnosis of acute bacterial infections in young children with positive stool cultures for Salmonella.
Insights
Infants under one year old face a significantly higher risk of invasive Salmonella infections. This study highlights the importance of considering invasive salmonellosis in young children with Salmonella-positive stool cultures.
Area of Science:
- Public Health
- Infectious Diseases
- Epidemiology
Background:
- Invasive salmonellosis poses a significant public health concern.
- Understanding the incidence and risk factors is crucial for effective prevention and treatment.
Purpose of the Study:
- To determine the incidence of invasive salmonellosis in Michigan.
- To identify common Salmonella serotypes causing invasive disease.
- To analyze demographic factors associated with invasive salmonellosis.
Main Methods:
- A cross-sectional study analyzed laboratory-confirmed Salmonella cases reported in Michigan from 1995 to 2001.
- Average annual incidences were calculated.
- Poisson regression modeling assessed the association between demographics and invasive disease.
Main Results:
- The incidence of invasive salmonellosis was 0.5 per 100,000 people.
- Infants under one year old had a significantly higher risk (RR 8.98) compared to adults aged 40-49.
- Salmonella serotype Heidelberg showed the highest blood invasiveness ratio (15.79/100).
Conclusions:
- Young children, particularly those under one year, are at elevated risk for invasive Salmonella infections.
- Invasive salmonellosis should be considered in the differential diagnosis for young children with Salmonella in stool cultures.
- While no significant differences were found by race or sex, age remains a critical risk factor.
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