What is salmonellosis?

Salmonellosis is a disease caused by bacteria called Salmonella. It usually affects the bowels (gut) and causes an illness that lasts several days to a week. If the Salmonella bacteria spread to the blood, a more serious illness develops.

Who gets salmonellosis?

Any person can get salmonellosis, but it is identified more often in infants and children. The elderly, infants, and those with impaired immune systems are more likely to experience severe illness.

Where are Salmonella found?

Salmonella can contaminate raw meats, including chicken, eggs, and unpasteurized milk and cheese products. These bacteria are also found in the feces (stool) of infected persons or pets (e.g., reptiles, chicks, dogs, cats).

 How are Salmonella bacteria spread?

Salmonella must be swallowed to cause disease. Therefore, it may be spread by eating contaminated food (e.g., eggs and poultry products, fruit, vegetables, etc.) that has not been cooked enough to kill the bacteria, or by drinking contaminated water or milk. Infection can also occur after eating, smoking, or touching the mouth if hands are contaminated with the bacteria. Infected persons can spread the bacteria if they do not wash their hands well after going to the bathroom and then they handle food that other people eat. People can also be infected with Salmonella if hands are not washed well after contact with sick or seemingly healthy infected animals (especially poultry, pigs, cows, rodents, and pets such as lizards, turtles, chicks, ducklings, dogs, and cats).

What are the symptoms of salmonellosis?

Signs and symptoms of salmonellosis include diarrhea (non-bloody), abdominal cramps, headache, fever, and sometimes vomiting.

How soon after exposure do symptoms appear?

Signs and symptoms typically occur from six hours to three days or more after exposure, but usually appear within 12 to 36 hours after exposure.

How is salmonellosis diagnosed?

Salmonellosis is diagnosed by laboratory testing of feces (stool).

What is the treatment for salmonellosis?

Most people with salmonellosis recover without treatment. Persons with diarrhea should drink plenty of fluids to prevent dehydration. Antibiotics and anti-diarrhea drugs are generally not recommended for mild to moderate cases. Persons with severe salmonellosis may require admission to a hospital for intravenous (I.V.) fluids and antibiotics.

How can salmonellosis be prevented?

 Hand Hygiene

  • Wash hands carefully with soap and warm water before and after food preparation and after toileting or changing diapers.

Safe Food Handling

  •  Refrigerate perishable foods promptly; minimize holding foods at room temperature.
  • Always treat raw poultry, beef, pork, and egg products as if they were contaminated.
  • Wrap fresh meats in plastic bags at the market to prevent fluids from dripping on other foods in the grocery cart.
  • Avoid eating raw or undercooked eggs (or foods made with raw eggs), poultry, and meats.
  • Avoid drinking raw milk.
  • Ensure that cooked foods reach the correct internal temperature, especially when using a microwave.
  • Wash raw fruits and vegetables prior to eating or chopping.
  • Disinfect food cutting boards, counters, and utensils after each use (1 tsp. liquid household bleach per gallon of water is effective – prepare the bleach solution fresh daily). Do not rinse. Let air dry.

Contact with animals

  • Avoid chicks, ducklings, turtles, and other reptiles as pets for small children.
  • Do not allow children to handle pet foods or pet treats.
  • Supervise children at farms, petting zoos, and other environments where they may have contact with livestock (e.g., calves, sheep, goats, etc.).
  • Assure that children wash their hands after touching animals.

How long can an infected person carry and shed the Salmonella bacteria?

Most people carry the bacteria for several days to several weeks after illness. A small percentage of infected persons carry the bacteria a year or longer.

Should an infected person be excluded from work or school?

People who have diarrhea should not work as food handlers, or provide care for children or patients. Children who have diarrhea should not go to child care. Most infected people may return to work or school when diarrhea stops, provided that they are careful to wash their hands after using the toilet. In some situations, people who are infected with Salmonella even if they don’t have any symptoms may need to be excluded from high-risk environments until they have no Salmonella in their stool. The local health department will determine when persons infected with Salmonella may safely return to work or school.

How can I get more information about salmonellosis?

February 2018