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A High-throughput Platform for the Screening of Salmonella spp./Shigella spp.
06:55

A High-throughput Platform for the Screening of Salmonella spp./Shigella spp.

Published on: November 7, 2018

Enteric fever in Scotland, 1967-1974

J C Sharp, C S Heymann

    The Journal of Hygiene
    |February 1, 1976
    PubMed

    Insights

    This review of enteric infections in Scotland (1967-74) found Salmonella infections were common in young adults, with many cases imported due to overseas travel. Imported infections are expected to rise.

    Area of Science:

    • Microbiology
    • Epidemiology
    • Infectious Diseases

    Background:

    • Enteric infections, including typhoid and paratyphoid fevers, pose a public health concern.
    • Understanding the epidemiology of these infections is crucial for effective control measures.

    Purpose of the Study:

    • To analyze the incidence, sources, and characteristics of Salmonella infections in Scotland between 1967 and 1974.
    • To identify trends in imported versus domestically acquired cases and associated risk factors.

    Main Methods:

    • Retrospective review of 194 laboratory-confirmed cases of Salmonella typhi, Salmonella paratyphi A, and Salmonella paratyphi B infections.
    • Data collection included patient demographics, clinical presentation, travel history, and laboratory findings (blood/faeces cultures).

    Main Results:

    • Salmonella infections predominantly affected individuals under 35, particularly young adults (15-24 years), with a notable proportion linked to overseas travel.
    • 65 cases (one-third) were imported, with typhoid fever more frequently contracted abroad (54.7%) than paratyphoid B (21.2%).
    • Two deaths occurred, and two individuals became chronic carriers; most patients responded well to treatment.

    Conclusions:

    • Overseas travel is a significant factor in Salmonella infections in Scotland, contributing to a rise in imported cases.
    • A decline in resident chronic carriers is anticipated, while imported infections are projected to increase with global travel.
    • Public health strategies should address the growing threat of imported enteric infections.

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