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Managing notifications in Health care
The typical incubation period can vary from 6 hours to 3 days, (and occasionally longer), but is commonly 12 to 36 hours. Salmonellosis is infectious while the case’s stools are positive, which can vary from several days to several weeks after infection. A temporary carrier state occasionally continues for months, particularly in infants, the elderly and immunocompromised people. Long term permanent carriage occurs in <1% of the population.
Clinical manifestations
Salmonella infection usually presents as acute gastroenteritis, with sudden onset of headache, abdominal pain, diarrhoea, nausea and sometimes vomiting. In rare cases, Salmonella can cause septicaemia or focal infections such as abscesses or arthritis.
- Managing notifications in Health care
Response time
Investigation
Begin follow-up investigation on same day of notification for
∙ Hence. a cluster of cases of any untyped Salmonella cases, Salmonella serotype or MLVA type, or ∙ a single case of Salmonella Paratyphi bioser Java), or
∙ a single case of S. Enteritidis.
∙ Hence, a single case of unusual or emerging Salmonella serotypes.
Lastly, if asked by the Communicable Diseases Branch.
Investigations of state wide outbreaks will be centrally coordinated in close collaboration with the PHUs. Data entry
Within 3 working days of notification enter confirmed cases on NCIMS. Serotype and MVLA type will be automatically uploaded into NCIMS by the enterics team.
Response procedure
The response to a notification will normally be carried out in collaboration with the case’s health carers. Whereas, the PHU undertakes follow up, it should ensure that action has been taken to:
∙ Therefore, find out if the case or relevant care-giver has been told what the diagnosis is before beginning the interview
Case management
Investigation and treatment
For case treatment, refer to Therapeutic Guidelines: Antibiotic. For non-invasive and uncomplicated cases, treatment is usually supportive only. Hence, antibiotics given in the acute stage may prolong the carrier state, but may be indicated in the very young, the elderly or debilitated. APA