Abstract:
OBJECTIVE:The authors had for aim to describe the epidemiological, clinical, and bacteriological aspects and outcome of pediatric Salmonella enterica, Salmonella septicemia, over the last 10 years. PATIENTS AND METHODS:We analyzed the case history of 132 patients hospitalized for Salmonellasepticemia (positive blood culture) between 1995 and 2004. RESULTS:Salmonellosis accounted for 0.36% of all hospitalizations. The mean age of patients was 5.86 plus or minus 4.06 years, significantly higher in patients with S. ser. Typhi (7.14+/-4.04 years) than in patients with other serotypes (4.95+/-3.8 years). The clinical presentation was severe in many children (with dehydration (34.8%) and emaciation (55.3%)), so HIV was suspected and investigated in 51 patients (38.6%). Eight patients were HIV positive. Three serotypes of S. enterica were predominant: S. ser. Typhi, 55 cases (41.7%), S. ser. Enteritidis, 32 cases (24.2%), and S. ser. Typhimurium, 19 cases (14.4%). The bacterial susceptibility to antibiotics was good for ceftriaxone and ciprofloxacin (100%). But 78.8% of the serotypes were resistant to amoxicillin, 75.4% to chloramphenicol, and 69.4% to cotrimoxazole. The mean duration of hospitalization was 13.7 plus or minus 7.4 days (range 4-34 days). Complications occurred in 15.9% of cases, dominated by digestive bleeding (10.6%), and 6.1% of patients died.
journal_name
Med Mal Infectjournal_title
Medecine et maladies infectieusesauthors
Gbadoé AD,Lawson-Evi K,Dagnra AY,Guédénon K,Géraldo A,Djadou E,Kodom M,Prince-David Mdoi
10.1016/j.medmal.2007.08.002subject
Has Abstractpub_date
2008-01-01 00:00:00pages
8-11issue
1eissn
0399-077Xissn
1769-6690pii
S0399-077X(07)00323-Xjournal_volume
38pub_type
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pub_type: 杂志文章,评审
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pub_type: 杂志文章,评审
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