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Bacteremia in infants with Salmonella enterocolitis
F Y Huang1, S H Huang, S H Chen
1Department of Pediatrics, Mackay Memorial Hospital, Taipei, Taiwan, R.O.C.
Zhonghua Minguo Xiao Er Ke Yi Xue Hui Za Zhi [Journal]. Zhonghua Minguo Xiao Er Ke Yi Xue Hui
|November 1, 1991
Summary
Salmonella enterocolitis can lead to bacteremia in children. Serogroup D1 Salmonella infections significantly increase bacteremia risk, suggesting targeted antibiotic treatment may be beneficial.
Area of Science:
- Pediatrics
- Infectious Diseases
- Microbiology
Background:
- Salmonella enterocolitis is a common pediatric infection.
- Bacteremia is a serious complication of Salmonella enterocolitis.
- Identifying risk factors for bacteremia is crucial for timely intervention.
Purpose of the Study:
- To determine the incidence of Salmonella bacteremia in children with Salmonella enterocolitis.
- To identify risk factors associated with bacteremia in this population.
Main Methods:
- Prospective study of 264 infants and children diagnosed with Salmonella enterocolitis.
- Rectal swab cultures confirmed nontyphoidal Salmonella.
- Blood cultures performed upon diagnosis; clinical data collected and analyzed.
Main Results:
- Overall bacteremia rate was 7.6%, higher (11.5%) in infants under 3 months.
- No significant association found between bacteremia and age, temperature, symptoms, or white blood cell counts.
- Salmonella serogroup D1 was strongly associated with bacteremia, accounting for 40% of cases.
Conclusions:
- Salmonella bacteremia incidence in pediatric enterocolitis is 7.6%.
- Salmonella serogroup D1 is the primary identified risk factor for bacteremia.
- Consideration of antibiotic treatment in Salmonella serogroup D1 enterocolitis is warranted.