| Summary: | Neðst á síðunni er hægt að nálgast greinina í heild sinni með því að smella á hlekkinn View/Open In recent years there has been a significant increase in the number of Salmonella infections in Western countries. Salmonella enteritidis has been responsible for most of this increase in Britain and in North America, while other species of Salmonella have not increased. Most of the cases associated with this species have been associated with eggs and poultry. As an epidemiological survey for the whole of Iceland had never been conducted, we did not know where most of these infections originate. We conducted a retrospective survey that included all persons with culture confirmed Salmonella infections during the year 1988. All persons were contacted by telephone and asked questions relating to their infection. Hospital records of patients admitted to hospital were also investigated. There were 130 culture confirmed Salmonella infections, and complete information could be obtained from all but 5 (96%). Most of the infections were acquired in Spain 59 (45.4%) and in Iceland 24 (18.4%). The most prevalent species was S. enteritidis 67 (52%), which usually originated from Spain (67%) and was only once considered to be acquired in Iceland (4%). The species most commonly acquired in Iceland was S. typhimurium 8 (33.3%). The following were the major complications: cholecystitis 3; reactive arthritis 2 and possibly salpingitis 1. Carriage lasted on average 37 days (4-168 days). One hundred and fifteen had diarrhoea (88%) and 36 (28%) had to be admitted to hospital. Sixty two (48%) were unable to work for 1-210 days (median 21 days). The majority got infected in the period July to September (52%), however the infections acquired in Iceland did not appear to be seasonal. The low proportion of infections acquired in Iceland is interesting and the fact that only one case of S. enteritidis was considered a local infection is important. The majority of cases were tourists returning from holidays in warmer climates. The source of ...
|
|---|