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Campylobacter jejuni enteritis in children.

R B Tang, K S Hsieh, B Hwang

    Zhonghua Minguo Wei Sheng Wu Ji Mian Yi Xue Za Zhi = Chinese Journal of Microbiology and Immunology
    |November 1, 1984
    PubMed
    Summary
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    Campylobacter jejuni is a common cause of bacterial diarrhea in children in Taiwan. This study found it in 5.6% of acute diarrhea cases, primarily affecting young males during summer months.

    Area of Science:

    • Pediatric infectious diseases
    • Microbiology
    • Gastroenterology

    Background:

    • Campylobacter jejuni is increasingly recognized as a significant cause of diarrheal illness in pediatric populations.
    • Understanding the epidemiology and clinical features of Campylobacter enteritis is crucial for public health management.

    Purpose of the Study:

    • To determine the prevalence and characteristics of Campylobacter jejuni infections in children with acute diarrhea in Taiwan.
    • To evaluate the antibiotic susceptibility patterns of isolated Campylobacter jejuni strains.

    Main Methods:

    • Prospective isolation of Campylobacter jejuni from stool samples of pediatric patients presenting with acute diarrhea over a nine-month period (March-December 1981).
    • Selective culture techniques were employed for pathogen identification.

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  • Antimicrobial susceptibility testing (antibiograms) was performed on isolated strains.

    • Main Results:

    • Campylobacter jejuni was identified in 35 out of 623 (5.6%) pediatric patients with acute diarrhea.
    • Peak incidence occurred during summer months (May-August), with a higher prevalence in very young children (10 days to 8 years) and a male-to-female ratio of 4:1.
    • Common clinical signs included fever and frequent diarrhea; most cases resolved with conservative management. Aminoglycosides, Chloramphenicol, Ampicillin, and Erythromycin were effective, though 13.4% of strains showed erythromycin resistance.

    Conclusions:

    • Campylobacter jejuni is a prevalent cause of bacterial diarrhea among children in Taiwan.
    • The pathogen predominantly affects young children, particularly males, during warmer months.
    • While generally not severe, understanding antibiotic sensitivities is important for effective treatment, with emerging resistance noted for erythromycin.