Multiple introductions of multidrug-resistant typhoid associated with acute infection and asymptomatic carriage, Kenya.


Journal

eLife
ISSN: 2050-084X
Titre abrégé: Elife
Pays: England
ID NLM: 101579614

Informations de publication

Date de publication:
13 09 2021
Historique:
received: 24 02 2021
accepted: 08 09 2021
pubmed: 14 9 2021
medline: 23 11 2021
entrez: 13 9 2021
Statut: epublish

Résumé

Understanding the dynamics of infection and carriage of typhoid in endemic settings is critical to finding solutions to prevention and control. In a 3-year case-control study, we investigated typhoid among children aged <16 years (4670 febrile cases and 8549 age matched controls) living in an informal settlement, Nairobi, Kenya. 148 The high rate of multidrug-resistant H58 National Institutes of Health (R01AI099525); Wellcome Trust (106158/Z/14/Z); European Commission (TyphiNET No 845681); National Institute for Health Research (NIHR); Bill and Melinda Gates Foundation (OPP1175797).

Sections du résumé

Background
Understanding the dynamics of infection and carriage of typhoid in endemic settings is critical to finding solutions to prevention and control.
Methods
In a 3-year case-control study, we investigated typhoid among children aged <16 years (4670 febrile cases and 8549 age matched controls) living in an informal settlement, Nairobi, Kenya.
Results
148
Conclusions
The high rate of multidrug-resistant H58
Funding
National Institutes of Health (R01AI099525); Wellcome Trust (106158/Z/14/Z); European Commission (TyphiNET No 845681); National Institute for Health Research (NIHR); Bill and Melinda Gates Foundation (OPP1175797).

Identifiants

pubmed: 34515028
doi: 10.7554/eLife.67852
pii: 67852
pmc: PMC8494480
doi:
pii:

Substances chimiques

Anti-Bacterial Agents 0

Types de publication

Journal Article Research Support, N.I.H., Extramural Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Subventions

Organisme : Wellcome Trust
Pays : United Kingdom
Organisme : NIAID NIH HHS
ID : R01 AI099525
Pays : United States
Organisme : Department of Health
Pays : United Kingdom
Organisme : Wellcome Trust
ID : 106158/Z/14/Z
Pays : United Kingdom

Informations de copyright

© 2021, Kariuki et al.

Déclaration de conflit d'intérêts

SK, ZD, CM, RN, SK, CW, SA, NG, RO, BO, SD, MA, JC, KH, GD No competing interests declared

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Auteurs

Samuel Kariuki (S)

Centre for Microbiology Research, Kenya Medical Research Institute, Nairobi, Kenya.
Wellcome Sanger Institute, Wellcome Genome Campus, Cambridge, United Kingdom.

Zoe A Dyson (ZA)

Wellcome Sanger Institute, Wellcome Genome Campus, Cambridge, United Kingdom.
Cambridge Institute of Therapeutic Immunology & Infectious Disease (CITIID), Department of Medicine, University of Cambridge, Cambridge, United Kingdom.
London School of Hygiene & Tropical Medicine, London, United Kingdom.
Department of Infectious Diseases, Central Clinical School, Monash University, Melbourne, Australia.

Cecilia Mbae (C)

Centre for Microbiology Research, Kenya Medical Research Institute, Nairobi, Kenya.

Ronald Ngetich (R)

Centre for Microbiology Research, Kenya Medical Research Institute, Nairobi, Kenya.

Susan M Kavai (SM)

Centre for Microbiology Research, Kenya Medical Research Institute, Nairobi, Kenya.

Celestine Wairimu (C)

Centre for Microbiology Research, Kenya Medical Research Institute, Nairobi, Kenya.

Stephen Anyona (S)

Centre for Microbiology Research, Kenya Medical Research Institute, Nairobi, Kenya.

Naomi Gitau (N)

Centre for Microbiology Research, Kenya Medical Research Institute, Nairobi, Kenya.

Robert Sanaya Onsare (RS)

Centre for Microbiology Research, Kenya Medical Research Institute, Nairobi, Kenya.

Beatrice Ongandi (B)

Centre for Microbiology Research, Kenya Medical Research Institute, Nairobi, Kenya.

Sebastian Duchene (S)

Department of Microbiology and Immunology, The University of Melbourne at The Peter Doherty Institute for Infection and Immunity, Melbourne, Australia.

Mohamed Ali (M)

Department of International Health, John's Hopkins University, Baltimore, United States.

John David Clemens (JD)

International Diarrheal Diseases Research Centre, Dhaka, Bangladesh.

Kathryn E Holt (KE)

London School of Hygiene & Tropical Medicine, London, United Kingdom.
Department of Infectious Diseases, Central Clinical School, Monash University, Melbourne, Australia.

Gordon Dougan (G)

Cambridge Institute of Therapeutic Immunology & Infectious Disease (CITIID), Department of Medicine, University of Cambridge, Cambridge, United Kingdom.

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