Meltzer Eyal, Schwartz Eli
Infectious Disease Unit, Sheba Medical Center, Tel Hashomer, Israel.
Isr Med Assoc J. 2007 Oct;9(10):736-41.
Typhoid fever is no longer endemic to most developed countries, including Israel. When encountered, it usually occurs in travelers returning from endemic countries. Worldwide, the disease is far from being eradicated. It is still highly prevalent in some popular travel destinations such as India. With the continued increase in Israelis traveling to (and in migrant workers arriving from) endemic regions, physicians in Israel should be well acquainted with the disease. Unfortunately, with the limited efficacy of the current typhoid vaccinations and the increase in multidrug-resistant strains, cases among travelers are expected to continue to increase and become ever challenging to treat.
伤寒热在包括以色列在内的大多数发达国家已不再是地方病。一旦遇到,通常发生在从地方病流行国家归来的旅行者身上。在全球范围内,这种疾病远未被根除。在一些热门旅游目的地,如印度,它仍然非常普遍。随着前往(以及来自)地方病流行地区的以色列旅行者(和移民工人)持续增加,以色列的医生应该对这种疾病有充分的了解。不幸的是,由于目前伤寒疫苗的疗效有限以及多重耐药菌株的增加,旅行者中的病例预计将继续增加,治疗也将变得越来越具有挑战性。