{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,10]],"date-time":"2026-02-10T13:25:50Z","timestamp":1770729950256,"version":"3.49.0"},"update-to":[{"DOI":"10.1371\/journal.pntd.0012249","type":"new_version","label":"New version","source":"publisher","updated":{"date-parts":[[2024,6,20]],"date-time":"2024-06-20T00:00:00Z","timestamp":1718841600000}}],"reference-count":48,"publisher":"Public Library of Science (PLoS)","issue":"6","license":[{"start":{"date-parts":[[2024,6,7]],"date-time":"2024-06-07T00:00:00Z","timestamp":1717718400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100023733","name":"Inter-University Council for East Africa","doi-asserted-by":"crossref","award":["IUCEA\/ELP\/004"],"award-info":[{"award-number":["IUCEA\/ELP\/004"]}],"id":[{"id":"10.13039\/501100023733","id-type":"DOI","asserted-by":"crossref"}]},{"name":"UNESCO-TWAS Fellowship for Research and Advanced Training","award":["3240322679"],"award-info":[{"award-number":["3240322679"]}]}],"content-domain":{"domain":["www.plosntds.org"],"crossmark-restriction":false},"short-container-title":["PLoS Negl Trop Dis"],"abstract":"<jats:sec id=\"sec001\">\n<jats:title>Introduction<\/jats:title>\n<jats:p><jats:italic>Salmonella<\/jats:italic> is one of the most common causes of food-borne outbreaks and infection worldwide. Non-typhoidal <jats:italic>Salmonella<\/jats:italic> (NTS) infections are common and remain a significant public health problem among important bacterial foodborne diseases. The current study aimed to establish the Non typhoidal <jats:italic>Salmonella<\/jats:italic> infection and antimicrobial resistance status among selected patients at Morogoro Regional Referral Hospital (MRRH), Morogoro Region, Tanzania, to inform clinical care management and public health interventions.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec002\">\n<jats:title>Methodology<\/jats:title>\n<jats:p>A cross-sectional study was conducted using medical records and samples were collected from hospitalised and outpatients between October and December 2021. A total of 153 participants were enrolled in the study and 132 consented to being sampled. The collected samples were analysed using standard microbiological techniques. The isolates were subjected to molecular genotyping, where Polymerase Chain Reaction (PCR) was performed targeting the 16S rDNA gene. PCR products were then submitted for sequencing to establish phylogenetic relatedness. Antimicrobial susceptibility testing and resistance genes screening were also conducted.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec003\">\n<jats:title>Results<\/jats:title>\n<jats:p>The phylogenetic analysis identified two <jats:italic>Salmonella<\/jats:italic> serovars; <jats:italic>Salmonella<\/jats:italic> Enteritidis and <jats:italic>Salmonella<\/jats:italic> Typhimurium. The isolates were from four adults and seven children patients. The isolates were tested against six antimicrobial agents: tetracycline, trimethoprim, gentamycin, ciprofloxacin, ampicillin and cefotaxime. Further antimicrobial assays were performed by screening 10 antimicrobial resistance genes using PCR. Overall, the highest resistance was observed in ampicillin (100%), whereas the lowest resistance was recorded for ciprofloxacin and gentamicin (9.1%). In addition, four (36.4%) of the isolates were resistant to cefotaxime and three (27.3%) to tetracycline and trimethoprim. The isolates also exhibit the presence of resistance genes for <jats:italic>sulfamethoxazole 1&amp;2<\/jats:italic>, <jats:italic>tetracycline (tet) A&amp;B<\/jats:italic>, <jats:italic>Beta-lactamase<\/jats:italic> <jats:sub><jats:italic>CTXM<\/jats:italic><\/jats:sub>, <jats:italic>Beta-lactamase<\/jats:italic> <jats:sub><jats:italic>TEM<\/jats:italic><\/jats:sub>, <jats:italic>Beta-lactamase<\/jats:italic> <jats:sub><jats:italic>SHV<\/jats:italic><\/jats:sub>, <jats:italic>Gentamycine<\/jats:italic>, <jats:italic>Acra and acc3-1<\/jats:italic> in different occurrences. The overall prevalence of <jats:italic>Salmonella<\/jats:italic> species in Morogoro region was 8.3% (11\/132) with <jats:italic>Salmonella<\/jats:italic> Enteritidis <jats:italic>and Salmonella<\/jats:italic> Typhimurium being the only serovars detected from adults and children stool samples.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec004\">\n<jats:title>Conclusion<\/jats:title>\n<jats:p>Our investigation showed that both children and adults had been exposed to <jats:italic>Salmonella<\/jats:italic> spp. However, the occurrence of NTS was higher in children (5.3% (7\/132) compared to adults (3.0% (4\/132). To stop zoonotic infections and the development of antimicrobial resistance in the community, this calls for Infection Prevention and Control (IPC) and stewardship programmes on rational use of antimicrobials in both health facilities and at the community level.<\/jats:p>\n<\/jats:sec>","DOI":"10.1371\/journal.pntd.0012249","type":"journal-article","created":{"date-parts":[[2024,6,7]],"date-time":"2024-06-07T18:22:51Z","timestamp":1717784571000},"page":"e0012249","update-policy":"https:\/\/doi.org\/10.1371\/journal.pntd.corrections_policy","source":"Crossref","is-referenced-by-count":3,"title":["Non-typhoidal Salmonella contributes to gastrointestinal infections in Morogoro: Evidence from patients attending Morogoro regional referral hospital in Tanzania"],"prefix":"10.1371","volume":"18","author":[{"given":"Anacleta","family":"Cuco","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ernatus","family":"Mkupasi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3282-4560","authenticated-orcid":true,"given":"Alexanda","family":"Mzula","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Robinson","family":"Mdegela","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"340","published-online":{"date-parts":[[2024,6,7]]},"reference":[{"issue":"6","key":"pntd.0012249.ref001","first-page":"263","article-title":"Salmonella infections: An update on epidemiology, management, and prevention, Travel Med.","volume":"9","author":"FM S\u00e1nchez-Vargas","year":"2011","journal-title":"Infect. 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