The Study Of Salmonellosis With Reference To Salmonella Typhi In Enteric Fever Patients 467-469
Abhijit K. Awari
Doctorâ€™s Quarter No. 9,
Kesar SAL Medical College & Research Institute
Opposite Science City
Bhadaj, Ahmedabad, Gujarat â€“ 380 060.
M â€“ 096875 96325.
The present study was carried out at the College of Medical Sciences and K J Mehta Hospital, Amargadh, Dist. Bhavnagar, Gujarat, during the period from January 2010 to December 2010, to detect Salmonella (S. typhi) cases and carriers by various methods, in clinically suspected cases of enteric fever. The sensitivity of each microbiological test for the diagnosis of salmonella was also evaluated. A total of 300 blood samples, 50 controls and 100 stool samples were processed, among which 90 cases were of clinically suspected enteric fever and 10 were of gastroenteritis. One hundred stool samples from healthy individuals as the controlswere processed and urine was processed in 10 cases, while CSF and pus were processed in one case each. S. typhi was the commonest isolate (75%), followed by S. Paratyphi A (15 %) and S. Paratyphi B (2.5 %) from blood, S. enteritidis (2.5 %) was isolated from pus and S. typhimurium (5 %) was isolated from the stool samples. The Widal test positivity was 38.66 % and the blood culture positivity was 12.33 %. The coagglutination test is a valuable adjuvant for the diagnosis of enteric fever. The Quinolone group of drugs is an alternative drug of choice for multi drug resistant salmonellosis. The incorporation of this drug in the base line restoration, if technically feasible, has to be advised.