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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

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