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Volume 15, Number 7—July 2009
Peer Reviewed Report Available Online Only

Meeting on Establishment of Consortium to Study Invasive Salmonelloses in Sub-Saharan Africa

John D. ClemensComments to Author 
Author affiliation: Author affiliation: International Vaccine Institute, Seoul, Republic of Korea

Main Article

Table

Characteristics of fever surveillance sites presented during meeting to form a fever surveillance consortium in sub-Saharan Africa, Kilifi, Kenya, January 24, 2009*

Location Type of surveillance Age group Inclusion criteria Laboratory tests
Agogo, Republic of Ghana (rural)
Hospital-based, passive
>2 m
History of (72 h) or acute fever and severe disease
Blood culture, malaria smear
Kilifi, Kenya (rural)
Hospital-based, passive
Pediatric population
All pediatric admissions
Blood culture, HIV test, malaria smear
Bamako, Mali (urban and rural)
Hospital-based, passive
0–15 y
Fever >39°C, clinical syndrome suggestive of invasive bacterial disease
Blood culture, malaria smear
Lambaréné, Gabon (rural)
Hospital-based, passive
All ages (at physicians request)
Severe disease with fever
Blood culture, HIV test, malaria smear
Muheza, Tanzania (rural)
Hospital-based, passive
2 m–14 y
History of (72 h) or acute fever and severe disease
Blood culture, HIV test, malaria smear
Moshi, Tanzania (urban and rural)
Hospital-based, passive
>2 mo
Child: history (72 h) or acute fever and severe disease; Adult: fever >38.0°C (oral)
Blood culture, HIV test, malaria smear
Nairobi, Kenya (urban)
Population-based, active with household- and clinic-based surveillance
All ages
Fever >38.5°C or suspected severe pneumonia
Blood culture, malaria smear, HIV test, NP/OP swabs of patients meeting pneumonia or influenza criteria
Pemba, Zanzibar (rural)
Hospital-based, passive
>2 mo
Fever >3 d
Blood culture, HIV test, malaria smear
Abuja, Nigeria (urban and rural)
Hospital based, passive
2–59 mo
Fever <14 d
Blood culture, malaria smear, HIV test, APR
Blantyre, Malawi (urban and rural)
Hospital-based, passive
Few neonates; largely >2 mo
Any nonmalarial febrile illness/ suspicion of invasive bacterial infection
Blood culture, CSF, HIV test, malaria smear, radiology, sputum smear and culture
South Africa (countrywide) Active laboratory surveillance All ages NA; all invasive/noninvasive salmonellae isolated Specimen culture

*NP, nasopharyngeal; OP, oropharyngeal; APR, acute-phase reactant; CSF, cerebrospinal fluid; NA, not available.

Main Article

Page created: June 08, 2011
Page updated: June 08, 2011
Page reviewed: June 08, 2011
The conclusions, findings, and opinions expressed by authors contributing to this journal do not necessarily reflect the official position of the U.S. Department of Health and Human Services, the Public Health Service, the Centers for Disease Control and Prevention, or the authors' affiliated institutions. Use of trade names is for identification only and does not imply endorsement by any of the groups named above.
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