A Banerjee1, A T Kalghatgi2, Pmp Singh3, A Nagendra4, Z Singh5, S K Handa6. 1. Professor (Community Medicine), Padm Dr DY Patil Medical College, Pune. 2. Ex-Senior Advisor (Pathology), Command Hospital (Central Command) Lucknow. 3. DADH, Headquarter 21 Mountain Div (Med), C/o 99 APO. 4. Ex-Dy Commandant, Command Hospital, Chandimandir. 5. Ex-Commandant, Military Hospital Jallandhar. 6. DDMS, Headquarter MB Area (Med), Jabalpur Cantt.
Abstract
BACKGROUND: Ninety five cases of enteric fever among military recruits from a regimental training centre at Maharastra were admitted to the local military hospital in a few weeks time. METHODS: A descriptive epidemiological study and detailed site survey was undertaken. Blood culture, antibiotic sensitivity test (ABST) with serotyping and phage typing of the isolates were done. RESULT: A total of 95 cases occurred from 31 March 2003 to 17 May 2003. Blood culture for Salmonella enterica serovar Typhi was positive in 60 (63.16%) cases. All the isolates showed same serotype - 9, 12: d: Vi and all belonged to phage type E1 biotype 1 indicating single source outbreak. There was one fatality. There was clustering in time and place indicating a common source outbreak. Exploration of water pipeline supply revealed sewage contamination due to pipeline passing close to a overflowing manhole. ABST revealed multi-drug resistance. CONCLUSION: The outbreak of enteric fever occurred due to sewage contamination of drinking water pipeline.
BACKGROUND: Ninety five cases of enteric fever among military recruits from a regimental training centre at Maharastra were admitted to the local military hospital in a few weeks time. METHODS: A descriptive epidemiological study and detailed site survey was undertaken. Blood culture, antibiotic sensitivity test (ABST) with serotyping and phage typing of the isolates were done. RESULT: A total of 95 cases occurred from 31 March 2003 to 17 May 2003. Blood culture for Salmonella enterica serovar Typhi was positive in 60 (63.16%) cases. All the isolates showed same serotype - 9, 12: d: Vi and all belonged to phage type E1 biotype 1 indicating single source outbreak. There was one fatality. There was clustering in time and place indicating a common source outbreak. Exploration of water pipeline supply revealed sewage contamination due to pipeline passing close to a overflowing manhole. ABST revealed multi-drug resistance. CONCLUSION: The outbreak of enteric fever occurred due to sewage contamination of drinking water pipeline.
Authors: G M Grizhebovskiĭ; G G Onishchenko; V I Taran; S I Ivanov; Iu M Evchenko; S S Galimshin; E V Sychugov; E I Eremenko; U N Bakaev; V M Mezentsev; A F Briukhanov; S L Protsenko Journal: Zh Mikrobiol Epidemiol Immunobiol Date: 2001 Nov-Dec
Authors: M R Saha; P Dutta; S K Bhattacharya; R Rasaily; U Mitra; D Dutta; M K Bhattacharya; S C Pal Journal: Indian J Med Res Date: 1992-07 Impact factor: 2.375