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Diarrhoeal disorders of bacterial origin in Jakarta
Insights
A study of 948 children with gastroenteritis in Jakarta found that Vibrio cholera El Tor was the most common cause. Cholera and salmonellosis incidence increased, highlighting a serious pediatric health issue.
Area of Science:
- Pediatrics
- Infectious Diseases
- Microbiology
Background:
- Gastroenteritis with dehydration is a significant pediatric health concern in Jakarta.
- It accounts for 30% of admissions at Sumber Waras hospital.
Purpose of the Study:
- To identify the etiologic agents responsible for gastroenteritis in children.
- To analyze trends in bacterial isolates causing pediatric gastroenteritis.
Main Methods:
- A prospective study was conducted over 21 months (April 1974-February 1976).
- Rectal swabs from 948 children with gastroenteritis were analyzed for bacterial pathogens.
Main Results:
- Etiologic agents were identified in 43% of cases.
- The most common isolate was Vibrio cholera El Tor (67%), followed by Salmonella enteritidis (16%).
- Enteropathogenic E. coli, Shigella, Vibrio (NAG), and V. parahaemolyticus were also identified.
Conclusions:
- Vibrio cholera El Tor and Salmonella enteritidis are significant causes of pediatric gastroenteritis in Jakarta.
- An increasing incidence of cholera and salmonellosis was observed.
- Gastroenteritis remains a critical pediatric problem requiring ongoing surveillance and intervention.
Abstract:
During a 21-month period from April 1974 to February 1976, 948 children with gastroenteritis were studied. Aetiologic agents were identified in 43% of these patients. Isolates were identified as follows: V. cholera El Tor, 273 (67%); Salmonella enteritidis, 64 (16%); enteropathogenic E. coli, 28 (7%); Shigella, 28 (7%); Vibrio (NAG), 9 (2%): and V. parahaemolyticus, 7,2%). Gastroenteritis with dehydration is a serious continuing pediatric problem in Jakarta, constituting 30% of admissions to Sumber Waras hospital. The incidence of both cholera and salmonellosis increased during the past 2 years, as judged by the distribution of enteric bacteria isolated from the rectal swabs of gastroenteritis patients in Sumber Waras hospital.