[About problems of carriers of Salmonella typhi and paratyphi B under hygienic, epidemiologic and sociologic view (authors transl)].
The carriers of salmonella typhi and paratyphi B are the central figures of the epidemiology of typhoid illnesses. The files available at the medical authorities' office of the Hansestadt Lübeck, with regards to all 543 carriers registered up to 1972, have been analysed, and 102 of 108 carriers who were inhabitants of Lübeck on 31.10.72, have been interviewed in their lodgings.--Following results are mentionable: 1. 55 carriers have been traced during a hospital stay, 22 of them were under hospital treatment because of cholecystectomy. 2. The circle of persons to be obligated for medical examination as per $ 17 of the Federal Republic of Germany's law of epidemics has proved as too small. For instance two female carriers--known since years--did their job without any hindering as plates washer or waitress in restaurants. 3. 21 persons=4% of the patients excreted salmonellae in urine only. 4. 10% of the carriers of salmonella typhi and 16% of the carriers of salmonella paratypi B had in their faeces as least 5-years intervals of non-excretion. 5. The precentage of carriers with at least 5-years intervals of non-excretion in urine was significantly larger than the corresponding percentage in faeces. 6. Falling ill of 280 persons out of the environs of the carriers have been lead back to the latters. 73% of these infections were placed by the carriers before their detection through the medical authorities' office. 7. For 10 patients whose health was recreated excretion did not cease promptly after the cholecystecystectomy. Salmonellae had been found in the faeces for several months more, at two persons even two years after the operation. 8. For 8 carriers a final decision with regards to the success of cholecystectomy is impossible because they denied a duodenal soundation. 9. 123 persons of 23% of total 543 carriers had--before their ascertation--professions not allowed for those persons. Efforts for a successful job arrangement, possibly combined with a change in profession, always met to obstacles. 10. More than 80% of the carriers who were interviewed ignored the directions about personal hygiene. 11. Difficulties arose during a stay in sanatories, hospitals and old age homes. 12. While 60 of the carriers contemplate their situation with indifference other 42 patients are psychically influenced. 5 of them suffer from a psychical trauma. 13. The environment often tends to overrate the danger resulting from carriers. 14. Information of the carriers must be improved.
D002353:Carrier State; D005243:Feces / Q000382:microbiology; D006266:Health Education; D006801:Humans; D012480:Salmonella Infections / Q000635:transmission*; D012484:Salmonella paratyphi B / Q000302:isolation & purification; D012485:Salmonella typhi / Q000302:isolation & purification; D013315:Stress, Psychological; D014556:Urine / Q000382:microbiology
Zur Problematik der Ausscheider von Salmonella typhi und paratyphi B in hygienischer, epidemiologischer und soziologischer Hinsicht