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Sentinel survey of typhoid prevalence among febrile patients attending clinics in Bushenyi district of Uganda

Abstract number: P965

Agwu E., Wambua L., Titus L.

Background/Objective: Recent country data on the geographical distribution of typhoid indicates that western districts of Uganda were among the most affected. We therefore surveyed the prevalence of typhoid among febrile patients attending clinics in Bushenyi district and suggested intervention strategies to clamp down typhoid cases.

Methods: Six hundred and eighty seven blood samples were collected aseptically and analyzed using standard Widal serological Slide agglutination and tube dilution of somatic and flagella antigens of Salmonella enterica serotype Typhi. Chi-square test (p = 0.05; 0.01) was used to test for statistical significance of age, sex, socio-economic status and monthly distribution of typhoid in Bushenyi.

Results: Among the males surveyed between sentinel centres, age group 10–19 years had the highest typhoid prevalence of 28.6% (Comboni) and 36.6% (BMC), while age group 20–29 years had 24.6% (IAH) highest typhoid prevalence. Among the females surveyed age group 10–19 years had the highest typhoid prevalence of 33.8% (Comboni) and 32.8% (BMC), while age group 20–29 years had 24.3% (IAH) highest typhoid prevalence. Typhoid was more prevalent in the low class group and lowest in the high class group across the sentinel centres. It appears that typhoid prevalence is uniformly distributed from January to December.

Conclusions: Typhoid is highly prevalent among febrile patients attending clinics in Bushenyi. Typhoid prevalence was significantly (p < 0.05 & p < 0.01) dependent on age and sex, not socio-economic status and season. Hygiene education and monitoring of the street-food trade is recommended typhoid control measure.

Session Details

Date: 16/05/2009
Time: 00:00-00:00
Session name: 19th European Congress of Clinical Microbiology and Infectious Diseases
Subject:
Location: Helsinki, Finland, 16 - 19 May 2009
Presentation type:
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