title: [Salmonella enterica serotypes and Salmonella infections: a multicenter study covering ten provinces in Turkey].
abstract: In order to find the distinctive features of Salmonellae and Salmonella infections in Turkey, 620 Salmonellae strains, isolated from various clinical samples (481 stool, 108 blood, 12 urine, 3 bone marrow, 3 cerebrospinal fluid, 9 pus, and one from each of the bile, pleural fluid, wound, catheter samples) in 13 clinical microbiology laboratories of 10 provinces in Turkey (Ankara, Antalya, Bursa, Edirne, Eskişehir, Istanbul, Izmir, Kayseri, Konya and Trabzon) between July 1, 2000 and June 30, 2002, were serotyped. Among the patients 43% were female, 57% were male, 63.2% were from outpatient clinics and 36.8% were hospitalized patients. Seventy eight percent of the patients had gastroenteritis, 10.7% had septicemia/local infection, 9.8% had typhoid/paratyphoid fever and 1.5% were carriers. Incidence of gastroenteritis was higher in 0-5 years age group (p<0.001). Of the 620 Salmonella enterica isolates, 47.7% were S. Enteritidis, 34.7% S. Typhimurium, 6% S. Paratyphi B, 2.9% S. Typhi, 0.2% S. paratyphi A, 6.1% serogroup C1, and 2.4% serogroup C2. S. Enteritidis was the most common serotype in all provinces except for Kayseri, where S. Typhimurium was found to be the most common serotype (68.2%). Overall, the most frequently isolated serotype was S. Enteritidis, also being the most common serotype in stool and blood cultures. During the surveillance period two outbreaks have occurred, the first one by S. Enteritidis strains in Edirne, and the second one by S. Typhimurium strains in Kayseri. As a result, Salmonella infections are still a common health problem in Turkey, and active surveillance of Salmonella infections has vital importance.
authors.affiliation: Ankara Univ. Tip Fakültesi, Mikrob. ve Klinik Mikrob. Anabilim Dali, Ankara.
authors.forename: Birsel
authors.initials: B
authors.lastname: Erdem
authors.forename: Güşen
authors.initials: G
authors.lastname: Hasçelik
authors.forename: Suna
authors.initials: S
authors.lastname: Gedikocğlu
authors.forename: Deniz
authors.initials: D
authors.lastname: Gür
authors.forename: Serpil
authors.initials: S
authors.lastname: Ercis
authors.forename: Bülent
authors.initials: B
authors.lastname: Sümerkan
authors.forename: Ahmet Derya
authors.initials: AD
authors.lastname: Aysev
authors.forename: Inci
authors.initials: I
authors.lastname: Tuncer
authors.forename: Murat
authors.initials: M
authors.lastname: Tuğrul
authors.forename: Müşerref
authors.initials: M
authors.lastname: Tatman Otkun
authors.forename: Alper
authors.initials: A
authors.lastname: Tünger
authors.forename: Yurdanur
authors.initials: Y
authors.lastname: Akgün
authors.forename: Nilgün
authors.initials: N
authors.lastname: Acar
authors.forename: Iftihar
authors.initials: I
authors.lastname: Köksal
authors.forename: Meral
authors.initials: M
authors.lastname: Gültekin
authors.forename: Güner
authors.initials: G
authors.lastname: Söyletir
authors.forename: Atila
authors.initials: A
authors.lastname: Elhan
mesh_terms: D000293:Adolescent; D000328:Adult; D000367:Age Factors; D002648:Child; D002675:Child, Preschool; D005260:Female; D005759:Gastroenteritis / Q000453:epidemiology / Q000382:microbiology; D006801:Humans; D015994:Incidence; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D008875:Middle Aged; D010284:Paratyphoid Fever / Q000453:epidemiology / Q000382:microbiology; D012480:Salmonella Infections / Q000453:epidemiology / Q000382:microbiology*; D019779:Salmonella enterica / Q000145:classification* / Q000302:isolation & purification; D018805:Sepsis / Q000453:epidemiology / Q000382:microbiology; D012703:Serotyping; D014421:Turkey / Q000453:epidemiology; D014435:Typhoid Fever / Q000453:epidemiology / Q000382:microbiology