Title: Salmonellosis—What you need to know<br/>Author: Andrea Tenner<br/><a href='http://umem.org/profiles/faculty/1069/'>[Click to email author]</a><hr/><p>
        <strong><em>General Information:</em></strong></p>
<ul>
        <li>
                Salmonella: gram-negative rod-shaped bacilli</li>
</ul>
<ul>
        <li>
                S/S: diarrhea (often bloody), fever and abdominal cramping; Incubation: 12-24hrs, duration: 4-7d</li>
</ul>
<ul>
        <li>
                Generally resolves without treatment. Antibiotics prolong bacterial shedding and thus only recommended in severely ill patients (high fever, severe diarrhea/dehydration, sepsis), the very young, and the very old.</li>
</ul>
<p>
         </p>
<p>
        <strong><em>Area of the world affected:</em></strong></p>
<ul>
        <li>
                Worldwide, especially in developing countries</li>
</ul>
<p>
         </p>
<p>
        <strong><em>Relevance to the US physician:</em></strong></p>
<ul>
        <li>
                As of Oct. 7^th, 278 people infected in the most recent US outbreak, thought to be related to chicken from Foster Farms</li>
</ul>
<ul>
        <li>
                Many of these strains of Samonella were drug-resistant</li>
</ul>
<p>
         </p>
<p>
        <strong><em>Bottom Line:</em></strong></p>
<p>
        Suspect Salmonellosis in patients with appropriate exposure and symptoms, give supportive care for most, only give antibiotics to severely ill patients after sending blood and stool culture and sensitivities.</p>
<p>
         </p>
<p>
        <strong>University of Maryland Section of Global Emergency Health</strong></p>
<p>
        <strong>Author: Andi Tenner, MD, MPH</strong></p>
<fieldset><legend>References</legend>

                <p>
        http://www.cdc.gov/salmonella/heidelberg-10-13/index.html</p>
</fieldset>