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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.
Abstract:
Despite the fact that acute gastroenteritis can be prevented, the disease still affects children, especially under the age of two. The increased levels of pediatric mortality in most developing regions make diarrheal diseases one of the most common causes of death in the children under the age of 5. The purpose of the study was to describe the cases of acute gastroenteritis reported as healthcare-associated infections in a pediatric hospital deserving the north-eastern urban and rural regions of Romania.
Material And Methods:
A descriptive study was conducted on a group of 615 cases with acute bacterial gastroenteritis as healthcare-associated infections (HAIs), reported in "Sf. Maria" Emergency Hospital for Children, Iași, between 2012 and 2016.
Results:
Most cases of acute bacterial gastroenteritis were registered in 2015 (154 cases-25.04%), and the lowest in 2012 (12.84%). Male gender prevailed in almost all years of study, with no statistical significance (p≥0.05). Gastroenteritis with Campylobacter was most commonly reported in pediatric wards, especially in infants of 0-1 years old and children aged of 2-6 years. Cases of HAIs with Salmonella spp were also frequent.
Conclusions:
A competent management of HAIs especially as acute gastroenteritis in an emergency hospital for children from a region that includes developing rural areas, should be the most important issue for professionals involved in surveillance and control strategies, as well as clinicians, epidemiologist and microbiologist, in order to prevent HAIs burden occurrence and avoid antimicrobial resistance.
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