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Free Content Non-typhoidal Salmonella rates in febrile children at sites in five Asian countries

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Summary There is increased recognition of non-typhoidal (NTS) as a major cause of severe febrile illness in sub-Saharan Africa. However, little is known about community-based incidence of NTS in Asia. In a multicentre, community-based prospective surveillance study, we identified a total of six NTS cases: three in Karachi, Pakistan, one in Kolkata, India, and two in North Jakarta, Indonesia. No NTS cases were identified in Hechi, People’s Republic of China, and Hue, Viet Nam. Three cases were in children under 3 years, and one case was in a child aged 10 years and one in a child aged 15 years. Only one case was an adult (29 years). The highest incidence of NTS infection was in Karachi (7.2 culture-proven NTS cases per 100 000 person years in age group of 2–15 years). However, in comparison with sub-Saharan Africa, the NTS burden in Asia appears rather limited.

Il y a une reconnaissance accrue de Salmonella non typhique (SNT) comme une cause majeure de maladie fébrile sévère en Afrique sub-saharienne. Toutefois, on connaît peu sur l’incidence basée sur la communauté de SNT en Asie. Dans une étude multicentrique de surveillance prospective de Salmonella basée sur la communauté, nous avons identifié un total de 6 cas de SNT: 3 à Karachi au Pakistan, 1 à Kolkata en Inde et 2 dans le nord de Jakarta en Indonésie. Aucun cas du SNT n’a été identifiéà Hechi en République populaire de Chine ni à Hue au Viet Nam. 3 cas étaient des enfants de moins de 3 ans, 1 cas avait 10 ans, un autre 15 ans et un seul cas était adulte (29 ans). L’incidence la plus élevée de l’infection à SNT était à Karachi (7,2 cas prouvés par la culture pour 100.000 personnes-année dans le groupe d’âge de 2-15 ans). Cependant, en comparaison avec l’Afrique subsaharienne, la charge de morbidité de SNT en Asie semble assez limitée.
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Keywords: Asia; Asie; Salmonella no-tifoidea; Salmonella non typhique; carga de enfermedad; charge de morbidité; disease burden; enfermedad invasiva; invasive disease; maladies invasives; non-typhoidal Salmonella

Document Type: Research Article

Affiliations: 1:  International Vaccine Institute, Seoul, Korea 2:  Guangxi Centers for Disease Control and Prevention, Guangxi, China 3:  National Institute of Cholera and Enteric Diseases, Kolkata, India 4:  National Institute of Health Research and Development, Jakarta, Indonesia 5:  Department of Paediatrics, Aga Khan University, Karachi, Pakistan 6:  National Institute of Hygiene and Epidemiology, Hanoi, Viet Nam

Publication date: 2010-08-01

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