Line 13: |
Line 13: |
| *''Salmonella'' may be carried sub-clinically | | *''Salmonella'' may be carried sub-clinically |
| *Some human strains cause enteric fever (''S. Typhi'' causes typhoid), also gastroenteritis, septicaemia or bacteraemia | | *Some human strains cause enteric fever (''S. Typhi'' causes typhoid), also gastroenteritis, septicaemia or bacteraemia |
| + | |
| | | |
| ===Characteristics=== | | ===Characteristics=== |
Line 18: |
Line 19: |
| *Gram negative bacilli | | *Gram negative bacilli |
| *Facultative intracellular pathogens | | *Facultative intracellular pathogens |
− | *Non-lactose fermentor, oxidase negative | + | *Non-lactose fermentors, oxidase negative |
| *Do not produce urease or indole from tryptophan | | *Do not produce urease or indole from tryptophan |
| *Utilise citrate as a carbon source | | *Utilise citrate as a carbon source |
| *Reduce nitrates to nitrites | | *Reduce nitrates to nitrites |
| *Grow on MacConkey | | *Grow on MacConkey |
| + | *Red colonies on brilliant green agar indicating alkalinity |
| *Ferment glucose to produce acid and gas | | *Ferment glucose to produce acid and gas |
− | *Usually produce hydrogen sulphide | + | *Usually produce hydrogen sulphide - red colinies with black centre on XLD agar |
| *Most motile with flagellae (H antigen) | | *Most motile with flagellae (H antigen) |
| *H antigen can be in phase 1 or phase 2, depending on a genetic switch allowing for one of the H antigen genes to be transcribed at any one time | | *H antigen can be in phase 1 or phase 2, depending on a genetic switch allowing for one of the H antigen genes to be transcribed at any one time |
Line 35: |
Line 37: |
| *Categorised into serovars depending on and H (Flagellar) antigen, e.g. ''Salmonella enterica'' subspecies ''enterica'' serovar Tymphimurium; must also determine phase of H antigen (isolates must be in phase 1 to be typed) | | *Categorised into serovars depending on and H (Flagellar) antigen, e.g. ''Salmonella enterica'' subspecies ''enterica'' serovar Tymphimurium; must also determine phase of H antigen (isolates must be in phase 1 to be typed) |
| *Most animal and human isolates in Groups B to E | | *Most animal and human isolates in Groups B to E |
| + | |
| | | |
| ===Pathogenicity=== | | ===Pathogenicity=== |
Line 129: |
Line 132: |
| | | |
| ===Diagnosis=== | | ===Diagnosis=== |
| + | |
| + | *History of previous outbreaks; clinical signs |
| + | *Post mortem: enterocolitis; blood-stained intestinal contents; enlarged mesenteric lymph nodes |
| + | *Laboratory confirmation by detection in faeces and blood from live animals; intestinal contents and tissue samples from dead animals |
| + | *Isolation from blood or tissues confirms septicaemic salmonellosis |
| + | *Heavy growth on plates innoculated with faeces or intestinal contents from infected animals suggests ''Salmonella'' as cause |
| + | *Light growth may suggest carrier state |
| + | *Culture specimens on BG and XLD agar; also add to enrichment broth such as selinite or tetrathionate broth; incubate plates and broth under aerobic conditions at 37 degrees centigrade for 48 hours; subculture from enrichment broth at 24 and 48 hours |
| + | *Suspicious colonies should be identified biochemically by reactions in TSI agar and lysine decarboxylase |
| + | *Slide agglutination using antisera for O and H antigens confirm the serotype |
| + | *The antigens in both phases of the H antigen must be identified |
| + | *Phage typing is used for epidemiological studies of isolates |
| + | *A rising antibody titre using paired serum samples in ELISA indicates active infection |
| | | |
| | | |
| ===Treatment=== | | ===Treatment=== |
| + | |
| + | *Intravenous antibiotics used to treat septicaemic salmonellosis |
| + | *Effective antimicrobials include tetracyclines, chloramphenicol, trimethoprim-sulphonamides, ampicillin, amoxicillin, 3rd generation cephalosporins, fluoroquinolones, but depend on the susceptiblity of individual isolate |
| + | *Fluid and electrolyte replacent to prevent dehydration and shock |
| | | |
| | | |
| ===Control=== | | ===Control=== |
| + | |
| + | *Reduce exposure of young animals from fomites, food, water, infected animals |
| + | *Avoid stresses e.g. overcrowding |
| + | *Purchase animals from reliable sources and isolate incoming animals |
| + | *Separate animals according to age |
| + | *Rodent control, good hygiene, pasture rotation |
| + | *Avoid grazing animals on pasture fertilised by slurry for at least 2 months after spreading |
| + | *Attenuated live ''S.'' Typhimurium and ''S.'' Dublin vaccines used in cattle |
| + | *Avoid oral prophylactic antimicrobials |