Article Text

PDF
Reptile-associated salmonellosis in children aged under 5 years in South West England
  1. Dan Murphy1,
  2. Femi Oshin2
  1. 1Royal Cornwall Hospital, Truro, Cornwall, UK
  2. 2Cornwall & Isles of Scilly Health Protection Team, Sedgemoor Centre, St Austell, Cornwall, UK
  1. Correspondence to Dr Dan Murphy, Royal Cornwall Hospital, Penventinue Lane, Truro, Cornwall TR1 3LJ, UK; Daniel.murphy{at}cornwall.nhs.uk

Abstract

Objective To determine the proportion of Salmonella cases in children aged <5 years that were reptile-associated salmonellosis (RAS) and to compare the severity of illness.

Design To analyse all cases of salmonellosis reported to public health authorities in children aged under 5 years in the South West of the UK from January 2010 to December 2013 for reptile exposure, age, serotype, hospitalisation and invasive disease.

Results 48 of 175 (27%) Salmonella cases had exposure to reptiles. The median age of RAS cases was significantly lower than non-RAS cases (0.5 vs 1.0 year). RAS cases were 2.5 times more likely to be hospitalised (23/48) compared with non-RAS cases (25/127; p=0.0002). This trend continued in cases aged under 12 months, with significantly more RAS cases hospitalised (19/38) than non-RAS cases (8/42; p=0.003). Significantly more RAS cases had invasive disease (8/48: 5 bacteraemia, 2 meningitis, 1 colitis) than non-RAS cases (4/127: 3 bacteraemia, 1 meningitis).

Conclusions Reptile exposure was found in over a quarter of all reported Salmonella cases in children under 5 years of age. RAS is associated with young age, hospitalisation and invasive disease.

  • Infectious Diseases
  • salmonellosis
  • reptile

Statistics from Altmetric.com

Request permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.