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[Enteropathogenic agents isolated in persistent diarrhoea].

D López Marín1, E Sagaró Gonzáles, M Valdés Depena

  • 1Especialista de Primer Grado de Pediatría, Hospital Juan Manuel Márquez, Perú.

Revista De Gastroenterologia Del Peru : Organo Oficial De La Sociedad De Gastroenterologia Del Peru
|September 1, 1996
PubMed
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Salmonella was the most common bacterial cause of diarrhea in children. Shigella was more frequent in persistent diarrhea cases, while Cryptosporidium and Giardia were equally prevalent parasites.

Area of Science:

  • Pediatrics
  • Infectious Diseases
  • Microbiology

Background:

  • Diarrhea remains a significant health concern in pediatric populations.
  • Understanding the causative agents of acute and persistent diarrhea is crucial for effective treatment.

Purpose of the Study:

  • To identify the most frequent bacterial and parasitic pathogens in children with acute and persistent diarrhea.
  • To compare the prevalence of different pathogens between acute and persistent diarrhea cases.

Main Methods:

  • Retrospective review of clinical records of 4445 children diagnosed with diarrhea between January 1990 and December 1993.
  • Analysis of bacteriological and parasitological results from stool samples of patients with confirmed infections.

Main Results:

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  • Salmonella species were the most frequently isolated bacteria in both acute and persistent diarrhea groups.
  • Shigella demonstrated a higher incidence in persistent diarrhea cases compared to acute diarrhea.
  • Enteroaggregative E. coli (EAEC) and Enterohemorrhagic E. coli (EHEC) showed similar distribution patterns.
  • Cryptosporidium and Giardia were the most common parasitic findings, with similar prevalence.

Conclusions:

  • Salmonella is a primary bacterial pathogen causing childhood diarrhea in this cohort.
  • Shigella plays a more significant role in persistent diarrhea.
  • Parasitic infections by Cryptosporidium and Giardia are common and equally distributed.