Infekcja salmonellowa
Epidemiologia
Infekcja salmonellowa stanowi istotne wyzwanie zdrowia publicznego na całym świecie, z roczną częstością zachorowań sięgającą od 200 milionów do 1 miliarda przypadków, w tym około 93 milionów przypadków zapalenia żołądka i jelit oraz 155 000 zgonów. W USA notuje się około 1,35 miliona przypadków rocznie, co przekłada się na 26 500 hospitalizacji i 420 zgonów, przy rzeczywistej częstości zachorowań szacowanej na 520 przypadków na 100 000 mieszkańców. W Unii Europejskiej wskaźnik ten wynosi 14,2 na 100 000 mieszkańców (53 169 przypadków w 2020 roku). Zakażenia wykazują sezonowość, nasilając się latem, a główne źródła transmisji to produkty pochodzenia zwierzęcego, zwłaszcza drób (odpowiedzialny za ponad 23% przypadków), jaja, mięso oraz niepasteryzowane produkty mleczne. Grupy ryzyka obejmują niemowlęta, osoby starsze oraz immunosupresyjne. Nadzór epidemiologiczny prowadzony jest przez liczne systemy, takie jak FoodNet, NARMS czy RENAVE, jednak rzeczywista liczba zakażeń jest niedoszacowana ze względu na niską zgłaszalność i ograniczenia diagnostyczne.
Epidemiologia infekcji salmonellowej
Infekcja salmonellowa (salmonelloza) jest jedną z głównych chorób przenoszonych przez żywność zarówno w krajach rozwiniętych, jak i rozwijających się. Według Centrów Kontroli i Zapobiegania Chorobom (CDC), w Stanach Zjednoczonych corocznie występuje około 1,35 miliona przypadków infekcji salmonellowych, prowadzących do około 26 500 hospitalizacji i 420 zgonów12. Szacuje się jednak, że rzeczywista roczna liczba zachorowań wynosi około 520 przypadków na 100 000 mieszkańców, w porównaniu do 13,4 laboratoryjnie potwierdzonych przypadków na 100 000 rocznie3. Globalne dane wskazują na jeszcze większy zasięg problemu – od 200 milionów do 1 miliarda przypadków infekcji salmonellowych rocznie, z czego 93 miliony przypadków to zapalenie żołądka i jelit, skutkujące około 155 000 zgonów4.
Rozpowszechnienie geograficzne i trendy
Salmonella ma zasięg ogólnoświatowy i stanowi znaczne obciążenie zdrowotne w wielu regionach. W Unii Europejskiej salmonelloza jest drugą najczęściej zgłaszaną infekcją przewodu pokarmowego. W 2020 roku odnotowano 53 169 laboratoryjnie potwierdzonych przypadków, co daje wskaźnik 14,2 przypadków na 100 000 mieszkańców5. W Wielkiej Brytanii w 2022 roku liczba zgłoszonych przypadków wróciła do poziomu sprzed pandemii COVID-19, wzrastając z 5 033 przypadków w 2021 roku do 8 125 przypadków6.
W Kanadzie w latach 2009-2013 zgłaszano średnio 6 500 przypadków salmonellozy rocznie7. W Australii, w stanie Wiktoria, raportuje się około 2 000 przypadków rocznie8. W stanie Minnesota w USA odnotowuje się około 700-925 przypadków salmonellozy rocznie, choć rzeczywista liczba może być znacznie wyższa9.
Interesującym aspektem epidemiologii salmonellozy jest fakt, że rzeczywista liczba ekspozycji na bakterie Salmonella może być znacznie wyższa niż wykazują to oficjalne dane. Badania seroepidemiologiczne w Danii wskazują, że liczba ekspozycji w społeczeństwie mierzona odpowiedzią serologiczną może być od 160 do 570 razy wyższa niż liczba zgłoszonych przypadków potwierdzonych hodowlą1011.
Czynniki ryzyka i sezonowość
Infekcje Salmonella wykazują wyraźną sezonowość. Według CDC, zakażenia są częstsze w miesiącach letnich (czerwiec, lipiec i sierpień) niż zimą12. Cieplejsza pogoda i nieprawidłowo przechowywane produkty spożywcze tworzą idealne warunki dla namnażania się bakterii13.
Grupy szczególnie narażone na ciężki przebieg infekcji salmonellowej to:
- Niemowlęta i dzieci poniżej piątego roku życia1415
- Osoby starsze14
- Osoby z obniżoną odpornością14
- Niemowlęta karmione w niewłaściwy sposób15
Rozpowszechnienie salmonellozy jest największe wśród dzieci, jednak ogniska zachorowań są powszechne wśród osób przebywających w instytucjach i mieszkańców domów opieki16. W Wielkiej Brytanii grupa wiekowa z największą liczbą zgłoszonych przypadków to dzieci poniżej 10 roku życia6.
Źródła i drogi zakażenia
Transmisja Salmonella do ludzi najczęściej następuje poprzez tzw. kontinuum „od gospodarstwa do widelca” i jest zwykle związana ze spożyciem produktów pochodzenia zwierzęcego4. Główne źródła zakażeń salmonellowych obejmują:
- Drób i produkty drobiowe (największy udział)42
- Wołowinę, wieprzowinę i ryby4
- Jaja i produkty z jaj3
- Niepasteryzowane produkty mleczne4
- Owoce i warzywa2
Według szacunków Interagency Food Safety Analytics Collaboration, ponad 23% przypadków salmonellozy związanych z żywnością wynika ze spożycia kurczaka i indyka17. Przykładowo, w samym 2022 roku w USA ogniska zakażeń Salmonella spowodowały około 884 przypadków w 48 stanach między lutym a lipcem, które były głównie związane z drobiem i produktami drobiowymi4.
Zakażenie Salmonella może również wynikać z bezpośredniego kontaktu z zakażonymi zwierzętami lub pośredniego kontaktu poprzez ich środowisko3. Bakterie Salmonella mogą występować w jelitach zwierząt domowych i dzikich, w tym kur, bydła, świń, jeży, węży i jaszczurek18. Transmisja zakażeń salmonellowych może nastąpić zarówno przez bezpośredni kontakt w domu, szpitalu lub gospodarstwie, jak i poprzez kontakt pośredni, choć większość chorób związanych z Salmonella występujących corocznie na całym świecie ma charakter pokarmowy19.
Systemy nadzoru i monitorowania
Skuteczny nadzór nad zakażeniami Salmonella jest kluczowy dla wczesnego wykrywania ognisk chorób i zapobiegania ich rozprzestrzenianiu się20. CDC zbiera dane dotyczące nadzoru nad Salmonella poprzez bierny nadzór laboratoryjnie potwierdzonych izolowanych szczepów Salmonella w Stanach Zjednoczonych21.
Krajowe systemy nadzoru
W Stanach Zjednoczonych funkcjonuje kilka systemów nadzoru nad Salmonella:
- Foodborne Diseases Active Surveillance Network (FoodNet) – prowadzi aktywny nadzór populacyjny w 10 stanach USA dla wszystkich laboratoryjnie zdiagnozowanych infekcji wybranymi patogenami jelitowymi przenoszonymi najczęściej przez żywność22.
- Bacteria, Enterics, Amoeba, and Mycotics (BEAM) Dashboard – zawiera krajowe dane nadzoru dotyczące chorób i ognisk Salmonella zgłaszanych do wielu systemów nadzoru21.
- National Antimicrobial Resistance Monitoring System (NARMS) – pokazuje, jak oporność na środki przeciwdrobnoustrojowe zmieniała się od 1999 roku w przypadku Salmonella21.
- FoodNet Fast – dostarcza dane na temat wskaźników zakażeń Salmonella i praktyk diagnostycznych w obszarze nadzoru FoodNet21.
W Hiszpanii nadzór nad Salmonella prowadzi Hiszpańska Krajowa Sieć Nadzoru Epidemiologicznego (RENAVE), odpowiedzialna za nadzór i kontrolę chorób zakaźnych23. We Włoszech funkcjonuje Krajowy System Nadzoru Chorób Zakaźnych, a w Irlandii dane o salmonellozie są zbierane i analizowane przez Health Protection Surveillance Centre24.
Międzynarodowe inicjatywy nadzoru
Światowa Organizacja Zdrowia (WHO) wzmacnia potencjał krajowych i regionalnych laboratoriów w zakresie nadzoru nad patogenami przenoszonymi przez żywność, takimi jak Campylobacter i Salmonella. WHO promuje również zintegrowany nadzór nad opornością na środki przeciwdrobnoustrojowe patogenów w łańcuchu żywnościowym, zbierając próbki od ludzi, żywności i zwierząt oraz analizując dane w różnych sektorach20.
W Unii Europejskiej Europejski Urząd ds. Bezpieczeństwa Żywności (EFSA) i Europejskie Centrum Zapobiegania i Kontroli Chorób (ECDC) kompilują informacje na poziomie państw członkowskich, mimo istotnych różnic w systemach produkcji i nadzoru25. Raporty epidemiologiczne (Annual Epidemiological Reports – AERs) są kluczową publikacją ECDC na temat epidemiologii chorób zakaźnych o znaczeniu dla zdrowia publicznego w Europie5.
Inicjatywy takie jak PulseNet Latin America i Karaiby (PNLAC) zostały utworzone w celu wzmocnienia nadzoru laboratoryjnego i umożliwienia wczesnego wykrywania ognisk chorób w tych regionach26.
Wyzwania w nadzorze
Mimo rozbudowanych systemów nadzoru, rzeczywisty ciężar infekcji Salmonella jest trudny do oszacowania ze względu na niedostateczne zgłaszanie i niedostateczną diagnostykę10. Wrażliwość nadzoru laboratoryjnego nad Salmonella zależy od zachowań pacjentów z zapaleniem żołądka i jelit w poszukiwaniu opieki zdrowotnej oraz prawdopodobieństwa, że lekarz zleci posiew kału10.
Badania wskazują, że tylko 1 na 29 osób zakażonych Salmonella szuka pomocy medycznej i zostaje zdiagnozowanych27. W niektórych regionach jak Ameryka Środkowa i Karaiby, kluczowe wyzwania obejmują nieodpowiednie systemy nadzoru, ograniczone zasoby i niekonsekwentne praktyki raportowania28.
Istnieją również różnice krajowe w dojrzałości i złożoności sieci nadzoru laboratoryjnego, finansowaniu, zasobach ludzkich oraz znaczeniu infekcji przenoszonych przez żywność w porównaniu z innymi chorobami zakaźnymi26.
Ogniska zakażeń i rozprzestrzenianie się infekcji
Ogniska zakażeń Salmonella stanowią istotny problem dla zdrowia publicznego na całym świecie. W 2007 roku w USA 364 zakażenia Salmonella (5,4% wszystkich zgłoszonych przypadków) były związane z ogniskami salmonellozy, podobnie jak w poprzednich latach16.
Przykłady znaczących ognisk zakażeń
Największe pojedyncze ognisko choroby przenoszonej przez żywność w historii USA miało miejsce w 1985 roku, gdy skażone mleko w Illinois doprowadziło do zakażenia Salmonella setek tysięcy osób w całych Stanach Zjednoczonych i spowodowało co najmniej 12 zgonów. Laboratoria i szpitale w Illinois i pięciu innych stanach Środkowego Zachodu (Indiana, Iowa, Michigan, Minnesota i Wisconsin) zgłosiły ponad 16 100 przypadków podejrzenia zatrucia Salmonella29.
W Wielkiej Brytanii w 2022 roku zgłoszono 11 ognisk zakażeń Salmonella, obejmujących 591 przypadków (z czego 574 potwierdzono laboratoryjnie). Ogniska te były związane ze spożyciem różnych nośników pokarmowych, w tym: świeżych liści kolendry, mięsa kebab, kurczaka, ogórków, surowego mleka, produktów czekoladowych i produktów mięsnych30.
Ostatnie ogniska zachorowań na salmonellozę w Teksasie były związane z kiełkami lucerny, ogórkami, mango, kantalupami, masłami orzechowymi, surowym rozdrobnionym tuńczykiem i mielonym indykiem. Ogniska salmonellozy związane z kontaktem ze zwierzętami obejmowały małe żółwie, smoki brodate jako zwierzęta domowe oraz żywy drób (kurczęta, kury, kaczki, kaczuszki)31.
Czynniki wpływające na rozprzestrzenianie się zakażeń
Kontrolowanie ognisk patogenów przenoszonych przez żywność, takich jak Salmonella, może być trudne ze względu na szereg czynników, takich jak czynniki środowiskowe i wysokie ryzyko pośredniej transmisji poprzez spożycie żywności i wody skażonej Salmonella, które mogą pochodzić z dowolnego źródła32.
Zakażenie Salmonella stanowi istotne obawy dla zdrowia publicznego ze względu na skłonność do endemiczności, wysokie wskaźniki zachorowalności i śmiertelności oraz wyzwanie związane z wdrażaniem skutecznych i terminowych środków kontroli32.
Analiza trendów przestrzenno-czasowych w populacjach zwierząt gospodarskich i ludzi może pomóc w identyfikacji prawdopodobnych źródeł zakażenia i ukierunkowaniu wysiłków nadzoru na obszary o wyższej prewalencji lub gdzie występują określone szczepy23.
Oporność na antybiotyki wśród szczepów Salmonella
Oporność na środki przeciwdrobnoustrojowe jest globalnym problemem zdrowia publicznego, a Salmonella jest jednym z mikroorganizmów, w których pojawiły się niektóre oporne serotypy, wpływające na łańcuch żywnościowy20. Zakażenia Salmonella oporne na środki przeciwdrobnoustrojowe stają się coraz powszechniejsze1.
Trendy w oporności antybiotykowej
Badacze z Centrów Kontroli i Zapobiegania Chorobom oraz Departamentu Zdrowia stanu Minnesota zgłosili wzrost liczby zakażeń wywołanych przez szczep Salmonella oporny na wiele leków (MDR), powiązany ze świniami. Dane z pięciu krajowych systemów nadzoru wykazały, że w latach 2009-2018, 19 212 (4,3%) izolatów Salmonella z 37 stanów było typu 4, [5], 12:i:-. Czterdzieści dziewięć procent tych izolatów włączonych do nadzoru National Antimicrobial Resistance Monitoring Systems miało wzór oporności obejmujący ampicylinę, streptomycynę, sulphamethoxazol i tetracyklinę (ASSuT)3334.
W latach 2009-2013 do 2014-2018 częstość zakażeń 4, [5], 12:i:- wzrosła z 3,7% do 4,9% zgłoszonych zakażeń Salmonella, a odsetek 4, [5], 12:i:- z opornością ASSuT wzrósł z 1,1% do 2,6%34.
Wśród ognisk MDR 4, [5], 12:i:- zgłoszonych w latach 2009-2018, 63% było związanych ze spożyciem wieprzowiny lub kontaktem ze świniami35.
Implikacje dla zdrowia publicznego
Badania metaanalityczne wykazały, że w Azji Południowej w latach 2010-2013 do 2018-2021 odsetek ogólnej oporności na środki przeciwdrobnoustrojowe u Salmonella wzrósł z 53% do 77%. Oporność na chinolony, tetracyklinę, trimetoprim/sulfametoksazol i amoksycylinę była stosunkowo wyższa36.
Oporność Salmonella na tradycyjne leki pierwszego rzutu – chloramfenikol, ampicylinę i trimetoprim-sulfametoksazol – pojawia się od lat. W 2013 roku CLSI obniżyło progi wrażliwości dla cyprofloksacyny, aby uwzględnić gromadzące się dane kliniczne, mikrobiologiczne i farmakokinetyczno-farmakodynamiczne sugerujące, że rewizja była konieczna dla współczesnych inwazyjnych zakażeń Salmonella37.
W stanie Connecticut w USA zaobserwowano, że w latach 1996-2020 odsetek izolatów ze zmniejszoną wrażliwością na cyprofloksacynę (DSC) wzrósł znacząco z zera do 26,3%. Stwierdzono, że zakażenia wywołane przez Salmonella z DSC są istotnie związane z podróżami międzynarodowymi38.
Znaczenie ekonomiczne i społeczne infekcji salmonellowych
Obciążenie ekonomiczne spowodowane przez Salmonella zajmuje trzecie miejsce wśród listy rocznych kosztów chorób spowodowanych przez 14 patogenów przenoszonych przez żywność, z rocznym kosztem około 3,3 miliarda dolarów42.
W krajach o niskich i średnich dochodach choroba głównie dotyka ludzi z powodu braku czystej wody i odpowiednich warunków sanitarnych16. Dane pokazują, że około 70% przypadków chorób biegunkowych jest związanych ze spożyciem żywności skażonej patogennymi mikroorganizmami39.
Poprawa dostępu do wody i warunków sanitarnych, zmniejszenie zachorowań na malarię i niedożywienia oraz lepsze zarządzanie zakażeniami HIV powinny dodatkowo zapobiec przekształceniu się inwazyjnej choroby NTS w jeszcze większe zagrożenie dla globalnego zdrowia40.
Perspektywy i wyzwania na przyszłość
Mimo że dane z testów FSIS pokazują, że zanieczyszczenie drobiu bakteriami Salmonella spada, nie przełożyło się to na zmniejszenie liczby zachorowań u ludzi. Wskaźniki zachorowań u ludzi pozostają stagnacyjne przez ostatnie dwie dekady i nie zbliżyliśmy się do krajowego celu 25% redukcji zachorowań na Salmonella17.
Wszystkie te dane wskazują na potrzebę nowego podejścia do kontroli Salmonella w drobiu w sposób, który zmniejsza zachorowania ludzi na Salmonella17.
Istnieje krytyczna potrzeba opracowania nowych alternatywnych podejść antybiotykowych w celu kontrolowania zakażeń Salmonella u zwierząt i ludzi, w tym probiotyków, prebiotyków i bakteriofagów, peptydów przeciwdrobnoustrojowych, olejków eterycznych i szczepionek41.
Wczesne wykrywanie ognisk chorób mogłoby zatrzymać ich rozprzestrzenianie się i zapobiec pogorszeniu sytuacji. Zakłady produkcji żywności mogą utrzymać bezpieczne zaopatrzenie w żywność dzięki starannemu projektowaniu i monitorowaniu. Ponowne rozważenie ochrony konsumentów może pomóc regulatorom nadążyć za nowymi zagrożeniami ze strony nowych lub nieznanych patogenów42.
Przyszłe kierunki badań i nadzoru
Obecnie trwają badania nad alternatywnymi metodami nadzoru nad Salmonella. Badania w Indiach wykazały potencjał nadzoru nad ściekami w połączeniu z badaniami serologicznymi w celu monitorowania Salmonella Typhi, szczególnie w regionach o ograniczonych zasobach, gdzie konwencjonalne metody nadzoru mogą być trudne do wdrożenia4344.
Mobilizacja sieci nadzoru, zwłaszcza w Azji i Ameryce Łacińskiej, może dostarczyć brakujących danych dotyczących obciążenia inwazyjną chorobą Salmonella nietyfoidalną i ich odpowiednich profili wrażliwości na środki przeciwdrobnoustrojowe45.
Identyfikacja czynników ryzyka zakażenia Salmonella może być wykorzystana do poprawy skuteczności programów nadzoru. Na przykład badania wykazały, że lokalna gęstość farm jest ważnym czynnikiem ryzyka zakażenia farm kurcząt i kur niosek przez Salmonella Enteritidis i Typhimurium46.
Obecnie odpowiedni jest również czas na inwestowanie w ulepszony nadzór nad inwazyjną chorobą NTS. Ten ulepszony nadzór jest szczególnie ważny w Azji i Ameryce Łacińskiej i jest wymagany do oceny rzeczywistego stopnia choroby w tych miejscach40.
Kolejne rozdziały
Zapraszamy do dalszego czytania naszego leksykonu.
Wybierz kolejny rozdział z menu poniżej, aby otworzyć nową podstronę kompedium wiedzy i uzyskać szczegółowe informację o leku, substancji lub chorobie.
Materiały źródłowe
- #1 About Salmonella Infection | Salmonella Infection | CDChttps://www.cdc.gov/salmonella/about/index.html
CDC estimates Salmonella cause about 1.35 million infections in the United States every year. […] Salmonella are a leading cause of foodborne illness, hospitalizations, and deaths in the United States and worldwide. […] Salmonella cause more infections than you might suspect. […] Antimicrobial-resistant Salmonella infections are becoming more common. […] Salmonella bacteria (germs) are a leading cause of foodborne illness in the United States.
- #2 Salmonellosis: An Overview of Epidemiology, Pathogenesis, and Innovative Approaches to Mitigate the Antimicrobial Resistant Infectionshttps://www.mdpi.com/2079-6382/13/1/76
Salmonella is a major foodborne pathogen and a leading cause of gastroenteritis in humans and animals. Salmonella is highly pathogenic and encompasses more than 2600 characterized serovars. The transmission of Salmonella to humans occurs through the farm-to-fork continuum and is commonly linked to the consumption of animal-derived food products. Among these sources, poultry and poultry products are primary contributors, followed by beef, pork, fish, and non-animal-derived food such as fruits and vegetables. […] The Centers for Disease Control and Prevention (CDC) estimates that approximately 1.35 million people are infected with Salmonella, with about 420 deaths annually. The economic burden caused by Salmonella comes at the third position among a list of the annual cost of illness caused by 14 foodborne pathogens, with an annual cost of about $3.3 billion. Annually, around 200 million to 1 billion cases of Salmonella infections are recorded worldwide, with 93 million cases of gastroenteritis and 155,000 deaths; among them, approximately 85% of the cases are associated with the consumption of contaminated food.
- #3 Salmonella Infection (Salmonellosis): Background, Pathophysiology, Epidemiologyhttps://emedicine.medscape.com/article/785774-overview
Salmonella infection may result from direct contact with infected animals or indirect contact via their environment. […] Transmission of salmonellae to a susceptible host usually occurs via consumption of contaminated foods. The most common sources of salmonellae include beef, poultry, and eggs. By one estimate, consumption of eggshell fragments contaminated with S enteritidis was responsible for approximately 182,060 cases of enteritis in the United States in 2000. Improperly prepared fruits, vegetables, dairy products, and shellfish have also been implicated as sources of Salmonella. […] The incidence of Salmonella infections in the United States has been stable since 2004 but has decreased approximately 8% from 1996-1998 levels. […] The true annual burden of NTS infection in the United States is calculated to be 520 cases per 100,000 population, compared with 13.4 laboratory-confirmed cases per 100,000 population per year.
- #4 Salmonellosis: An Overview of Epidemiology, Pathogenesis, and Innovative Approaches to Mitigate the Antimicrobial Resistant Infectionshttps://pmc.ncbi.nlm.nih.gov/articles/PMC10812683/
Salmonella is a major foodborne pathogen and a leading cause of gastroenteritis in humans and animals. The transmission of Salmonella to humans occurs through the farm-to-fork continuum and is commonly linked to the consumption of animal-derived food products. Among these sources, poultry and poultry products are primary contributors, followed by beef, pork, fish, and non-animal-derived food such as fruits and vegetables. Effective infection management necessitates a comprehensive understanding of the pathogens epidemiology and transmission dynamics. Therefore, this comprehensive review focuses on the epidemiology, sources of infection, risk factors, transmission dynamics, and the host range of Salmonella serotypes. Annually, around 200 million to 1 billion cases of Salmonella infections are recorded worldwide, with 93 million cases of gastroenteritis and 155,000 deaths; among them, approximately 85% of the cases are associated with the consumption of contaminated food. Salmonella outbreaks in 2022 alone in the US caused about 884 cases across 48 states between February and July, which were mainly attributed to poultry and poultry products. The Centers for Disease Control and Prevention (CDC) estimates that approximately 1.35 million people are infected with Salmonella, with about 420 deaths annually. The economic burden caused by Salmonella comes at the third position among a list of the annual cost of illness caused by 14 foodborne pathogens, with an annual cost of about $3.3 billion.
- #5 Salmonellosis – Annual Epidemiological Report for 2020https://www.ecdc.europa.eu/en/publications-data/salmonellosis-annual-epidemiological-report-2020
Salmonellosis is the second most commonly reported gastrointestinal infection, and an important cause of food-borne outbreaks in the EU/EEA. In 2020, 53 169 laboratory-confirmed cases of salmonellosis were reported, out of which 61 were fatal. The EU/EEA notification rate was 14.2 cases per 100 000 population. Salmonellosis notification rates in the last five years, preceding the COVID-19 pandemic, have been stable. The number of cases in 2020 were significantly lower than previously reported numbers, primarily as a consequence of the pandemic. The reported case rate was highest in young children (04 years) with 76.3 cases per 100 000 population, ten times higher than in adults (2564 years). […] The Annual Epidemiological Reports (AERs) are a key ECDC publication on the epidemiology of communicable diseases of public health significance in Europe.
- #6https://www.gov.uk/government/publications/salmonella-national-laboratory-and-outbreak-data/non-typhoidal-salmonella-data-2013-to-2022
The main points of the 2022 report are: the number of reported Salmonella cases in England returned to pre-COVID-19 pandemic levels, increasing from 5,033 cases in 2021 to 8,125 cases in 2022 […] in 2022 Salmonella Enteritidis returned to being the most frequently reported serovar with laboratory reports increasing from 747 in 2021 to 2,044 in 2022 reports of Salmonella Typhimurium also increased from 1,219 to 1,731, with Salmonella Typhimurium the second most commonly reported serovar in 2022 […] the region that reported the highest number of Salmonella laboratory reports was London with 1,631 reports and was the region with the highest reporting rate with 18.4 reports per 100,000 population […] the age group with the highest number of laboratory reports was children below the age of 10
- #7 Surveillance of salmonellosis (Salmonella) – Canada.cahttps://www.canada.ca/en/public-health/services/diseases/salmonellosis-salmonella/surveillance.html
Between 2009 and 2013, an average of 6,500 cases of salmonellosis were reported annually in Canada. […] Salmonellosis is a nationally notifiable disease in all provinces and territories. […] Canada uses different surveillance systems to monitor cases of food-borne illness. These include: the National Enteric Surveillance Program (NESP), FoodNet Canada, and the Canadian Notifiable Disease Surveillance System.
- #8 Salmonellosishttps://www.health.vic.gov.au/infectious-diseases/salmonellosis
Salmonellosis is a routine notifiable condition and must be notified by medical practitioners and pathology services in writing within 5 days of diagnosis. […] Laboratories are required to notify Salmonella spp. isolated from food or detected in drinking water. […] Salmonella infection occurs worldwide, and only a small proportion of cases are detected and reported. The incidence of infection is highest in infants and young children. Mortality is low, but may be greater in the elderly and immunocompromised people. […] Approximately 2,000 cases of salmonellosis are reported in Victoria each year. The most common serovar is S. typhimurium. The majority of cases are sporadic, but outbreaks in institutions and childcare centres, and associated with retail food premises are not uncommon. The emergence of strains resistant to single or multiple antibiotics is of increasing concern worldwide.
- #9 Causes and Symptoms of Salmonellosis – MN Dept. of Healthhttps://www.health.state.mn.us/diseases/salmonellosis/basics.html
Every year, approximately 40,000 cases of salmonellosis are reported in the United States. […] Because many milder cases are not diagnosed or reported, the actual number of infections may be thirty or more times greater. […] Approximately 700 to 925 cases of salmonellosis are reported each year in Minnesota. […] Salmonella infections usually resolve in 5-7 days.
- #10 Sero-epidemiology as a tool to study the incidence of Salmonella infections in humanshttps://pmc.ncbi.nlm.nih.gov/articles/PMC2870874/
Although most foodborne infections are undiagnosed, the incidence of these infections is usually calculated from reported cases. We present a novel population-based method to estimate the incidence of non-typhoid Salmonella infections. […] Infections with non-typhoid Salmonella enterica continue to be an important cause of morbidity in industrialized countries. […] The true incidence and disease burden of Salmonella exposures as well as other foodborne bacteria cannot be estimated from the numbers of reported cases because of underreporting and underdiagnosis. […] The sensitivity of laboratory-based Salmonella surveillance depends on the health-care-seeking behaviour of patients with gastroenteritis and the likelihood that the consulting physician will request a stool culture. […] The figures from the official reporting systems do not measure the burden of illness.
- #11 Sero-epidemiology as a tool to study the incidence of Salmonella infections in humanshttps://pmc.ncbi.nlm.nih.gov/articles/PMC2870874/
The present study indicates that during 1999 as many as one in five Danes may have been exposed to a sufficient level to give rise to a measurable seroresponse. […] The trend in Salmonella surveillance that we have witnessed over the past 20 years was reproducible, but the number of exposures in the community as measured by a seroresponse may be between 160 and 570 times higher than the reported culture-confirmed cases. […] The purpose of the present study was to explore a similar use of serology to measure the incidence of S. Enteritidis seroresponses in human populations. […] The present study was a first attempt to explore a novel approach in the surveillance of Salmonella and potentially measure its contribution to foodborne infections in human populations.
- #12 Salmonellosis: An Overview of Epidemiology, Pathogenesis, and Innovative Approaches to Mitigate the Antimicrobial Resistant Infectionshttps://www.mdpi.com/2079-6382/13/1/76
Salmonella outbreaks in 2022 alone in the US caused about 884 cases across 48 states between February and July, which were mainly attributed to poultry and poultry products. […] The transmission of Salmonella infections can occur through direct or indirect contact at home, hospital, or farm settings; however, most of the Salmonella-related illnesses that occur globally each year are foodborne. The transmission of Salmonella may occur by direct contact through direct consumption of fecal-contaminated food or water. […] Risk factors for a particular pathogen vary depending on the environmental stress the host and the pathogen endure. According to the CDC, infections with Salmonella are more prevalent during the summer (June, July, and August) than in the winter. Moreover, poorly breastfed infants, young children normally under the age of five years, elderly, and immunocompromised individuals are the most vulnerable to severe Salmonella infections. […] The transmission of Salmonella serotypes often varies significantly between human and animal populations in the same geographical region. Various Salmonella serotypes exhibit differing potentials for causing human disease. […] The transmission cycle of Salmonella is shown in Figure 1.
- #13 Salmonellosis – Disease Surveillance Epidemiology Program – MeCDC; DHHS Mainehttps://www.maine.gov/dhhs/mecdc/infectious-disease/epi/disease/salmonellosis.shtml
Salmonellosis is an illness caused by Salmonella bacteria. People typically get salmonellosis from eating or drinking contaminated food or water. Salmonellosis can also be transmitted from animals to humans by touching infected animals, their feces, or their environment. […] A health care provider diagnoses salmonellosis through a laboratory test for Salmonella bacteria in a person’s stool, body tissue, or fluids. […] You can get a Salmonella infection from a variety of foods. Salmonella bacteria can be found in many foods, including sprouts and other vegetables, eggs, chicken, pork, fruits, and processed foods. […] Salmonella can spread from animals to people and from people to people. Always wash your hands after contact with animals, after using the bathroom, or helping someone with diarrhea. […] Salmonella illness is more common in the summer. Warmer weather and unrefrigerated foods create ideal conditions for bacteria to grow. […] Salmonella Estimates, Incidence, Trends, Risk Factors.
- #14 Salmonellosis: An Overview of Epidemiology, Pathogenesis, and Innovative Approaches to Mitigate the Antimicrobial Resistant Infectionshttps://pmc.ncbi.nlm.nih.gov/articles/PMC10812683/
Risk factors for a particular pathogen vary depending on the environmental stress the host and the pathogen endure. According to the CDC, infections with Salmonella are more prevalent during the summer (June, July, and August) than in the winter. Moreover, poorly breastfed infants, young children normally under the age of five years, elderly, and immunocompromised individuals are the most vulnerable to severe Salmonella infections. The development of clinical symptoms between animals can vary depending on various factors, including animal species, age groups, and geographical area. The risk factors for animal infections include stress, co-infection with another pathogen, and contaminated food. […] Salmonella infections are prevalent among various animals, encompassing both domesticated and wild species. This bacterium typically affects the host gastrointestinal tracts, often without readily apparent symptoms of illness. Salmonella can present itself at both clinical (symptomatic) and sub-clinical (asymptomatic) levels. Non-typhoidal Salmonella affects approximately 93.8 million people and causes 160,000 fatalities globally each year. According to the current surveillance report in the US on NTS infections in humans, most of the isolated serovars are S. Enteritidis, S. Typhimurium, and S. Newport, while S. enteritidis are the most common serotype recovered from clinical samples in Asia, Europe, and Latin America.
- #15 Salmonellosis: An Overview of Epidemiology, Pathogenesis, and Innovative Approaches to Mitigate the Antimicrobial Resistant Infectionshttps://www.mdpi.com/2079-6382/13/1/76
Salmonella outbreaks in 2022 alone in the US caused about 884 cases across 48 states between February and July, which were mainly attributed to poultry and poultry products. […] The transmission of Salmonella infections can occur through direct or indirect contact at home, hospital, or farm settings; however, most of the Salmonella-related illnesses that occur globally each year are foodborne. The transmission of Salmonella may occur by direct contact through direct consumption of fecal-contaminated food or water. […] Risk factors for a particular pathogen vary depending on the environmental stress the host and the pathogen endure. According to the CDC, infections with Salmonella are more prevalent during the summer (June, July, and August) than in the winter. Moreover, poorly breastfed infants, young children normally under the age of five years, elderly, and immunocompromised individuals are the most vulnerable to severe Salmonella infections. […] The transmission of Salmonella serotypes often varies significantly between human and animal populations in the same geographical region. Various Salmonella serotypes exhibit differing potentials for causing human disease. […] The transmission cycle of Salmonella is shown in Figure 1.
- #16 Salmonella Infection (Salmonellosis): Background, Pathophysiology, Epidemiologyhttps://emedicine.medscape.com/article/785774-overview
In 2007, 364 Salmonella infections (5.4% of the overall reported cases) were associated with salmonellosis outbreaks, similar to the proportion in previous years. […] Although the prevalence of Salmonella infections is highest in children, salmonellosis outbreaks are common among individuals who are institutionalized and residents of nursing homes. […] The incidence of salmonellosis has markedly increased in many countries; however, a paucity of good surveillance data exists. […] In 2000, approximately 21.6 million worldwide cases of typhoid fever caused 216,500 deaths. […] In developed countries, the disease mainly affects people who travel to endemic areas located in low- and middle-income destinations. Low- and middle-income countries mainly are affected owing to a lack of clean water and proper sanitation.
- #17 Salmonella By the Numbers | Food Safety and Inspection Servicehttp://www.fsis.usda.gov/inspection/inspection-programs/inspection-poultry-products/reducing-salmonella-poultry/salmonella
The Centers for Disease Control and Prevention estimates that Salmonella is responsible for 1.35 million infections, 26,500 hospitalizations, and 420 deaths in the United States every year. Food is the source of most of these illnesses, and the Interagency Food Safety Analytics Collaboration estimates that over 23% of foodborne Salmonella illnesses are due to eating chicken and turkey. […] FSIS testing data show that Salmonella contamination on poultry has been going down, but this has not translated into a reduction in human illnesses. Rates of human illness have remained stagnant over the last two decades, and we have not moved any closer to the national goal of a 25% reduction in Salmonella illnesses. […] All of this data points toward the need for a new approach to controlling Salmonella in poultry in a way that reduces human Salmonella illnesses.
- #18https://www.gov.uk/government/collections/salmonella-guidance-data-and-analysis
There are more than 2,500 strains of salmonella bacteria. These live in the guts of domestic and wild animals including, chicken, cattle, pigs, hedgehogs, snakes and lizards. […] Salmonella causes food poisoning. Foods such as eggs, chicken, pork and dairy produce can carry salmonellas. […] Foodborne outbreaks are reported on the Public Health England electronic foodborne and non-foodborne gastrointestinal outbreak surveillance system (eFOSS). […] Salmonella: national laboratory and outbreak data […] Salmonella: national laboratory data […] Amended the epidemiology section.
- #19 Salmonellosis: An Overview of Epidemiology, Pathogenesis, and Innovative Approaches to Mitigate the Antimicrobial Resistant Infectionshttps://pmc.ncbi.nlm.nih.gov/articles/PMC10812683/
The transmission of Salmonella serotypes often varies significantly between human and animal populations in the same geographical region. Various Salmonella serotypes exhibit differing potentials for causing human disease. However, the transmission of Salmonella infections can occur through direct or indirect contact at home, hospital, or farm settings; however, most of the Salmonella-related illnesses that occur globally each year are foodborne. The transmission of Salmonella may occur by direct contact through direct consumption of fecal-contaminated food or water. The introduction of the pathogen relies upon the thickness and permeability of an eggshell, where the reptiles eggshell is more thinner and permeable than avians, whereas indirect transmission occurs when the bacteria are transmitted through intermediate objects such as contaminated utensils and live or inanimate vectors.
- #20https://www.who.int/news-room/fact-sheets/detail/salmonella-(non-typhoidal)
Salmonella is 1 of 4 key global causes of diarrhoeal diseases. […] Antimicrobial resistance is a global public health concern and Salmonella is one of the microorganisms in which some resistant serotypes have emerged, affecting the food chain. […] National and regional surveillance systems on foodborne diseases are important means to know and follow the situation of these diseases and also to detect and respond to salmonellosis and other enteric infections in early stages, and thus to prevent them from further spreading. […] WHO is strengthening the capacities of national and regional laboratories in the surveillance of foodborne pathogens, such as Campylobacter and Salmonella. […] WHO is also promoting the integrated surveillance of antimicrobial resistance of pathogens in the food chain, collecting samples from humans, food and animals and analysing data across the sectors.
- #21 Salmonella Surveillance | Salmonella Infection | CDChttps://www.cdc.gov/salmonella/php/surveillance/index.html
CDC collects national Salmonella surveillance data through passive surveillance of laboratory-confirmed human Salmonella isolates in the United States. […] CDC has several other surveillance systems for obtaining information about Salmonella. The systems serve different purposes and provide information on various features of the organism’s epidemiology. […] Bacteria, Enterics, Amoeba, and Mycotics (BEAM) Dashboard includes national surveillance data on Salmonella illnesses and outbreaks reported to multiple surveillance systems. […] FoodNet Fast provides data on rates of Salmonella infection and diagnostic testing practices in FoodNet’s surveillance area. […] NARMS Now shows how antimicrobial resistance has changed since 1999 for Salmonella.
- #22 Reduce infections caused by Salmonella â Data Methodology and Measurement – Healthy People 2030 | odphp.health.govhttps://health.gov/healthypeople/objectives-and-data/browse-objectives/foodborne-illness/reduce-infections-caused-salmonella-fs-04/data-methodology
Data Source: Foodborne Diseases Active Surveillance Network (FoodNet), CDC/NCEZID. […] Baseline: 15.3 laboratory-diagnosed, domestically-acquired Salmonella infections per 100,000 population occurred on average annually in 2016-18. […] Target: 11.5 per 100,000. […] FoodNet conducts active population-based surveillance in 10 U.S. states for all laboratory-diagnosed infections with select enteric pathogens transmitted commonly through food. […] This objective differs from Healthy People 2020 objective FS-1.4 in that objective FS-1.4 tracked the number of culture-confirmed cases of Salmonella infections, while this objective tracks domestically acquired Salmonella infections, both culture-confirmed and those identified through culture-independent diagnostic tests (CIDTs).
- #23 Salmonella Surveillance Systems in Swine and Humans in Spain: A Reviewhttps://www.mdpi.com/2306-7381/6/1/20
Analysis of spatio-temporal trends in livestock and humans could help to identify likely sources of infection and to target surveillance efforts in areas with higher prevalence or where specific strains are found. […] The Spanish National Epidemiological Surveillance Network (RENAVE) is responsible for the surveillance and control of infectious diseases in Spain. […] The Notifiable Diseases regional data is merged at ISCIII where the National Database is maintained. […] AECOSAN compiles and publishes the analysis results of Salmonella alerts in food through SCIRI, and then disseminates the results with an annual report available online. […] The outbreaks dataset maintained by ISCIII contains further information about the outbreak including food item/s investigated. […] In 2014, 13 of the 19 Spanish regions (55.5% of the overall population in the country) reported salmonellosis cases (7,295 in total).
- #24 Publications – Health Protection Surveillance Centrehttps://www.hpsc.ie/a-z/gastroenteric/salmonellosis/publications/
Monophasic Salmonella Typhimurium outbreak in Ireland, January to April 2022 – Epi Insight, Volume 23, Issue 5, July 2022 […] Outbreak of Salmonellosis in North Dublin – Epi-Insight, Volume 18, Issue 6, June 2017 […] Monophasic Salmonella Typhimurium U323 Outbreak – Epi-Insight, Volume 13, Issue 11, November 2012 […] Four Irish cases associated with international outbreak of Salmonella Newport – Epi-Insight, Volume 13, Issue 3, March 2012 […] Two human cases of Salmonella typhimurium DT104 linked with raw milk consumption – Epi-Insight, Volume 12, Issue 5, May 2011 […] Two new cases linked with nationwide 'duck egg’ outbreak of Salmonella Typhimurium DT8 – Epi-Insight, Volume 12, Issue 4, April 2011 […] Salmonella rates high in infants – Epi-Insight, Volume 12, Issue 1, January 2011
- #25 Salmonella Surveillance Systems in Swine and Humans in Spain: A Reviewhttps://www.mdpi.com/2306-7381/6/1/20
Non-typhoid salmonellosis is a common and problematic foodborne zoonotic disease in which pork and pork products can be an important potential source of infection. […] In the European Union, European Food Safety Agency (EFSA) and European Center for Disease Control (ECDC) compile information at the member-state level, even though important differences in production systems and surveillance systems exist. […] Despite the extensive information generated through the surveillance activities, source attribution can be only routinely performed through ad-hoc outbreak investigations, and national reports on human outbreaks do not provide sufficiently detailed information to gain a better understanding of the epidemiology of the pathogen. […] Human and animal monitoring of Salmonella would benefit from a better exchange of information and collaboration.
- #26 Regional foodborne disease findings prompt calls for action | Food Safety NewsLexBlog Logohttps://www.foodsafetynews.com/2025/05/regional-foodborne-disease-findings-prompt-calls-for-action/
Salmonella has been detected in various foods in Guatemala, Trinidad and Tobago, and the Dominican Republic. […] Efforts to enhance foodborne disease surveillance have included initiatives such as PulseNet Latin America and the Caribbean (PNLAC), established to strengthen lab-based surveillance and enable the early detection of outbreaks. […] There are national differences in the maturity and complexity of lab surveillance networks, funding, human resources, and the importance of foodborne infections compared to other infectious diseases.
- #27 Whatâs Newhttps://www.cdph.ca.gov/Programs/CID/DCDC/Pages/Salmonellosis.aspx
About 5,000 salmonellosis cases are reported each year in California. However, it is estimated that only 1 of every 29 people who are infected with Salmonella seek medical care and are diagnosed with salmonellosis. So in California, there may be as many as 145,000 people getting salmonellosis every year! […] When two or more people get sick with the same strain of Salmonella after eating the same food, this is called a foodborne outbreak of salmonellosis. Foodborne outbreaks of salmonellosis have been linked to foods that are widely distributed in the U.S., such as chicken, eggs, ground beef, tomatoes, peanut butter, and cantaloupes. […] The California Department of Public Health (CDPH) and local health departments monitor salmonellosis in California because it is a disease that can be easily spread to other people. Food that is contaminated with Salmonella can be widely distributed and cause illness throughout California and nationwide. CDPH and local health departments monitor for outbreaks and investigate them to find a common source and take measures to prevent ongoing infections.
- #28 Regional foodborne disease findings prompt calls for action | Food Safety NewsLexBlog Logohttps://www.foodsafetynews.com/2025/05/regional-foodborne-disease-findings-prompt-calls-for-action/
Researchers have highlighted the significant burden of foodborne infections in Central America and the Caribbean and called for more attention on the issue in the region. […] According to the study published in the journal Microbiology Research, key challenges include inadequate surveillance systems, limited resources and inconsistent reporting practices. […] Researchers said knowledge of the incidence and strategies for the surveillance and detection of bacterial foodborne diseases in the region is crucial for managing and preventing outbreaks. […] Main problem pathogens Salmonella stood out as the most prevalent agent, primarily linked to consumption of undercooked poultry and raw eggs, followed by enteropathogenic E. coli, frequently detected in vegetables irrigated with contaminated water and unpasteurized dairy products.
- #29 40 Years Later, Revisiting the Worst Salmonella Outbreak in U.S. History | Food Manufacturinghttps://www.foodmanufacturing.com/safety/news/22940573/40-years-later-revisiting-the-worst-salmonella-outbreak-in-us-history
In 1985, contaminated milk in Illinois led to a Salmonella outbreak that infected hundreds of thousands of people across the United States and caused at least 12 deaths. At the time, it was the largest single outbreak of foodborne illness in the U.S. and remains the worst outbreak of Salmonella food poisoning in American history. […] Overall, labs and hospitals in Illinois and five other Midwest states Indiana, Iowa, Michigan, Minnesota and Wisconsin reported over 16,100 cases of suspected Salmonella poisoning to health officials. […] For one, disease surveillance is indispensable to preventing outbreaks, both then and now. People remain vulnerable to ubiquitous microorganisms such as Salmonella and E. coli, and early detection of an outbreak could stop it from spreading and getting worse.
- #30https://www.gov.uk/government/publications/salmonella-national-laboratory-and-outbreak-data/non-typhoidal-salmonella-data-2013-to-2022
August was the peak month for Salmonella reporting in 2022 […] Overall in 2022 the number of Salmonella laboratory reports were similar to that seen in previous years (excluding 2020 and 2021 data from these years should be interpreted with caution given the impact of the COVID-19 pandemic on national surveillance) […] Similar to 2019, the highest number of laboratory-confirmed cases were in London. In 2022, August was the peak month for reported cases of Salmonella, whereas the peak reporting month based upon the 5-year median from 2015 to 2019 was September […] Eleven outbreaks of Salmonella were reported to national surveillance in 2022, comprising 591 cases (574 of whom were laboratory-confirmed) […] These outbreaks were associated with the consumption of multiple different food vehicles, including: fresh coriander leaves, kebab meat, chicken, cucumbers, raw drinking milk, chocolate products, meat products.
- #31 Salmonellosis (Salmonella Infection) | Texas DSHShttps://www.dshs.texas.gov/foodborne-illness/salmonellosis-salmonella-infection
Salmonellosis is an illness caused by Salmonella bacteria. There are many different species of Salmonella bacteria which can infect both humans and animals. […] Salmonellosis is spread by eating contaminated foods, drinking contaminated water, or having hand-to-mouth contact with the stool (feces) of an infected person or animal. […] Over the last five years, 2015-2019, the average number of cases of salmonellosis reported in Texas has been 5,640 cases per year (ranging from 5,113 to 5,901). Recent foodborne outbreaks of salmonellosis, involving cases in Texas, have been associated with alfalfa sprouts, cucumbers, mangoes, cantaloupes, nut butters, raw scraped ground tuna product, and ground turkey. Recent outbreaks of salmonellosis associated with animal contact include small turtles, pet bearded dragons, and live poultry (chicks, chickens, ducks, ducklings).
- #32 Salmonellosis: An Overview of Epidemiology, Pathogenesis, and Innovative Approaches to Mitigate the Antimicrobial Resistant Infectionshttps://pmc.ncbi.nlm.nih.gov/articles/PMC10812683/
Currently, the advancement of science and technology and globalization have made international trade and travel easily accessible to the general population. However, it has increased the risk of the rapid spread of infectious diseases throughout the world. Controlling an outbreak of foodborne pathogens such as Salmonella can be challenging due to several factors, such as environmental factors and the high risk of indirect transmission through the consumption of Salmonella-contaminated food and water, which may originate from any source. Salmonella infection presents significant public health concerns due to its propensity for endemicity, high rates of morbidity and mortality, and the challenge of implementing effective and timely control measures. […] Salmonella is classified as one of the category B pathogens with moderate morbidity and low death rates. The severity of the infection in humans varies depending on the serotype of the bacteria and the immune status of the host, with the infection classified into typhoidal and non-typhoidal types. Non-typhoidal Salmonella infections are often associated with acute onset of diarrhea, abdominal cramps, and fever. It is usually self-limiting, resolving between 1 and 7 days without treatment, depending on the host status. However, about 5% of people, including immune-compromised patients, infants, and older adults, may develop bacteremia or invasive infections such as meningitis, osteomyelitis, endovascular infections, and septic arthritis.
- #33 Surveillance data show multidrug-resistant Salmonella infections rising in US | CIDRAPhttps://www.cidrap.umn.edu/antimicrobial-stewardship/surveillance-data-show-multidrug-resistant-salmonella-infections-rising
Researchers with the Centers for Disease Control and Prevention and the Minnesota Department of Health late last week reported an increase in infections caused by a multidrug-resistant (MDR) strain of Salmonella linked to pigs. […] In a study published in Emerging Infectious Diseases, the researchers looked at data from five national surveillance systems to describe the epidemiology, antimicrobial resistance, and molecular genetics of infections caused by Salmonella enterica I serotype 4, [5], 12:i:-, which is the fifth most commonly reported illness-causing Salmonella serotype in the country. […] Infections caused by this strain have been rising since the 1990s, and recent years have seen the emergence of isolates in this strain with resistance to ampicillin, streptomycin, sulphamethoxazole, and tetracycline (ASSuT).
- #34 Surveillance data show multidrug-resistant Salmonella infections rising in US | CIDRAPhttps://www.cidrap.umn.edu/antimicrobial-stewardship/surveillance-data-show-multidrug-resistant-salmonella-infections-rising
Among Salmonella isolates reported to the Laboratory-based Enteric Disease Surveillance System from 2009 to 2018, 19,212 (4.3%) from 37 states were 4, [5], 12:i:-. […] Forty-nine percent of the 4, [5], 12:i:- isolates included in National Antimicrobial Resistance Monitoring Systems surveillance had a resistance pattern that included ASSuT, and 35% had only ASSuT resistance. […] From 2009-2013 to 2014-2018, the frequency of 4, [5], 12:i:- infections rose from 3.7% to 4.9% of reported Salmonella infections, and the percentage of 4, [5], 12:i:- with ASSuT resistance rose from 1.1% to 2.6%. […] Among isolates sequenced by PulseNet from 2015 to 2018, 69% were in the same MDR phylogenetic clade, and 77% of the isolates within that clade had genetic determinants of ASSuT resistance, while 16% had genetic determinants of decreased susceptibility to ciprofloxacin, ceftriaxone, or azithromycin.
- #35 Surveillance data show multidrug-resistant Salmonella infections rising in US | CIDRAPhttps://www.cidrap.umn.edu/antimicrobial-stewardship/surveillance-data-show-multidrug-resistant-salmonella-infections-rising
Among MDR 4, [5], 12:i:- outbreaks reported from 2009 to 2018, 63% were associated with pork consumption or contact with swine. […] „Our findings indicate that 4,[5],12:i:- infections have increased in the United States because of an MDR clade that has expanded since 2010,” the study authors wrote. […] „Illness is likely to have resulted from transmission from swine that carry it.”
- #36https://link.springer.com/article/10.1007/s44197-023-00160-x
South Asia is at high risk in terms of the emergence and spread of antimicrobial resistance. Despite the increasing knowledge of the prevalence of Salmonella and its AMR profile which is mostly reported by individual and local surveillance study(s), comprehensive and robust study of the prevalence and AMR pattern in South Asia is poorly characterized. […] The pooled prevalence of Salmonella was 14.47% (95% CI: 10.1720.19) in South Asia. The pooled prevalence of Salmonella among human samples was 5.81% (95% CI: 3.1710.40). The prevalence of Salmonella in humans was lower than in animals (22.66%, 95% CI: 15.4132.03) and in the environment (27.81%, 95% CI: 12.0152.07). The prevalence of overall antimicrobial resistance Salmonella was increased from 20102013 to 20182021 as 5377%. Resistance to quinolones, tetracycline, trimethoprim/sulfamethoxazole, and amoxicillin was comparatively higher. This study indicates that the prevalence of AMR Salmonella is increasing with time in South Asia, and there are multiple potential reasons for this. Therefore, proper use of antimicrobials, regular surveillance of AMR, implementing antibiotic stewardship, and policy making, and implementation is necessary for controlling the spread of antibiotic resistant bacteria.
- #37 Invasive Salmonella infections: epidemiology, clinical presentation, laboratory diagnosis, antimicrobial resistance, and antimicrobial management – Take on Typhoidhttps://www.coalitionagainsttyphoid.org/publications/invasive-salmonella-infections-epidemiology-clinical-presentation-laboratory-diagnosis-antimicrobial-resistance-and-antimicrobial-management/
Salmonella enterica infections are common causes of bloodstream infection in low-resource areas, where they may be difficult to distinguish from other febrile illnesses and may be associated with a high case fatality ratio. […] Antimicrobial resistance has emerged in Salmonella enterica, initially to the traditional first-line drugs chloramphenicol, ampicillin, and trimethoprim-sulfamethoxazole. […] In 2013, CLSI lowered the ciprofloxacin susceptibility breakpoints to account for accumulating clinical, microbiologic, and pharmacokinetic-pharmacodynamic data suggesting that revision was needed for contemporary invasive Salmonella infections. […] Newly established CLSI guidelines for azithromycin and Salmonella enterica serovar Typhi were published in CLSI document M100 in 2015.
- #38 Pg 1 March 2023https://portal.ct.gov/DPH/Epidemiology-and-Emerging-Infections/CTEPI/Volumes/43/No-2-2023/Pg-1-March-2023
Nontyphoidal Salmonella infections in CT Decreasing antibiotic susceptibility and increasing antibiotic use. The Centers for Disease Control and Prevention (CDC) has designated drug-resistant nontyphoidal Salmonella as a serious public health threat in their Antibiotic Resistance Threats in the United States, 2019 report based on data from the National Antimicrobial Resistance Monitoring System for Enteric Bacteria (NARMS). Since 1995, Connecticut has participated in the Foodborne Diseases Active Surveillance Network (FoodNet), a collaborative effort between CDC, 10 Emerging Infections Program (EIP) sites, the US Department of Agriculture (USDA), and the Food and Drug Administration (FDA), to monitor the burden of enteric diseases, including salmonellosis. This has provided an opportunity to better understand severity of illness, potential exposures before infection, and history of antibiotic use. Treatment of nontyphoidal Salmonella infection with antibiotics is generally not recommended but may be recommended for case-patients who experience severe illness, are at least 65 years of age, or are immunocompromised. Using both Connecticut NARMS and FoodNet case interview data, we evaluated trends in ciprofloxacin susceptibility among nontyphoidal Salmonella isolates and antibiotic use among salmonellosis case-patients. Between 1996-2020, the proportion of isolates with DSC increased significantly from zero to 26.3%. Infections caused by Salmonella with DSC were found to be significantly associated with international travel. Connecticut FoodNet data from 2018-2021 were used to identify the proportion of salmonellosis case-patients that reported using antibiotics to treat their infection. Across all four years, the proportion treated with antibiotics was 50.4%, increasing from 47.2% in 2018 to 56.0% in 2021. Connecticut has seen a rise in levels of DSC among nontyphoidal Salmonella infections, increasing beyond the 2017 national level of 8%. Healthcare providers should evaluate the need for antibiotics when caring for patients with nontyphoidal Salmonella infection, as treatment may not be recommended for all patients. […] Further recommendations can be found in the 2017 Infectious Diseases Society of America Clinical Practice Guidelines for the Diagnosis and Management of Infectious Diarrhea.
- #39https://scite.ai/reports/10.1017/s0950268802006842
Data shows that an estimated 70% of cases of diarrheal diseases are associated with the consumption of foods contaminated with pathogenic microorganisms. […] Therefore, there needs health education, frequent monitory and evaluation system of microbiological and antimicrobial surveillance so as to plan intervention strategies for at risk population in the area of water sanitation and hygienic food handling practice to minimize the burden posed by the diseases Salmonellosis and Shigellosis. […] Poultry and egg products have long been recognized as an important Salmonella source in fact, contaminated poultry, eggs and dairy products are probably the most common cause of human Salmonellosis worldwide. […] In this preliminary study the prevalence of Salmonella spp. contamination of broiler carcasses, were determined. […] The presence of Salmonella spp in collected samples was assessed by performing the pre-enrichment and enrichment culture, followed by PCR assay.
- #40https://journals.lww.com/co-infectiousdiseases/fulltext/2017/10000/current_perspectives_on_invasive_nontyphoidal.9.aspx
Improvement in water and sanitation, a reduction in malaria incidences and malnutrition and improved management of HIV infections should additionally prevent iNTS disease from becoming an even bigger global health threat. […] Now is also a prime time to invest in enhanced iNTS disease surveillance. This enhanced surveillance is particularly important in Asia and Latin America, and is required to assess the actual extent of disease in these locations.
- #41 Salmonellosis: An Overview of Epidemiology, Pathogenesis, and Innovative Approaches to Mitigate the Antimicrobial Resistant Infectionshttps://pmc.ncbi.nlm.nih.gov/articles/PMC10812683/
Therefore, there is a critical need for developing novel antibiotic alternative approaches to control Salmonella infections in animals and humans, including probiotics, prebiotics and bacteriophage, antimicrobial peptides, essential oils, and vaccines. In this review, we discuss the epidemiology of salmonellosis with emphasis on transmission dynamics, host spectrum, clinical signs, the most recent outbreaks, and pathogenesis. We also provide insights on the current antibiotic treatment and emphasize the novel antibiotic alternatives developed/under development to control AMR-Salmonella infections in animals and humans.
- #42 40 Years Later, Revisiting the Worst Salmonella Outbreak in U.S. History | Food Manufacturinghttps://www.foodmanufacturing.com/safety/news/22940573/40-years-later-revisiting-the-worst-salmonella-outbreak-in-us-history
Additionally, food production facilities can maintain a safe food supply with careful design and monitoring. Revisiting consumer protections can help regulators keep pace with new threats from new or unfamiliar pathogens. […] Finally, there is no substitute for professional public health leadership with the competence and expertise to respond effectively to an emergency.
- #43 Wastewater surveillance for Salmonella Typhi and its association with seroincidence of enteric fever in Vellore, India | PLOS Neglected Tropical Diseaseshttps://journals.plos.org/plosntds/article?id=10.1371/journal.pntd.0012373
Blood culture-based surveillance for typhoid fever has limited sensitivity, and operational challenges are encountered in resource-limited settings. Environmental surveillance targeting Salmonella Typhi (S. Typhi) shed in wastewater (WW), coupled with cross-sectional serosurveys of S. Typhi-specific antibodies estimating exposure to infection, emerges as a promising alternative. […] We assessed the feasibility and effectiveness of wastewater (WW) and sero-surveillance for S. Typhi in Vellore, India, from May 2022 to April 2023. […] Estimated seroincidence was 10.4/100 person-years (py) (95% CI: 9.61 – 11.5/100 py). […] These findings underscore the utility and effectiveness of alternate surveillance approaches to estimating the incidence of S. Typhi infection in resource-limited settings, offering valuable insights for public health interventions and disease monitoring strategies where conventional methods are challenging to implement.
- #44 Wastewater surveillance for Salmonella Typhi and its association with seroincidence of enteric fever in Vellore, India | PLOS Neglected Tropical Diseaseshttps://journals.plos.org/plosntds/article?id=10.1371/journal.pntd.0012373
Our study explores the potential of detecting Salmonella Typhi in wastewater, informing public health strategies, guiding vaccination campaigns, and monitoring the effectiveness of interventions, contributing to better disease control and prevention policies. […] The study reveals significant associations between wastewater S. Typhi positivity and typhoid seroincidence, seasonal variations, and population dynamics, providing deeper insights into the epidemiology of typhoid fever. […] This study originally aimed to demonstrate the effectiveness of ES of WW as an alternative to blood culture-based surveillance for quantifying typhoid burden in resource-limited settings. […] The positivity of Moore swabs (15.28%) was two-fold higher than that of grab samples (7.50%). […] The present study revealed a notable increase in WW positivity trends before the wetter months for both grab and Moore swabs. […] This study is among the first to estimate the association between ES positivity for S. Typhi and seroincidence rates.
- #45https://journals.lww.com/co-infectiousdiseases/fulltext/2017/10000/current_perspectives_on_invasive_nontyphoidal.9.aspx
Estimates of the global invasive nontyphoidal Salmonella disease burden have been recently updated; additional data from Africa, Asia, and Latin America are now available. […] The mobilization of surveillance networks, especially in Asia and Latin America, may provide missing data regarding the invasive nontyphoidal Salmonella disease burden and their corresponding antimicrobial susceptibility profiles. […] The emergence of iNTS organisms in Africa exhibiting resistance to various commonly used antimicrobials, including chloramphenicol, ampicillin, and co-trimoxazole, has been reported. […] In contrast to Africa, the epidemiology of iNTS disease and corresponding antimicrobial susceptibility patterns are poorly described in Asia and South America, suggesting either a lower disease burden or a lack of epidemiological reporting.
- #46 The optimisation of Salmonella surveillance programmes for pullet and layer farms using local farm density as a risk factor | PLOS Onehttps://journals.plos.org/plosone/article?id=10.1371/journal.pone.0291896
Human salmonellosis cases are often caused by Salmonella serovars Enteritidis and Typhimurium and associated with the consumption of eggs and egg products. Many countries therefore implemented general surveillance programmes on pullet and layer farms. The identification of risk factors for Salmonella infection may be used to improve the performance of these surveillance programmes. […] The results of our study therefore indicate that local farm density is an important risk factor for infection of pullet and layer farms by Salmonella Enteritidis and Typhimurium and can be used to improve the performance of surveillance programmes. […] The local farm density may therefore be a risk factor for Salmonella infection. The hazard of infection was 4.5 times higher when a susceptible farm was located near a farm that was infectious for SE and 6.2 times higher near a farm that was infectious for ST.