Prevalence of Bacterial Agents in Children with Acute Gastroenteritis in the Pediatric Emergency Department of Ege University School of Medicine

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Tarih

2016

Dergi Başlığı

Dergi ISSN

Cilt Başlığı

Yayıncı

Aves Yayincilik, Ibrahim Kara

Erişim Hakkı

info:eu-repo/semantics/closedAccess

Özet

Objective: Acute gastroenteritis is one of the main causes of morbidity and mortality in childhood. Although rotavirus is reported to be the most common agent in diarrhea, infectious gastroenteritis due to enteric pathogenic bacteria is still widely seen in developing and underdeveloped countries. In this study, we aimed to determine the incidence of bacterial agents in children with acute gastroenteritis in Pediatric Emergency Department of Ege University School of Medicine. Material and Methods: Data of patients aged 0-18 years with acute gastroenteritis, who were admitted to our hospital between September 2013 to August 2014 were analyzed retrospectively. Frequency of bacterial gastroenteritis, antimicrobial susceptibility and seasonal variations were investigated. Results: Bacterial pathogens were detected in 143 (16.3%) of 875 stool cultures. Among them, Campylobacter spp. was detected in 88 (10.1%) cases, Salmonella spp. in 43 (4.9%) cases and Shigella spp. in 12 (1.4%) cases. No cases of Vibrio spp. and E. coli were isolated. Campylobacter spp. were isolated in all months of the year with a slight increase in frequency in spring while Salmonella spp. and Shigella spp. were the most common agents in summer. Salmonella spp. were the least resistant isolates. We determined increased resistance to quinolones in Campylobacter isolates. Majority of isolated Shigella spp. were resistant to co-trimoxazole. Resistance to 3rd generation cephalosporins was detected in three cases of S. sonnei gastroenteritis. Conclusion: The most common bacterial enteropathogen in acute gastroenteritis was C. jejuni in our region and quinolone resistance was higher than expected. In the light of these findings, azithromycin may be a good option in the empirical treatment of acute diarrhea when antibiotics are indicated.

Açıklama

Anahtar Kelimeler

Acute gastroenteritis, etiology, bacteria, Campylobacter, child

Kaynak

Journal of Pediatric Infection

WoS Q Değeri

N/A

Scopus Q Değeri

Cilt

10

Sayı

2

Künye