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Disease Name: Salmonellosis


Quick Links

Please review the Idaho Reportable Disease Rules (IDAPA 16.02.10) for the most up-to-date information.

Salmonella: http://www.cdc.gov/salmonella/index.html

Idaho Food Code (personnel section): http://www.healthandwelfare.idaho.gov/Portals/0/Health/FoodProtection/Chapter%202%20Management%20and%20Personnel.pdf


Overview / Case Definition

An illness of variable severity commonly manifested by diarrhea, abdominal pain, nausea, and sometimes vomiting. Asymptomatic infections may occur, and the organism may cause extraintestinal infections.


Restrictions

Restrictions - Chronic Carrier

Chronic carriers, which are those who excrete Salmonella for more than one (1) year after onset, are restricted from working as food employees. Chronic carriers must not work in any occupation in which they provide personal care to children in daycare facilities, or to persons who are confined to health care facilities or residential care facilities, until Salmonella is not identified by a licensed laboratory in any of three (3) successive approved fecal specimens collected at least seventy-two (72) hours apart.

Restrictions - Non-Typhi Salmonella

a. A fecally incontinent person excreting non-Typhi Salmonella must not attend a daycare facility. b. A person excreting non-Typhi Salmonella must not work in any occupation in which they provide personal care to children in a daycare facility or provide personal care to persons confined to a health care facility, unless an exemption is obtained from the Department or Health District. c. A symptomatic food employee excreting non-Typhi Salmonella must be managed under the IDAPA 16.02.19, “The Idaho Food Code.” d. Before a person can attend or work in a daycare facility or a health care facility, or work as a food employee, the person must provide two (2) successive approved fecal specimens collected at least twenty-four (24) hours apart that fail to show Salmonella. e. The Department may withdraw this restriction on a case of non-Typhi Salmonella provided that the person is asymptomatic.  f. Any member of a household in which there is a case of non-Typhi salmonellosis must not work as a food employee until the member provides at least one (1) approved fecal specimen that fails to show Salmonella upon testing by a licensed laboratory.

Restrictions - Salmonella Typhi

a. Any person with typhoid fever will remain subject to the supervision of the Department until Salmonella Typhi is not isolated by a licensed laboratory from three (3) successive approved fecal specimens collected at least twenty-four (24) hours apart and not earlier than one (1) month after onset. b. A food employee excreting Salmonella Typhi must be managed under IDAPA 16.02.19, “The Idaho Food Code.” c. Any member of a household in which there is a case of Salmonella Typhi must not work in the occupations described in Subsection 670.05.d. of this rule until the member provides at least two (2) successive licensed laboratory. d. All chronic carriers of Salmonella Typhi must abide by a written agreement called a typhoid fever carrier agreement. This agreement is between the chronic carrier and the Department or Health District. Failure of the carrier to abide by the carrier agreement may cause the carrier to be isolated under Section 065 of these rules. The carrier agreement requires:  i. The carrier cannot work as a food employee; ii. Specimens must be furnished for examination in a manner described by the Department or Health District; and iii. The Department or Health District must be notified immediately of any change of address, occupation, and cases of illness suggestive of typhoid fever in his family or among immediate associates. e. Chronic carriers of typhoid fever may be released from carrier status when Salmonella Typhi is not identified by a licensed laboratory in any of six (6) consecutive approved fecal and urine specimens collected at least one (1) month apart.


Reporting

Within 1 working day

Reportable by Healthcare and Labs:

Reportable by Food Service Facility:

Suspect Reportable:

Reporting Timeframe: Within 1 working day



Diagnosis / Testing

Isolation of Salmonella organisms from cultures of stool, blood, urine, bile (including duodenal fluid containing bile), and material from foci of infection is diagnostic.

Diagnostic tests to detect Salmonella antigens by enzyme immunoassay, latex agglutination, and monoclonal antibodies have been developed, as have commercial immunoassays that detect antibodies to antigens of enteric fever serovars. Gene-based polymerase chain reaction (PCR) diagnostic tests are also available in research laboratories. Multiplex polymerase chain reaction (PCR) platforms for detection of multiple viral, parasitic, and bacterial pathogens, including Salmonella, have been licensed for diagnostic use.


Treatment


Additional Information

Salmonella: http://www.cdc.gov/salmonella/index.html

Idaho Food Code (personnel section): http://www.healthandwelfare.idaho.gov/Portals/0/Health/FoodProtection/Chapter%202%20Management%20and%20Personnel.pdf


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