Molecular and Phenotypic Characteristics of Salmonella enterica Serovar Typhi Isolated from Asymptomatic Carrier

Authors
1 full professor, Department of Clinical Microbiology, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, IR Iran.
2 full professor ,Department of Clinical Microbiology, School of Medicine, Shahid Beheshti University of Medical Science, Tehran, IR Iran.
3 Department of Pathology and Medical Laboratory Sciences, Faculty of Para Medicine, Kurdistan University of Medical Sciences, Sanandaj, Iran
4 Cellular and Molecular Biology Research Center, Shahid Beheshti University of Medical Sciences, Tehran, IR Iran
5 Cancer Research Center, Cancer Institute of Iran, Tehran University of Medical Science, Tehran, IR Iran
6 Infectious diseases and Tropical medicine research center, Shahid Beheshti University of Medical Sciences, Tehran, IR Iran.
Abstract
Background: Salmonella enterica serovar typhi (S. typhi) the cause of the acute febrile disease typhoid fever is the major public health problem in developing countries. Asymptomatic carriers are the main sources of typhoid. The aim of this study was to investigate methods for isolation and identification of S. typhi in asymptomatic carriers.
Materials and Methods: Two hundred stool samples were collected from foodstuff workers and distributors. Then culture characterization, biochemical tests, and nested-PCR were done.
Results: One hundred and seventy-one (85%) of the total cases were male and the mean age of cases was 35 years. Stool culture yielded bacterial colonies consistent with fecal flora but did not yield S. typhi. In nested PCR technique just one of the 200 samples (0.5%) was positive for the S. typhi capsular gene (vi gene).
Conclusion: Due to the improvement in the health status of the country and the low typhoid carriers, it is recommended that efforts be focused on other hygienic issues.

Keywords


  1. Das A, Sree Hari S, Shalini U, Ganeshkumar A, Karthikeyan M. Molecular characterisation of Salmonella enterica serovar typhi isolated from typhoidial humans. Malays J Microbiol. 2012; 8(3):148-55.

  2. Baker S, Favorov M, Dougan G. Searching for the elusive typhoid diagnostic. BMC Infect Dis. 2010;10:45.

  3. Gonzalez-Escobedo G, Marshall JM, Gunn JS. Chronic and acute infection of the gall bladder by Salmonella typhi: understanding the carrier state. Nat Rev Microbiol. 2010; 9(1):9-14.

  4. Safaeian M, Gao YT, Sakoda LC, Quraishi SM, Rashid A, Wang B-S, et al. Chronic typhoid infection and the risk of biliary tract cancer and stones in Shanghai, China. Infect Agent Cancer. 2011; 6:1-3.

  5. Gupta A, My Thanh N, Olsen S, Sivapalasingam S, My Trinh T, Phuong Lan N, et al. Evaluation of community-based serologic screening for identification of chronic Salmonella typhi carriers in Vietnam. J Infect Dis. 2006; 10(4):309-14.

  6. Saeed HA, Hamid HH. Bacteriological and parasitological assessment of food handlers in the Omdurman area of Sudan. J Microbiol Immunol Infect. 2010; 43(1):70-3.

  7. Andargie G, Kassu A, Moges F, Tiruneh M, Huruy K. Prevalence of bacteria and intestinal parasites among food-handlers in Gondar town, northwest Ethiopia. J Health Popul Nutr. 2008; 26(4):451.

  8. Chandrasekaran B, Balakrishnan S. Screening, phylogenetic analysis and antibiotic sensitivity pattern of Salmonella enterica serovar typhi isolates from typhoid asymptomatic carriers. Asian Pac J Trop Med. 2011; 4(10):769-72.

  9. Ismail A. New advances in the diagnosis of typhoid and detection of typhoid carriers. Malays J Med Sci. 2000; 7(2):3-8.

  10. Singh  S. Typhoid fever: Pathogenesis and Laboratory Diagnosis. J Indian Acad Clin Med. 2001; 2(1);19-20

  11. Malickbasha M, Arunachalam R, Senthilkumar B, Rajasekarapandian M, Annadurai G. Effect of ompR gene mutation in expression of ompC and ompF of Salmonella typhi.  Interdiscip Sci. 2010; 2(2):157-62.

  12. Nath G, Mauryal P, Gulati AK, Singh TB, Srivastava R, Kumar K, et al . Comparison of Vi serology and nested PCR in diagnosis of chronic typhoid carriers in two different study populations in typhoid endemic area of India. Southeast Asian J Trop Med Public Health. 2010; 41(3):636-40.

  13. Hatta M, Smits HL. Detection of Salmonella typhi by nested polymerase chain reaction in blood, urine and stool samples. Am J Trop Med Hyg. 2007; 76(1):139-43.

  14. Olopoenia LA ,King  AL. Widal agglutination test1000 years later still plugged by controversy. Postgrad Med J. 2000; 76(892):80-4.

  15. Smith SI, Alao F, Goodluck HT, Fowora M, Bamidele M, Omonigbehin E, Coker AO. Prevalence of Salmonella typhi among food handlers from bukkas in Nigeria. Br J Biomed Sci. 2008; 65(3):158-60.

  16. Chart H, Cheasty T, de Pinna E, Siorvanes L, Wain J, Alam D, et al. Serodiagnosis of Salmonella enterica serovar Typhi and S. enterica serovars paratyphi A, B and C human infections. J  med microbiol.2007; 56(Pt 9):1161-6.

  17. House D, Ho VA, Diep TS, Chinh NT, Bay PV, Vinh H, et al . Antibodies to the Vi capsule of Salmonella typhi in the serum of typhoid patients and healthy control subjects from a typhoid endemic region. J Infec Dev Count. 2008; 2(4):308-12.

  18. Eed E, Gafar M, Mansour H. Detection and characterization of chronic Sealmonella carriers among food handlers in Kuwait. Menoufiya Med J. 2011; 24(1):147-54.

  19. Valli A, Selvan N, Sudha A, Dhananjeyan V, Iyappan P. Screening of asymptomatic typhoid carriers from nail samples from roadside food handlers. Curr Res Bacteriol. 2010; 3:238-44.

  20. Gunn JS, Marshall JM, Baker S, Dongol S, Charles RC, Ryan ET. Salmonella chronic carriage: epidemiology, diagnosis and gallbladder persistence. Trends Microbiol. 2014; 22(11):648-55.

  21. Hamzé M, Naja M, Mallat H. Biological analysis of workers in the food sector in north Lebanon. East Mediterranean Health J. 2007; 14(6):1425-34.

  22. Yousefi-Mashouf R, Rangbar M, Mossavi M, Ahmady M. Prevalence of Salmonella Carriers among Food Handlers and Detection of Drug Resistance of Isolates in Hamadan. J Res Health Sci. 2011; 3(2):25-8.

  23. Lahoorpour F, Jasemi N, Ashrafi S. Salmonella typhi holder inspection in foodstuff producers and distributors in Sanandaj. International congress of central Asia Infectious diseases, Bishkek, Kyrgyzstan  2006.

  24. Birhaneselassie M, Williams B. A study of Salmonella carriage among asymptomatic food-handlers in Southern Ethiopia. Int J Fertil Steril. 2013; 2(5):243-5.

  25. Pratap CB, Kumar G, Patel SK, Verma AK, Shukla VK, Kumar K, et al. Targeting of putative fimbrial gene for detection of S. Typhi in typhoid fever and chronic typhoid carriers by nested PCR. J Infect Dev Ctries. 2013; 7(7):520-7.

  26. Senthilkumar B, Prabakaran G. Multidrug resistant Salmonella typhi in asymptomatic typhoid carriers among food handlers in Namakkal district, Tamil Nadu. Indian J Med Microbiol. 2005; 23(2):92-4.

  27. Francis SP, Nagarajan P, Upgade A. Prevalence of Salmonella in finger swabs and nail cuts of hotel workers. J Microbiol Infect Dis. 2012 ; 2(1):1-4.  

  28. Abera B, Biadegelgen F, Bezabih B. Prevalence of Salmonella typhi and intestinal parasites among food  shandlers in Bahir Dar Town, Northwest Ethiopia. Ethiop J Health Dev. 2010; 24(1):46-50.

  29. Charles RC, Sultana T, Alam MM, Yu Y, Wu-Freeman Y, Bufano MK, et al. Identification of immunogenic Salmonella enterica serotype typhi antigens expressed in chronic biliary carriers of S. typhi in Kathmandu, Nepal. PLoS Negl Trop Dis. 2013; 7(8): e2335.