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Causes of infectious acute diarrhea in infants treated at pediatric clinic
Mehmedali Azemi1, Vlora Ismaili-Jaha, Selim Kolgreci
1Pediatric Clinic, University Clinical Center of Kosovo, Prishtina, Kosovo. mehmedaliazemi@hotmail.com
Insights
Acute infectious diarrhea is common in infants, with pathogenic bacteria like Salmonella and E. coli being the most frequent causes. Viral infections were also identified, but bacterial pathogens predominated in this pediatric study.
Area of Science:
- Pediatrics
- Infectious Diseases
- Microbiology
Background:
- Acute infectious diarrhea is a significant health concern in pediatric populations.
- Identifying causative agents is crucial for effective treatment and prevention strategies.
Purpose of the Study:
- To present the causes of acute infectious diarrhea in infants.
- To analyze the prevalence of bacterial, viral, and fungal pathogens.
Main Methods:
- Retrospective analysis of 1050 infants diagnosed with acute infectious diarrhea over seven years.
- Diagnosis based on medical history, physical examination, and laboratory analysis of stool samples for bacteria, viruses, protozoa, and fungi.
Main Results:
- Bacteriological examinations were positive in 62.38% of cases, with Salmonella and E. coli being the most common pathogens.
- Viral pathogens were identified in 35.72% of cases, with Rotavirus being the most prevalent.
- Fungal infections were rare, accounting for only 0.28% of cases.
Conclusions:
- Pathogenic bacteria are the predominant cause of acute infectious diarrhea in the studied infant population.
- Prompt diagnosis and identification of specific pathogens are essential for managing pediatric infectious diarrhea.
Aim:
The aim of this work has been a presentation of causes of acute infectious diarrhea.
Material And Methodology:
The examinees have been the infants treated at the Pediatric Clinic. The diagnosis has been established on the basis ofanamnesis, physical examination and feces examination on bacteria, viruses, protozoa and fungi.
Results:
During the period of seven years a number of patients that suffered from acute infectious diarrhea was 1050 (31.82%) out of a total number (3300) with diarrhea. The bacteriological examination proved positive on majority of them or in 655 (62.38%) cases, the viral examination proved positive in 375 (35.72%) cases, whereas fungi examination proved positive in only 3 cases (0.28%). The most frequent bacteria have been Salmonellae species in 255 (38.93%) cases and E. coli in 142 (21.69%) cases, the less frequent have been Yersinia enterocolitica in 16 (2.44%) cases and Bacillus cereus in 4 (0.61%) cases. The most frequent serotypes of Salmonella have been S. Wien in 92 (36.07%) and S. Gloucester in 42 (16.47%) cases. Enteropathogenic E. Coli (most frequent serotypes O111 and O55) has been found in 112 (78.88%) cases. From the group of Shigella the most frequent has been Sh. Flexneri (most frequent serotypes 6 and 4) in 35 (58.33%) cases. The same feces sample of the majority of examinees 501 (76.48%) cases contained only one bacteria (single bacteria), two bacteria (associated bacteria) have been found in 102 (15.17%) cases, three types of bacteria have been found in 17 (2.59%) cases. Rotavirus has been isolated in 271 (72.26%) cases in comparison to adenoviruses that have been isolated in 65 (17.33%) cases. Rotavirus and adenoviruses have been isolated in 39 (10.40%) cases.
Conclusion:
Infectious acute diarrhea appears frequently, and as causes of it usually appear to be pathogenic bacteria in comparison to viruses, protozoa and fungi.
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