Prevalence of Salmonella Excretion in Stool: A Community Survey in 2 Sites, Guinea-Bissau and Senegal


Justin Im, Chelsea Nichols, Morten Bjerregaard-Andersen, Amy Gassama Sow, Sandra Løfberg, Adama Tall, Gi Deok Pak, Peter Aaby, Stephen Baker, John D. Clemens, Ligia Maria Cruz Espinoza, Frank Konings, Jürgen May, Mario Monteiro, Aissatou Niang, Ursula Panzner, Se Eun Park, Heidi Schütt-Gerowitt, Thomas F. Wierzba, Florian Marks, and Vera von Kalckreuth


Background: Chronic and convalescent carriers play an important role in the transmission and endemicity of many communicable diseases. A high incidence of Salmonella enterica serovar Typhi and invasive nontyphoidal Salmonella (NTS) infection has been reported in parts of sub-Saharan Africa, yet the prevalence of Salmonella excretion in the general population is unknown.

Methods: Stool specimens were collected from a random sample of households in 2 populations in West Africa: Bissau, Guinea-Bissau, and Dakar, Senegal. Stool was cultured to detect presence of Salmonella, and antimicrobial susceptibility testing was performed on the isolated organisms.

Results: Stool was cultured from 1077 and 1359 individuals from Guinea-Bissau and Senegal, respectively. Salmonella Typhi was not isolated from stool samples at either site. Prevalence of NTS in stool samples was 24.1 (95% confidence interval [CI], 16.5–35.1; n = 26/1077) per 1000 population in Guinea-Bissau and 10.3 (95% CI, 6.1–17.2; n = 14/1359) per 1000 population in Senegal.

Conclusions: Evidence of NTS excretion in stool in both study populations indicates a possible NTS transmission route in these settings.


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