Salmonella typhi

Salmonella typhi


See 'Additional Information'


General Information

Aerobic Gram negative rod

Humans are the reservoir - fecal-oral transmission.

Increased prevalence in developing countries.

Highest prevalence South Asia.

  • Fever in Returning Traveler
  • Enteric fever
  • FUO
  • Bacteremia
  • Intra-abdominal abscess
  • Meningitis
  • Endovascular infection including endocarditis and infected atherosclerotic plaque/aneurysm - "sticky" organism

Very high rates of FQ resistance in Indian Subcontinent.

Vaccination only prevents ~75% of disease.

Chronic carriage associated with gallbladder disease.

Routine Practices; however, consider contact precautions for incontinent adults if stool cannot be contained or for adults with poor hygiene who contaminate their environment. 

Contact precautions apply to children who are incontinent or unable to comply with hygiene.