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Subtyping and Surveillance of Salmonellosis in Malaysia.

Subtyping and Surveillance of Salmonellosis in Malaysia.

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Some f<strong>in</strong>d<strong>in</strong>gs<br />

Aprox. Aprox.<br />

115 different XbaI Xba Pulsed-Field Pulsed Field Pr<strong>of</strong>iles (PFPs ( PFPs) ) were observed<br />

among the 300 isolates analyzed (F:0.4-1.0; (F:0.4 1.0; 14-22 14 22 b<strong>and</strong>s; 22-600 22 600 kbp). kbp).<br />

The present observation concurred with the previous report (Thong (Thong<br />

et<br />

al.,JCM 1994) that stra<strong>in</strong>s associated with outbreaks are genetically<br />

more homogeneous as compared with those from sporadic cases <strong>of</strong><br />

typhoid fever.<br />

Each <strong>of</strong> the outbreaks was associated with stra<strong>in</strong>s with 1-3 closely related<br />

pr<strong>of</strong>iles (F:0.74-1.0) while stra<strong>in</strong>s isolated from sporadic cases are more<br />

diverse (F:0.4-1.0)<br />

Six out <strong>of</strong> the 11 outbreaks (between 1987-2003) occurred <strong>in</strong> a northeastern<br />

state <strong>of</strong> <strong>Malaysia</strong>. This area is particularly <strong>in</strong> highly endemic for Salmonella<br />

Typhi.<br />

The exact reasons are not clear. However, the population is generally<br />

poorer. Poor hygiene <strong>and</strong> contam<strong>in</strong>ated foods/water are most probable<br />

reasons.<br />

High population <strong>of</strong> carriers?<br />

Use <strong>of</strong> well water?

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