Toward Typhoid Fever Elimination

被引:9
作者
Khanam, Farhana [1 ]
Ross, Allen G. [2 ]
McMillan, Nigel A. J. [3 ]
Qadri, Firdausi [1 ]
机构
[1] Int Ctr Diarrhoeal Dis Res, Dhaka, Bangladesh
[2] Charles Sturt Univ, Rural Hlth Res Inst, Orange Campus, Orange, NSW, Australia
[3] Univ Queensland, Menzies Hlth Inst Queensland, Gold Coast, Australia
关键词
Elimination; Endemic area; Typhoid fever; VACCINES; MANAGEMENT; DIAGNOSIS; COUNTRIES; AFRICA; BURDEN;
D O I
10.1016/j.ijid.2022.03.036
中图分类号
R51 [传染病];
学科分类号
100401 ;
摘要
Salmonella enterica serotype Typhi (S Typhi) causes typhoid fever and is responsible for an estimated 9 million cases and 110,0 00 deaths globally per annum. Typhoid fever is endemic in areas where water, sanitation, and hygiene (WaSH) infrastructure is poor. Serious complications develop in approximately 10%-15% of patients if left untreated, and this is driven by inadequate diagnostic methods and the high burden of antibiotic-resistant strains, complicating clinical management and ultimately prognosis. Asymptomatic chronic carriers, in addition to acutely infected patients, contribute to continued transmission through the shedding of the organism in the feces. The high morbidity and mortality of typhoid fever in low- and middle-income countries reinforce the need for an integrated control approach, which may ultimately lead to elimination of the disease in the 21st century. Here we discuss the challenges faced in pursuit of typhoid fever elimination. (C) 2022 The Authors. Published by Elsevier Ltd on behalf of International Society for Infectious Diseases.
引用
收藏
页码:41 / 43
页数:3
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