A prevalence study of typhoid fever and convalescent phase asymptomatic typhoid carriers among the schoolchildren in the northern part of Tamil Nadu

被引:4
作者
Sivaji I. [1 ]
Duraisamy S. [1 ]
Balakrishnan S. [1 ]
Periasamy S. [2 ]
机构
[1] Department of Biotechnology, Muthayammal College of Arts and Science, Rasipuram, 637 408, Tamil Nadu
[2] Center for Immunology and Microbial Disease, Albany Medical College, Albany, 12208-3479, NY
关键词
Children; Convalescent typhoid carriers; S. Typhi serovars; Typhoid fever;
D O I
10.1007/s10389-015-0655-x
中图分类号
学科分类号
摘要
Aim: This study reports, for the first time, the prevalence of typhoid fever and convalescent phase asymptomatic typhoid carriers among the schoolchildren in Vellore district of Tamil Nadu state in India. Subjects and methods: Blood and stool samples (n = 500) were collected from the schoolchildren, who were admitted to District Government hospitals for treatment of typhoid fever or other enteric disorders. Early morning stool and blood samples (n = 700) were collected from the schoolchildren, who had the previous history of typhoid fever. The blood and stool samples were subjected to immunological and bacteriological examination to confirm the cases of typhoid fever and typhoid carriers. Further, S. Typhi isolates from the typhoid patients and asymptomatic carriers were serogrouped by standard protocols at WHO Reference laboratory for Salmonella typing in India. Results: A total of 360/500 (72%) children were positive for typhoid fever; while a total of 147/700 (21%) children were confirmed as convalescent phase asymptomatic typhoid carriers. All the S. Typhi isolates obtained from children positive from typhoid fever or typhoid carriers in this region were found to be serovars 9, 12, Vi: d and 4, 12: i: 1, 2. Conclusion: This study highlights the prevalence of typhoid fever among the schoolchildren and a possible role of convalescent phase asymptomatic typhoid carriers as a risk factor for the spread of infection in this locality. © 2015, Springer-Verlag Berlin Heidelberg.
引用
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页码:373 / 378
页数:5
相关论文
共 23 条
[1]  
Baumler A.J., Tsolis R.M., Ficht T.A., Adams L.G., Evolution of host adaptation in Salmonella enterica, Infect Immun, 66, pp. 4579-4587, (1998)
[2]  
Bhutta Z.A., Impact of age and drug resistance on mortality in typhoid fever, Arch Dis Child, 75, 3, pp. 214-217, (1996)
[3]  
Bigelow G.H., Anderson G.W., Cure of typhoid carriers, JAMA, 101, pp. 348-352, (1933)
[4]  
Buckle G.C., Walker C.L.F., Black R.E., Typhoid fever and paratyphoid fever: systematic review to estimate global morbidity and mortality for 2010, J Glob Health, 1, 2, (2012)
[5]  
Crump J.A., Luby S.P., Mintz E.D., The global burden of typhoid fever, Bull World Health Organ, 82, pp. 346-353, (2004)
[6]  
Kauffmann F., Enterobacteriaceae, (1954)
[7]  
Levine Myron M., Plotkin S., Orenstein W., Offit P., Typhoid fever vaccines, 5th edn. Saunders Elsevier, Beijing, pp 887–914, (2008)
[8]  
Levine M.M., Black R., Lanata C., Precise estimation of the number of chronic carriers of Salmonella typhi in Santiago, Chile, an endemic area, J Infect Dis, 146, 6, pp. 724-726, (1982)
[9]  
Meltzer E., Schwartz E., Enteric fever: a travel medicine oriented view, Curr Opin Infect Dis, 23, 5, pp. 432-437, (2010)
[10]  
Popoff M.Y., Bockemuhl J., Gheesling L.L., Supplement 2002 to the Kauffmann-White scheme, Res Microbiol, 46, pp. 155568-155570, (2004)