Enteric fever burden in North Jakarta, Indonesia: a prospective, community-based study
| Autor: | Cyrus H. Simanjuntak, Decy Subekti, John D. Clemens, Camilo J. Acosta, Suyeti Suyeti, Sumarjati Arjoso, Seonghye Shin, Magdarina D. Agtini, Sri Pandam Pulungsih, Agus Syarurachman, H. James Beecham, Santoso Saroso, Jacqueline L. Deen, R. Suharno, Agus Suwandono, Andrew L. Corwin, Ferry Wangsasaputra, Pratiwi Sudarmono, Lorenz von Seidlein, R. Leon Ochiai, Murad Lesmana, Buhari A. Oyofo, Narain H. Punjabi |
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| Rok vydání: | 2013 |
| Předmět: |
Adult
Male Veterinary medicine Pediatrics medicine.medical_specialty Adolescent Population Microbial Sensitivity Tests Microbiology Typhoid fever Young Adult Virology Humans Medicine Blood culture Prospective Studies Typhoid Fever Young adult Child education Prospective cohort study Aged Aged 80 and over education.field_of_study medicine.diagnostic_test business.industry Incidence Public health Incidence (epidemiology) Paratyphoid fever Infant Newborn Infant General Medicine Middle Aged Salmonella typhi medicine.disease Anti-Bacterial Agents Infectious Diseases Indonesia Child Preschool Salmonella paratyphi A Female Parasitology Seasons business |
| Zdroj: | The Journal of Infection in Developing Countries. 7:781-787 |
| ISSN: | 1972-2680 |
| Popis: | Introduction: We undertook a prospective community-based study in North Jakarta, Indonesia, to determine the incidence, clinical characteristics, seasonality, etiologic agent, and antimicrobial susceptibility pattern of enteric fever. Methodology: Following a census, treatment centre-based surveillance for febrile illness was conducted for two-years. Clinical data and a blood culture were obtained from each patient. Results: In a population of 160,261, we detected 296 laboratory-confirmed enteric fever cases during the surveillance period, of which 221 (75%) were typhoid fever and 75 (25%) were paratyphoid fever. The overall incidence of typhoid and paratyphoid cases was 1.4, and 0.5 per thousand populations per year, respectively. Although the incidence of febrile episodes evaluated was highest among children under 5 years of age at 92.6 per thousand persons per year, we found that the burden of typhoid fever was greatest among children between 5 and 20 years of age. Paratyphoid fever occurred most commonly in children and was infrequent in adults. Conclusion: Enteric fever is a public health problem in North Jakarta with a substantial proportion due to paratyphoid fever. The results highlight the need for control strategies against enteric fever. |
| Databáze: | OpenAIRE |
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