Acute Bacterial Gastroenteritis as a Healthcare-Associated Infection in Pediatrics

Petronela-Cristina Chiriac1, Letiția-Doina Duceac2, Alina Manole3

  • 1Department of Pharmacology, University of Medicine and Pharmacy of Craiova.

Insights

Acute gastroenteritis remains a significant threat to young children, particularly in developing regions. This study analyzed healthcare-associated infections in Romanian pediatric patients, highlighting common pathogens and the need for robust control strategies.

Area of Science:

  • Pediatric Infectious Diseases
  • Hospital Epidemiology
  • Microbiology

Background:

  • Acute gastroenteritis is a preventable disease but remains a major cause of pediatric mortality, especially in developing countries.
  • Diarrheal diseases are a leading cause of death in children under five globally.
  • This study focuses on acute gastroenteritis as a healthcare-associated infection (HAI) in a pediatric hospital in Romania.

Observation:

  • A descriptive study analyzed 615 cases of acute bacterial gastroenteritis as HAIs between 2012 and 2016.
  • The peak incidence of cases was observed in 2015.
  • Campylobacter and Salmonella spp. were the most frequently reported pathogens, particularly affecting infants and young children.

Findings:

  • Male gender was predominant, though not statistically significant.
  • Campylobacter infections were most common in pediatric wards, especially in infants (0-1 years) and children aged 2-6 years.
  • Salmonella spp. also contributed significantly to the burden of HAIs.

Implications:

  • Effective management of HAIs, including acute gastroenteritis, is crucial in pediatric emergency hospitals, especially in regions with developing rural areas.
  • Multidisciplinary collaboration among surveillance professionals, clinicians, epidemiologists, and microbiologists is essential.
  • Preventing the burden of HAIs and combating antimicrobial resistance should be a primary focus.

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