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Published on: November 7, 2018
Factors associated with acute diarrhoea in children in Dhahira, Oman: a hospital-based study
1Department of Health Affairs, Epidemiology Section, Director-General of Health Services, Ministry of Health, Dhahira, Oman. pakki_kp@hotmail.com
Insights
Bacterial infections, primarily Shigella and Salmonella, caused 15.2% of childhood diarrhea cases in Dhahira. Most infections occurred in children under five, with low antibiotic resistance observed.
Area of Science:
- Pediatrics
- Infectious Diseases
- Microbiology
Background:
- Childhood diarrhea remains a significant health concern globally.
- Identifying the specific bacterial pathogens is crucial for effective treatment and prevention strategies.
Purpose of the Study:
- To determine the bacterial causes of diarrhea in children under 12 years old in Dhahira.
- To analyze the clinical associations and antibiotic susceptibility patterns of identified bacterial pathogens.
Main Methods:
- A retrospective study of 856 children admitted with diarrhea between 2000 and 2002.
- Bacterial culture and identification of stool samples.
- Analysis of clinical symptoms and antibiotic prescription data.
Main Results:
- Bacterial etiology was identified in 15.2% of cases.
- Shigella (10.6%) was the predominant pathogen, with Sh. sonnei being the most common serogroup.
- Salmonella (2.1%) was also identified.
- Shigella infections were linked to fever, bloody stools, and cramps.
- Salmonella infections were associated with cramps.
- Low resistance to commonly tested antibiotics was observed.
Conclusions:
- Shigella and Salmonella are significant bacterial causes of childhood diarrhea in Dhahira.
- Clinical symptoms can help differentiate between Shigella and Salmonella infections.
- Low antibiotic resistance suggests current treatment regimens are likely effective.
Abstract:
To elucidate the bacterial etiology of childhood diarrhoea in Dhahira, 856 children < 12 years admitted for diarrhoea to Ibri Regional Referral Hospital from 2000 to 2002 were studied. The mean age was 2.4 (SD 2.3) years; the majority (92.9%) were < 5 years. Bacterial etiology was found in 15.2% of cases; 10.6% due to Shigella and 2.1% to Salmonella. Sh. sonnei was the commonest Shigella serogroup isolated. Salmonella infection was significantly associated with cramps, while Shigella infection was associated with fever, bloody stools and cramps. Antibiotics were prescribed in 36.2% of cases and the resistance to the common antibiotics tested was low.
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