citations only; there are a few abstracts. If you are pregnant, or thinking
about getting pregnant, or have an infant or toddler at home, please consider
printing out this document and discussing it with your obstetrician, pediatrician,
or family practitioner. They should be willing to get copies of these
articles for you to read to aid in your discussions and decision making.
If you live near a university with a medical school or veterinary school,
you may go into their libraries and read or make copies of these articles
while you are there. You can also contact your regional
medical library to find out how to get copies of the articles you
are interested in.
to Dr. Akiko Kimura of the CDC's Food Borne Disease division for sending
me this information.
epidemic of resistant Salmonella in a nursery. Animal-to-human spread.
Lyons RW, Samples CL, DeSilva HN, Ross KA, Julian EM, Checko PJ. Journal
Amer Med Assoc, 243(6):546-7, Feb 8, 1980. A Salmonella heidelberg epidemic
in a hospital nursery was traced to infected calves on a dairy farm where
the mother of the index patient lived. The Salmonella isolates from all
cases were resistant to chloramphenicol, sulfamethoxazole, and tetracycline.
Verification of the spread of infection from the farm animals to a hospital
population is unusual and raises questions about the hazards of antibiotic
animal-feed preparations that may induce infection with resistant organisms
abortion caused by Salmonella heidelberg in a white-handed gibbon.
Thurman JD, Morton RJ, Stair EL. Journal of the Amer Vet Med Assoc, 183(11):1325-6,
Dec 1, 1983.
D enteritis in the newborn: a maternal infant case study.
Lauderman TA, Hill OM. West Virginia Medical Journal, 87(6):249-50, June
1991. Abstract: This is a case of a 31-year-old pregnant female who had
diarrhea one week prior to delivery and was later diagnosed as having
Salmonella D. This report also discusses the physical changes in the neonate
within 48 hours post delivery and medical treatment for Salmonella D.
sepsis and second-trimester pregnancy loss.
Scialli AR, Rarick TL. Obstetrics & Gynecology, 79(5 [Part 2])820-1,
May 1992. Salmonella can produce bacteremia and disseminated disease,
including infection of the intrauterine contents and fetal death. Published
experience with salmonella infection in pregnancy has involved typhoid;
however, nontyphoid gastroenteritis may also produce sepsis and fetal
loss. We present a case of second-trimester fetal death associated with
group C1 salmonella sepsis. The literature suggests that early diagnosis
and treatment of salmonella infection during gestation is associated with
a good pregnancy outcome. We recommend that pregnant women with diarrheal
illnesses be evaluating by stool culture for salmonella infection.
for Salmonella in pregnancy.]
Divisione de Ostetricia e Ginecologia, Ospedale Misericordia e Dolce,
Prato. Citernesi A, Spinelli G, Piazzesi G, Innocenti S, Curiel P. [Italian;
abstract in English]. Minerva Ginecologia, 46(12):681-6. Dec 1994. National
and Regional Health Authorities advise a stool culture in pregnant women
before term in order to detect Salmonella carriers, prevent the spread
of this microorganism to the newborn, and avoid outbreaks of this infection
in nurseries. The Tuscany section of the Italian Association of Obstetricians
and Gynecologists decided to test the usefulness of this Salmonella screening.
In 7431 pregnant women at the 36th week a stool sample was examined for
the presense of Salmonella. The occurance of diarrhoea in these women
was also investigated. The prevalence of Salmonella excretors in our obstetric
population was 0.27%. Thirty per cent of the positive women complained
of diarrhoea; that mans that the risk of being positive in the presence
of this symptom is 11.8 times larger. No nursery outbreak occured during
the period studied. The Salmonella-carrying monther can not take advantage
of an effective antimicrobial therapy and a single stool sample allows
the detection of only part of the carriers. Therefore screening cannot
prevent the possibility of transmission during birth. The unfavorable
ratio between costs and benefits suggests that stool culture for Salmonella
may be useful only in late Summer and fall and in symptomatic women. In
order to obtain better results in the prevention of infections among newborns
the observance of careful hygienic rules in the delivery room and in nurseries
of the Iguana. Lipsky MS. Journal of Family Practice, 40(3):229, March
salmonellosis in children. Dalton C, Hoffman R, Pape J. Pediatric
Infec Dis Journal, 14(4):319-20, April 1995.
for Disease Control & Prevention
recent abstracts at PubMed