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Changing epidemiology of human salmonellosis in Hong Kong, 1982–93

Published online by Cambridge University Press:  19 October 2009

S. S. Y. Wong ,
K. Y. Yuen ,
W. C. Yam ,
T. Y. Lee  and
P. Y. Chau
S. S. Y. Wong
Affiliation:
Department of Microbiology, University of Hong Kong, University Pathology Building, Queen Mary Hospital, Pokfulam Road, Hong Kong
K. Y. Yuen
Affiliation:
Department of Microbiology, University of Hong Kong, University Pathology Building, Queen Mary Hospital, Pokfulam Road, Hong Kong
W. C. Yam
Affiliation:
Department of Microbiology, University of Hong Kong, University Pathology Building, Queen Mary Hospital, Pokfulam Road, Hong Kong
T. Y. Lee
Affiliation:
Department of Microbiology, University of Hong Kong, University Pathology Building, Queen Mary Hospital, Pokfulam Road, Hong Kong
P. Y. Chau
Affiliation:
Department of Microbiology, University of Hong Kong, University Pathology Building, Queen Mary Hospital, Pokfulam Road, Hong Kong
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A comprehensive analysis of the epidemiology of salmonellosis in a major hospital in Hong Kong from 1982–93 is reported. The trend of salmonella isolations over the past 12 years and changes in the occurrence of individual serotypes are delineated. A total of 5328 isolates were analyzed. Groups B (Salmonella typhimurium and S. derby) and E (S. anatum) were the commonest serogroups isolated from the intestinal tract in all age groups. A significant increase in the isolation of group D salmonellae has been observed since 1989. This is accounted for by a substantial rise in S. enteritidis isolation as seen in Western countries, despite a concomitant decrease of S. typhi. The extraintestinal isolation index (EII) is proposed as an index of the virulence potential of individual serotypes and serogroups. Group D salmonella was found to be the most invasive serogroup. While group D was the predominant serogroup isolated from extraintestinal sites in patients older than 1 year, group B serotypes (especially S. typhimurium) were more frequently seen in infants younger than 12 months.

Type
Research Article
Information
Epidemiology & Infection , Volume 113 , Issue 3 , December 1994 , pp. 425 - 434
Copyright
Copyright © Cambridge University Press 1994

References

1.Ct, Huang, Py, Chau. A review of salmonellosis and shigellosis in Hong Kong. Proceedings of the 7th SAEMEO tropical medicine seminar on infectious diseases of the gastrointestinal system in the Southeast Asia and the Far East, 1970: 227–34.Google Scholar
2.Py, Chau, Ct, Huang. Salmonellosis in Hong Kong, Public Health 1977: 91: 83–9.Google Scholar
3.Centers for Disease Control. Salmonellosis in the United States, 1968–1974. J Infect Dis 1976; 133: 483–6.CrossRefGoogle Scholar
4.Centers for Disease Control. Human salmonella isolates – United States, 1982. JAMA 1983; 250: 3030.CrossRefGoogle Scholar
5.Nt, Hargrett-Bean, At, Pavia, RV, Tauxe. Salmonella isolates from humans in the United States, 1984–1986. MMWR 1988; 37: 25–31.Google Scholar
6.Lester, A, Nhr, Eriksen, Nielsen, H et al. Nontyphoidal salmonella bacteremia in greater Copenhagen 1984 to 1988. Eur J Clin Microbiol Infect Dis 1991; 10: 486–90.CrossRefGoogle ScholarPubMed
7.Dc, Rodrigue, Rv, Tauxe, Rowe, B. International increase in Salmonella enteritidis: a new pandemic? Epidemiol Infect 1990; 105: 21–7.Google Scholar
8.Department of Health (Hong Kong). AIDS/HIV surveillance. Pub Hlth Epidemiol Bull 1994; 3: 8.Google Scholar
9.Hd, Isenberg, FD, Schoenknecht, von Graevenitz, A. In: Sj, Baron, ed. Cumitech 9. Washington, DC: American Society for Microbiology, 1979.Google Scholar
10.Hd, Isenberg, Ja, Washington II, GV, Doern, Amsterdam, D.. Specimen collection and handling. In: Balows, A., Wj, Hausler Jr, Kl, Herrmann, Hd, Isenberg, T, Shadomy H., eds. Manual of clinical microbiology, 5th edn.Washington, DC: American Society for Microbiology, 1991: 15–28.Google Scholar
11.Farmer, JJ III, Mt, Kelly. Enterobacteriaceae. In: A, Balows, Hausler, WJ Jr, Kl, Herrmann, HD, Isenberg, Hj, Shadomy, eds. Manual of clinical microbiology, 5th edn.Washington, DC: American Society for Microbiology 1991: 360–95.Google Scholar
12.Ct, Huang, Ch, Chan-Teoh. Salmonella serotypes isolated in Hong Kong. J Trop Med Hyg 1964; 67: 95–9.Google Scholar
13.Ling, J., Py, Chau, Rowe, B.. Salmonella serotypes and incidence of multiply-resistant salmonellae isolated from diarrhoeal patients in Hong Kong from 1973–82. Epidemiol Infect 1987; 99: 295–306.CrossRefGoogle Scholar
14.Centers for Disease Control. Salmonella bacteremia: reports to the Centers for Disease Control, 1968–1979. J Infect Dis 1981; 143: 743–6.CrossRefGoogle Scholar
15.Rc, Davis. Salmonella sepsis in infancy. Am J Dis Child 1981; 135: 1096–9.Google Scholar
16.Centers for Disease Control. Update: Salmonella enteritidis infections in the Northeastern United States. JAMA 1987; 257: 2408–9.CrossRefGoogle Scholar
17.Rampling, A. Salmonella enteritidis five years on. Lancet 1993; 342: 317–18.Google Scholar
18.Ad, Stubbs, Fw, Hickman-Brenner, Dn, Cameron, Jj, Farmer III. Differentiation of Salmonella enteritidis phage type 8 strains: evaluation of three additional phage typing systems, plasmid profiles, antibiotic susceptibility patterns, and biotyping. J Clin Microbiol 1994; 332: 199–201.Google Scholar
19.Public Health Laboratory Service. Salmonella in eggs. PHLS Microbiol Digest 1989; 6: 1–9.Google Scholar
20.Centers for Disease Control. Outbreaks of Salmonella enteritidis infection associated with consumption of raw shell eggs. JAMA 1992; 267: 3263–4.CrossRefGoogle Scholar
21.Stevens, A., Joseph, C., Bruce, J. et al. A large outbreak of Sahnonella enteritidis phage type 4 associated with eggs from overseas. Epidemiol Infect 1989; 103: 425–33.CrossRefGoogle Scholar
22.Aw, van de Giessen, Jb, Dufrenne, Ws, Ritmeester, Pata, Berkers, Wj, van Leeuwen, Shw, Notermans. The identifidation of Salmonella enterilidis-infected poultry flocks associated with an outbreak of human salmonellosis. Epidemiol Infect 1992; 109: 405–11.Google Scholar
23.Hyams, J, Wa, Durbin, Rj, Grand, DA, Goldmann. Salmonella bacteremia in the first year of life. J Pediatr 1980; 96: 57–9.CrossRefGoogle ScholarPubMed
24.Meadow, W., Schneider, H., Beem, M.. Salmonella enteritidis bacteremia in childhood. J Infect Dis 1985; 152: 185–9.CrossRefGoogle ScholarPubMed
25.Torrey, S., Fleisher, G., Jaffe, D.. Incidence of Salmonella bacteremia in infants with Salmonella gastroenteritis. J Pediatr 1986; 108: 718–21.CrossRefGoogle ScholarPubMed
26.Ej, Threlfall, Mlm, Hall, Rowe, B. Salmonella bacteremia in England and Wales, 1981–1990. J Clin Pathol 1992; 45: 34–6.Google Scholar