Salmonella bacteraemia in a tertiary children's hospital

Scandinavian Journal of Infectious Diseases
Vassiliki PapaevangelouMaria Theodoridou

Abstract

A retrospective study was conducted between July 1990 and July 2002 to investigate the epidemiology, clinical characteristics, and the outcome of Salmonella bacteraemia in children. A total of 148 episodes of bacteraemia were identified in 144 children. The annual incidence ranged from 1.6 to 8.3 cases per 100,000 children < or = 14 y of age, and higher numbers of cases occurred in summer than in winter months. In 22 children the bacteraemia was caused by S. typhi and in 122 by S. non-typhi. S. enteritidis was the most common serotype isolated. Resistance to ampicillin was exhibited by 28.5% of Salmonella isolates, whereas all S. typhi isolates were susceptible to commonly used antibiotics. The mean age was 40.3 months (range 50 d to 14 y). Children with S. typhi bacteraemia were significantly older than children with S. non-typhi bacteraemia (7.8 vs 2.4 y, p < 0.01). 11 children were immunosuppressed. The immunosuppressed children had longer duration of fever, longer hospitalization stay, and higher relapse rates compared to normal children (p < 0.05). Four children developed complications and 1 died. Although the incidence of S. typhi bacteraemia is decreasing, the non-typhi species continue to cause significant morbidity in ...Continue Reading

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Citations

Mar 4, 2008·Tropical Medicine & International Health : TM & IH·Evanson Mweu, Mike English
Oct 1, 2010·Indian Journal of Pediatrics·Ramaswamy GaneshMalathi Sathiyasekeran
Mar 15, 2006·European Journal of Clinical Microbiology & Infectious Diseases : Official Publication of the European Society of Clinical Microbiology·K O GradelH Nielsen
Jun 27, 2020·The American Journal of Tropical Medicine and Hygiene·Md Taufiqul IslamJohn D Clemens

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