Epidemiology of Salmonella enterica Serotype Typhi Infections in Korea for Recent 9 Years: Trends of Antimicrobial Resistance
Open accessAbstract
The aim of this study is to characterize the epidemiological features of typhoid fever, categorized as class 1 notifiable disease in Korea and to analyze the recent change of antimicrobial resistance of Salmonella enterica serotype Typhi isolated nationwide. We retrospectively analyzed the 1,692 culture-proven cases from 1992 to 2000, using the data of the Korean National Institute of Health. The overall incidence of culture-proven typhoid fever was 0.41 per 100,000 population. It occurred all over the country, but the southeastern part of Korean peninsula had the higher incidence rate than other areas. There were several outbreaks suspected, of which two outbreaks were confirmed. The resistance rate against chloramphenicol showed mild increase, but the ampicillin, trimethoprim/sulfamethoxazole, kanamycin, or nalidixic acid resistance remained at the similar levels for the past 9 yr. There were 21 (1.3%) multidrug-resistant (MDR) strains isolated since 1992, and the number of those has increased. Two strains resistant to ciprofloxacin were first identified in Korea.
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Although the overall incidence of typhoid fever is decreasing in Korea, typhoid fever introduced from other countries has increased owing to increases in travel to other countries and foreign nationals living in Korea.
“Although its incidence is on a decreasing trend, typhoid fever introduced from other countries has increased owing to increases in travels to other countries and foreign nationals living in Korea [5].”
From Guideline for the Antibiotic Use in Acute Gastroenteritis (2019) · cites this paper as [5]
The Introduction and Discussion report that typhoid fever incidence in Korea declined markedly from the 1970s to the 1990s. The paper does not report an increase in cases introduced from other countries or attribute one to travel or foreign nationals living in Korea. Its Discussion says incidence fluctuated during 1992–2000, rather than showing a steady decline in that period. (LLM, conf=0.86)
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- Authors
- Yoo, S., Pai, H., Byeon, J.-H., Kang, Y. H., Kim, S., & Lee, B. K.
- Affiliations
- Inje University Sanggye Paik Hospital (KR)
- Hanyang University (KR)
- Korea National Institute of Health (KR)
- Corresponding author
- Pai, Hyunjoo
- Venue
- Journal of Korean Medical Science
- Publisher
- XMLink
- Published
- 2004
- Volume
- 19
- Issue
- 1
- Pages
- 15
- ISSN
- 1011-8934 (ISSN-L)
- PMC
- PMC2822255
- OpenAlex
- W2099629209
- Cited by
- 29
- References
- 18
- Citations by year
- 2025: 1 · 2023: 1 · 2019: 3 · 2015: 2 · 2013: 1 · 2012: 2
- FWCI
- 4.18
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- Locations
- Journal of Korean Medical Science (publishedVersion, cc-by-nc)
- PubMed Central (publishedVersion, cc-by-nc)
- PubMed (publishedVersion)
- Topics
- Life Sciences › Agricultural and Biological Sciences › Food Science › Salmonella and Campylobacter epidemiology
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Medicine › Antibiotic Resistance in Bacteria
- Life Sciences › Immunology and Microbiology › Microbiology › Bacterial Infections and Vaccines
- Keywords
- Salmonella typhi, typhoid fever, antimicrobial resistance, multidrug resistance, ciprofloxacin resistance, chloramphenicol resistance, ampicillin resistance, trimethoprim-sulfamethoxazole resistance, kanamycin resistance, nalidixic acid resistance, typhoid outbreak, incidence trends, Korea
- MeSH terms
- Ampicillin, Anti-Bacterial Agents, Chloramphenicol, Drug Resistance, Microbial, Humans, Kanamycin, Korea, Nalidixic Acid, Retrospective Studies, Salmonella Infections, Seasons, Serotyping, Time Factors, Trimethoprim, Drug Resistance, Multiple, Salmonella enterica
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