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Journal of Tropical Pediatrics 1989 35(1):35-39; doi:10.1093/tropej/35.1.35
© 1989 by Oxford University Press
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Salmonella Septicaemias in Kenyan Children

Anne Nesbitt*, and Nazir B. Mirza**

*Department of Paediatrics, University of Nairobi Kenya
**Department of Microbiology, University of Nairobi Kenya

Correspondence: Dr A. Nesbitt; Department of Community Medicine, St Giles Community Services, St Giles Road, London SE5 7RN.

In a 5-month study of Salmonella septicaemias in Kenyan children carried out during the annual peak infection period, Salmonella typhimurium septicaemias occurred seven times more frequently than typhoid or other non-typhoid infections.

Salmonella typhimurium infections were predominantly community acquired, malnourished infants from rural malaria endemic areas with poor water supply were especially vulnerable. Typical clinical features of fever, diarrhoea, and severe anaemia resembled P. falciparum malaria which often co-existed. Mortality was 18 per cent. Isolates exhibited a wide range of multidrug resistance.

Typhoid affected older children, was less severe and drug sensitive


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