[Etiology of infantile acute gastro-enteritis in usual practice in hospital]

J P Hebert1, R Caillet1

  • 1Laboratoire de Bactériologie, Hôpital Saint-Camille, 1, rue des Pères Camilliens - F, 94360 Bry-sur-Marne, France.

PubMed

Insights

This study investigated the causes of diarrhea in children, finding rotavirus in over a third of cases without leukocytes. Bacterial pathogens like Salmonella and Campylobacter were also frequently identified, highlighting common enteric disease agents.

Area of Science:

  • Pediatrics
  • Infectious Diseases
  • Microbiology

Context:

  • Diarrheal diseases represent a significant global health burden in children.
  • Understanding the specific etiologies is crucial for effective treatment and prevention strategies.
  • This study analyzes enteric pathogens in pediatric diarrhea cases over a one-year period.

Purpose:

  • To identify the causative agents of infectious diarrhea in a cohort of children.
  • To determine the prevalence of viral and bacterial pathogens.
  • To investigate potential co-infections and associations between different pathogens.

Summary:

  • Rotavirus was detected in 38.1% of diarrhea cases lacking leukocytes.
  • Common bacterial isolates included Salmonella, Campylobacter, and enteropathogenic E. coli.
  • Yersinia enterocolitica and Shigella were less frequently isolated.
  • A notable finding was the frequent association between rotavirus and bacterial co-infections, particularly with Campylobacter.

Impact:

  • Provides epidemiological data on pediatric enteric infections.
  • Highlights the importance of considering both viral and bacterial etiologies.
  • Informs public health interventions and clinical diagnostic approaches for childhood diarrhea.

Related Concept Videos

Gastritis-II: Pathophysiology01:17

Gastritis-II: Pathophysiology

Gastritis is marked by disruption of the mucosal barrier that usually protects the stomach tissue from digestive juices and manifests in acute and chronic forms.
In acute gastritis, the gastric mucosa becomes swollen and red and undergoes superficial erosion. Superficial ulceration may lead to bleeding.
In chronic gastritis, persistent or repeated insults lead to chronic inflammatory changes and, eventually, thinning or atrophy of the gastric tissue.
Gastritis can stem from various causes, each...
322
Transmission-based Precautions I: Contact, Enteric, and Droplets01:17

Transmission-based Precautions I: Contact, Enteric, and Droplets

Transmission-based precautions are for patients known to be infected or suspected to be infected or colonized with organisms that pose a significant risk to others. Some transmission-based precautions include contact, enteric, and droplet.
Contact Precautions:
Contact precautions are the measures taken to prevent the transmission of infectious agents, especially epidemiologically important microorganisms such as MRSA or influenza, primarily transmitted through direct or indirect contact with an...
3.6K
Drugs Affecting GI Tract Motility: Antimicrobials as Antidiarrheal Agents01:18

Drugs Affecting GI Tract Motility: Antimicrobials as Antidiarrheal Agents

Acute diarrhea, a common gastrointestinal disturbance, is characterized by the rapid evacuation of fluid stools, leading to an excessive weight in fluid. This condition typically arises from disorders affecting intestinal water and electrolyte transport. It can be triggered by an increased osmotic load within the intestine, excessive secretion of electrolytes and water, mucosal exudation of protein and fluid, or altered intestinal motility. The primary risks of acute diarrhea are dehydration...
118
Gastritis III: Clinical Manifestations and Management01:23

Gastritis III: Clinical Manifestations and Management

The clinical manifestations of gastritis can vary depending on the cause and type of gastritis, but some common symptoms may include the following.
Clinical manifestations of acute gastritis
The patient with acute gastritis may have a rapid onset of symptoms, such as epigastric pain or discomfort, dyspepsia, anorexia, hiccups, or nausea and vomiting, which can last from a few hours to a few days. Erosive or hemorrhagic gastritis may cause bleeding, which may manifest as blood in vomit or as...
234
Healthcare Associated Infections I: Iatrogenic, Exogenic and Endogenic01:26

Healthcare Associated Infections I: Iatrogenic, Exogenic and Endogenic

Healthcare-associated infections (HAIs) occur in a healthcare facility while a person receives care for another ailment. This category also includes work-related infections among healthcare staff.
HAIs significantly increase the cost of health care. Extended stays in healthcare institutions, increased disability, increased costs of medications, including specialized antibiotics, and prolonged recovery times add to the patient's expenses and the healthcare institution and funding bodies.
4.2K
Gastritis-I: Introduction and Types01:27

Gastritis-I: Introduction and Types

Gastritis, defined by the inflammation or irritation of the stomach lining or gastric mucosa, manifests in several distinct forms: acute, chronic, reactive, and a specific subtype known as autoimmune metaplastic atrophic gastritis.
Acute gastritis presents as a sudden inflammation triggered by various stressors to the stomach lining, such as exposure to corrosive agents, local irritants like aspirin and other NSAIDs, alcohol consumption, radiation therapy, physical trauma, severe burns, sepsis,...
385