PubMed · 1993 · 17 citations · 0 references
Veterinary MedicineInfectious DiseasesMicrobiologyInfectious Disease EpidemiologyMedical MicrobiologyOutbreak InvestigationAntibiotic ResistanceBacterial EpidemiologyBacterial InfectionsPathogenesis Of Infectious DiseaseResistance EpidemiologyWaterborne Outbreak InvestigationContaminated Water ExposureContaminated Water TransmissionEnteric FeverEnteric PathologyOutbreak Investigation Of Enteric DiseaseSalmonella InfectionsSalmonella ResistanceWaterborne Bacterial Disease Epidemiology
We report the first ever report of multiple drug resistant salmonella typhi epidemic from Asia. The outbreak started in April 1988 and virtually ended by June 1988. The outbreak occurred in Baramullah town of Kashmir valley. In an epidemiological survey 230 cases were diagnosed as enteric fever. 46 cases (20%) were culture positive. A very rare multiple drug resistant strain of S. typhi was identified as phage type biotype II untypeable (UVS2). The strain was sensitive to Norfloxacin. This outbreak of S. typhi has many similarities with Mexico epidemic. Ingestion of contaminated water seems to be the possible cause for the outbreak.