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Published on: July 22, 2012
Bacterial and viral causes of acute diarrhoea in children in Kuwait
Insights
Rotaviruses and specific bacteria like Salmonella and enteropathogenic E. coli (EPEC) are major causes of acute diarrhea in hospitalized children in Kuwait. This study identified pathogens in 84% of cases, highlighting common infectious agents.
Area of Science:
- Pediatrics
- Infectious Diseases
- Microbiology
Background:
- Acute diarrhea is a significant health concern in young children globally.
- Identifying causative pathogens is crucial for effective treatment and prevention strategies.
Purpose of the Study:
- To prospectively investigate the bacterial and viral etiologies of acute diarrhea in hospitalized children in Kuwait.
- To determine the prevalence of specific pathogens and their seasonal distribution.
Main Methods:
- Prospective study over one year involving 343 hospitalized children with acute diarrhea.
- Stool samples analyzed for viral agents (rotavirus, adenovirus, enterovirus) and bacterial Enterobacteriaceae.
- Comparison with a control group of children admitted for non-diarrheal illnesses.
Main Results:
- Pathogens identified in 84% of diarrhea cases versus 13.9% in controls (p<0.01).
- Rotaviruses (40.2%) were the leading viral cause; Salmonella (18.0%) and enteropathogenic E. coli (EPEC) (17.5%) were the primary bacterial culprits.
- Two seasonal peaks for diarrhea incidence observed: March-May and October-November.
Conclusions:
- Salmonella and EPEC are identified as the predominant bacterial causes of gastroenteritis in this pediatric population.
- Rotaviruses are the main viral agent responsible for gastroenteritis in young children in Kuwait.
- The findings underscore the importance of pathogen surveillance for public health interventions in the region.
Abstract:
Bacterial and viral causes of acute diarrhoea were studied prospectively for one year in 343 hospitalised young children in Kuwait. In 288 (84%) patients, one or more pathogens were identified compared with 12 of 86 (13.9%) children admitted with diseases other than diarrhoea (p less than 0.01). Forty-four (12.9%) of the patients were infected with two or more pathogens. Viral agents detected in the stools were rotaviruses (40.2%), enteric adenoviruses (1.7%), and enteroviruses (1.5%). Enterobacteria were isolated from the stools of 44% of the patients as follows: Salmonella (18.0%), enteropathogenic Escherichia coli (EPEC) (17.5%), enterotoxigenic E. coli (6.7%), Shigella (5.0%), Campylobacter jejuni (2.3%), Vibrio cholerae non-01 (2.3%), Yersinia enterocolitica (1.5%), and Aeromonas hydrophila (0.9%). The incidence of diarrhoea in children showed two seasonal peaks: during March-May and October-November. The present study indicates that Salmonella and EPEC are the major causes of bacterial gastroenteritis, while rotaviruses are the main cause of viral gastroenteritis in young children in Kuwait.
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