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A High-throughput Platform for the Screening of Salmonella spp./Shigella spp.
Published on: November 7, 2018
The pathogenic detection for 126 children with diarrhea and drug sensitivity tests
1Clinical Laboratory, Xuzhou Children's Hospital, Xuzhou, Jiangsu, China. fangdaihua@yeah.net.
Insights
This study identified common causes of infectious diarrhea in children, including bacteria and rotavirus. Antimicrobial drug sensitivity testing is crucial for effective treatment, as overuse of antibiotics can worsen symptoms.
Area of Science:
- Pediatric Infectious Diseases
- Microbiology
- Clinical Pharmacology
Background:
- Infectious diarrhea is a significant health concern in children.
- Understanding causative agents and their antimicrobial susceptibility is vital for effective management.
- Previous studies highlight the need for targeted antimicrobial therapy.
Purpose of the Study:
- To determine the etiology of infective diarrhea in pediatric patients.
- To analyze the geographical distribution of infections.
- To assess the antimicrobial drug sensitivity patterns of common pathogens.
Main Methods:
- Conducted pathogenic detection and drug sensitivity tests on 126 children with diarrhea.
- Patients were divided into infant (0-1 year) and child (1-5 years) groups.
- Microscopic examination of stool samples and antibody detection for rotavirus were performed.
Main Results:
- Microscopic analysis revealed fat and starch particles in most stool samples.
- 42 types of pathogenic bacteria were isolated, including 10 Diarrheagenic E. coli strains.
- 53 samples tested positive for anti-rotavirus antibodies; Staphylococcus aureus, Shigella, Salmonella, and Diarrheagenic E. coli showed high sensitivity to tested antimicrobial agents.
Conclusions:
- Abuse of antimicrobial agents can lead to intestinal disorders and exacerbate diarrhea.
- Antimicrobial treatment guided by drug sensitivity testing is fundamental for pediatric diarrhea.
- This approach ensures targeted therapy and minimizes the risk of antimicrobial resistance.
Objective:
To investigate the cause of infective diarrhea in children, special distribution of the infection and the drug sensitivity.
Patients And Methods:
We carried out pathogenic detection and drug sensitivity tests for one hundred and twenty-six children with diarrhea, including 67 children in infant group (0-<1 year) and 59 children in child group (1-5 years).
Results:
Fat particles and starch particles were seen in most stool samples under microscope; 42 kinds of pathogenic bacteria were obtained from 126 stool samples, including 10 Diarrheagenic E. coli (8 Enteropathogenic E. coli and Enteroinvasive E. coli); there were found 53 positive samples in the detection of anti-rotavirus antibody in 126 stool samples; in the drug sensitivity tests for major pathogenic bacteria, Staphylococcus aureus, Shigella, Salmonella and Diarrheagenic E. coli were highly sensitive.
Conclusions:
The abuse of antimicrobial agents may result in intestinal disorders, leading to aggravation in diarrhea and antimicrobial agents based on drug sensitivity tests may be served as fundamental treatment of diarrhea for children.
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