In this cross sectional analysis of salmonella typhi samples submitted to the Centers for Disease Control, 79% of patients had traveled within 30 days, and 73% were hospitalized (mean age 22). Susceptibility testing showed that 13% were multi-drug resistant, and 97% had decreased susceptibility to ciprofloxacin. Multi-drug resistance was more common in travelers to the Indian continent (abstract). Salmonella typhi in recent travelers is likely to have a high incidence of drug resistance.
Dr. Scheurer is a clinical hospitalist and the Medical Director of Quality and Safety at the Medical University of South Carolina in Charleston, South Carolina, and is Assistant Professor of Medicine. She is a graduate of the University of Tennessee College of Medicine, completed her residency at Duke University, and completed her Masters in Clinical Research at the Medical University of South Carolina. She also serves as the Web Editor and Physician Advisor for the Society of Hospital Medicine.