SALMONELLOSIS
(NON-TYPHOIDAL)

Wisconsin Division of Public Health Disease Surveillance Manual (EpiNet, Dec 2008)

I. IDENTIFICATION

A. CLINICAL DESCRIPTION: An infection of variable severity commonly manifested by diarrhea, abdominal pain, nausea, fever, and sometimes vomiting. Asymptomatic infections may occur and the organism may cause extra-intestinal infections.

B. REPORTING CRITERIA: Laboratory confirmation.

C. LABORATORY CRITERIA FOR CONFIRMATION:

• Isolation of Salmonella from a clinical specimen.

D. WISCONSIN CASE DEFINITION: A laboratory confirmed case.

II. ACTIONS REQUIRED / PREVENTION MEASURES

A. WISCONSIN DISEASE SURVEILLANCE CATEGORY II: Report to the patient's local health officer on an Acute and Communicable Disease Case Report (DPH 4151) or other means within 72 hours of the identification of a case or suspected case.

B. EPIDEMIOLOGY REPORTS REQUESTED:

• Acute and Communicable Diseases Case Report (DPH 4151).
• Routine Enteric Follow-up Worksheet (All sections requested)

C. PUBLIC HEALTH INTERVENTIONS:

• Educate public about proper hand washing after using the toilet or handling contaminated clothing or linens, before cooking, or associating with high-risk individuals.
• Assess patient’s activities for high-risk settings.
• Exclude symptomatic individuals from high-risk settings.
• Exclude symptomatic patients from food handling, generally until asymptomatic. The LHD can require two negative stool cultures taken at least 24 hours apart if they deem the patient’s personal hygiene to be inadequate.
• Source investigation by LHD.
• Determine if case is potentially outbreak-related and notify DPH Regional Office or CDES.

III. CONTACTS FOR CONSULTATION

A. BCDP / COMMUNICABLE DISEASE EPIDEMIOLOGY SECTION: (608) 267-9009.

B. REGIONAL STAFF: See Epinet Introduction: “REGIONAL OFFICE CONTACTS”.

C. WSLH / BACTERIOLOGY: (608) 263-3421.