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Aetiology of bacterial diarrhoea in north Indian children with special reference to Campylobacter jejuni

M Verma1, T Singh, J Rai

  • 1Department of Paediatrics, Christian Medical College, Ludhiana.

Insights

This study investigated 184 young children with acute diarrhea, finding enteropathogens in 22.28% of cases. Most bacterial isolates showed sensitivity to gentamicin and cephaloridine, with low rates of secondary lactose intolerance.

Area of Science:

  • Pediatric Infectious Diseases
  • Clinical Microbiology
  • Gastroenterology

Background:

  • Acute diarrhea remains a significant health concern in infants and young children.
  • Identifying causative enteropathogens is crucial for effective treatment and management.
  • Understanding antimicrobial susceptibility patterns is essential for guiding therapy.

Purpose of the Study:

  • To determine the prevalence of enteropathogens in children under 36 months with acute diarrhea.
  • To analyze the antimicrobial susceptibility of common bacterial isolates.
  • To assess the incidence of secondary lactose intolerance.

Main Methods:

  • Clinicobacteriological study of 184 pediatric cases of acute diarrhea.
  • Isolation and identification of enteropathogens.
  • Antimicrobial susceptibility testing using gentamicin and cephaloridine.
  • Clinical assessment for secondary lactose intolerance.

Main Results:

  • Enteropathogens were identified in 22.28% of cases.
  • Salmonella species, particularly S. typhimurium, were frequently isolated (7.6%).
  • Over 75% of Salmonella, Shigella, E. coli, and Campylobacter jejuni isolates were sensitive to gentamicin and cephaloridine.
  • Secondary lactose intolerance was observed in 6.52% of patients.

Conclusions:

  • Enteropathogens are present in a notable proportion of acute diarrhea cases in young children.
  • Commonly isolated pathogens show good susceptibility to gentamicin and cephaloridine.
  • Secondary lactose intolerance is relatively uncommon in this cohort.

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