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Published on: August 22, 2012
Childhood enteritis: a community study
E Manso1, U Del Prete, C Maffei
1Istituto di Igiene dell'Università di Ancona, Italy.
Insights
Bacterial enteritis in children is a significant public health issue. Campylobacter jejuni and Salmonella were the most common bacterial causes identified in this Italian study.
Area of Science:
- Pediatric infectious diseases
- Microbiology
- Public Health Epidemiology
Background:
- Childhood enteritis and diarrhea pose a significant public health challenge.
- Understanding the incidence and causative agents of bacterial enteritis is crucial for effective public health interventions.
Purpose of the Study:
- To estimate the incidence rate of enteritis and bacterial diarrheal agents in children aged 0-12 years.
- To identify the primary bacterial pathogens responsible for childhood enteritis in the study area.
Main Methods:
- Prospective study of children (0-12 years) presenting with acute diarrhea over one year.
- Microbiological stool analysis for a sample of outpatients and all hospitalized cases.
- Data collection included patient demographics and dates of consultation/hospitalization.
Main Results:
- Campylobacter jejuni and Salmonella were identified in 7.0% of outpatient cases.
- Yersinia enterocolitica was found in 2.8% of outpatient cases; Shigella and enterotoxigenic E. coli were not detected.
- Projected annual consultation rate for bacterial enteritis was 2.1 per 1000 children; hospitalization data corroborated outpatient findings.
Conclusions:
- Bacterial enteritis represents an important public health concern in the studied Italian region.
- The findings suggest a potential link between childhood bacterial enteritis and animal reservoirs, particularly poultry and pets.
Abstract:
The population aged 0-12 years living in the area of an Italian Local Health Unit (about 8,800 children) was studied for one year in order to estimate the overall incidence rate of enteritis and the incidence rates of diarrheas from bacterial agents. All children complaining of acute diarrhea and seen by the pediatric practices of the study area were recorded by date, age, and sex; the microbiological study of stools was performed for a sample of patients. All hospitalized cases of childhood enteritis occurring in the same period in the study population were studied too. Campylobacter jejuni and Salmonella were cultured from 5 out of 71 examined out-patients (7.0%), with a projected annual consultation rate of 2.1 per 1000 population aged 0-12 years. Yersinia enterocolitica was cultured from 2 out-patients (2.8%), while no cases from Shigella and enterotoxigenic Escherichia coli were observed in this group. Data concerning hospitalized cases confirmed this pattern of results. Bacterial enteritis is an important public health problem in the study area and its occurrence is possibly related to animal reservoirs of infection, with particular regard to poultry and pets.
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