title: Salmonella infections in Asir region, southern Saudi Arabia: Expatriated implications.
abstract: One hundred forty-two cases of salmonella infection seen in Asir region, Southern Saudi Arabia, during the period of 1989-1991 inclusive, were analyzed. Ninety-four cases were found to have enteric fever and 48 cases were found to have, Salmonella enteritidis gastroenteritis. Enteric fever is more common in non-Saudis (64%) than in the indigenous Saudi population (34%). Salmonella enteriditis gastroenteritis is more common among the Saudi population (75%) than non-Saudis (25%). The clinical presentation of both types of salmonella infection is outlined. Enteric fever is more common among expatriates who recently came from India (40.5%), Egypt (10.6%), Pakistan (6.4%), and Syria (4.3%). Salmonella typhi resistant to tetracycline, ampicillin, and chloramphenicol are more common among Indian patients (75% of resistant cases) and Syrian patients (12.5-28% of resistant cases). Resistance to cotrimoxazole is commonly encountered in Indians (50% of resistant cases) and Egyptians (33.3%). Salmonella enteriditis resistant to tetracycline, ampicillin, and chloramphenicol is more common among Saudis (66.7% of resistant cases) and Filipinos (16.7-33.3% of resistant cases). Recommendations regarding screening of expatriates for enteric fever and proper drug therapy of possible resistant cases are outlined.
authors.affiliation: Department of Medicine and Department of Microbiology, College of Medicine, Asir Central Hospital, Abha, Saudi Arabia.
authors.forename: G M
authors.initials: GM
authors.lastname: Malik
authors.forename: A A
authors.initials: AA
authors.lastname: Al-Wabel
authors.forename: M M
authors.initials: MM
authors.lastname: El Bagir Khalafalla Ahmed
authors.forename: N E
authors.initials: NE
authors.lastname: Bilal
authors.forename: A
authors.initials: A
authors.lastname: Shenoy
authors.forename: M
authors.initials: M
authors.lastname: Abdalla
authors.forename: T E
authors.initials: TE
authors.lastname: Mekki