Desgrandchamps D, Altwegg M
Pädiatrische Klinik, Kinderspital Luzern.
Schweiz Med Wochenschr. 1990 Nov 24;120(47):1751-4.
Enteric salmonella are the most frequently isolated pathogens of bacterial diarrhea in Switzerland. Since 1987, increasing numbers have been reported to the Federal Health Office. The causes of this rise in salmonellosis prevalence, which has been observed in a number of countries, are the high rates of contamination in different foods, mainly in poultry and eggs. It has been shown that the usual kinds of egg preparation are not suitable for the elimination of salmonella, which may also be found inside the egg-shells. The solution to this problem involves measures of veterinary epidemiology and food hygiene. The epidemiologic significance of the asymptomatic carrier is considered to be rather slight. However, prolonged excretion of salmonella repeatedly results in social and economic problems, because the carrier food handlers are excluded from work when and for as long as they are excreting salmonella. Current possibilities in antibiotic treatment for these and other salmonellosis patients are discussed.
肠道沙门氏菌是瑞士细菌性腹泻中最常分离出的病原体。自1987年以来，向联邦卫生局报告的病例数不断增加。在许多国家都观察到沙门氏菌病患病率上升，其原因是不同食品，主要是家禽和蛋类中的高污染率。已经表明，通常的蛋类制备方法并不适合消除沙门氏菌，沙门氏菌也可能存在于蛋壳内部。解决这个问题需要采取兽医流行病学和食品卫生方面的措施。无症状携带者的流行病学意义被认为相当轻微。然而，沙门氏菌的长期排泄反复导致社会和经济问题，因为携带沙门氏菌的食品从业人员在排泄沙门氏菌期间会被禁止工作，且禁止时间长短不一。本文讨论了针对这些以及其他沙门氏菌病患者的当前抗生素治疗可能性。
