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Cited by 44Salmonella and Campylobacter epidemiologyViral gastroenteritis research and epidemiologyEscherichia coli research studies

Bacterial enteropathogens and risk factors associated with childhood diarrhea.

Al Jarousha, Abdel Moati Kh., El Jarou, Mahmoud A., El Qouqa, Iyad A.·2011·The Indian Journal of Pediatrics
DOI 10.1007/s12098-010-0249-0
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Abstract

Objective To investigate the etiology of bacterial enteropathogens causing diarrhea among children; to elucidate the risk factors, sign and symptoms involved in developing of infection; and to identify the antimicrobial susceptibility pattern.Methods Stool samples from diarrheal cases with clinical diagnosis of gastroenteritis compared to matched controls, were examined for detection of bacterial enteropathogens by conventional cultural method from February 2006 through January 2007.Results Ninety three of diarrheal cases comprising enteropathogen isolates. A recognized bacterial enteric pathogen was identified in 31% of the cases and 8% of the control group. The frequency of isolated enteropathogens from faeces of diarrheal cases was recorded in the following order, Enterohemorrhagic E. coli 8.3%, Shigella spp. 6.7%, Campylobacter jejuni 5%, Salmonella spp. 4%, Yersinia enterocolitica 2.7%, Aeromonas spp. 4.7%, and Plesiomonas spp. 1.3%. E.H.E coli, Shigella and Salmonella had shown a significant statistical association with diarrhea (p<0.05). Compared to matched uninfected control, multivariate analysis revealed that malnutrition status (OR adjusted 8.37; p<0.001) was the only independent factor associated with infection. Antibiotic susceptibility profile indicated that enteropathogens were generally susceptible to meropenem, ceftriaxone, followed by amikacin and ciprofloxacin. Almost all enteropathogens were resistant to ampicillin and amoxicillin.Conclusions The results of this study emphasize the importance of bacterial enteropathogens in causing severe diarrhea in children. E.H.E. coli was the most predominant pathogen. Malnutrition was identified as the main independent risk factor associated with developing of infection. Ampicillin and amoxicillin should not be used as empirical treatment in acute diarrhea.

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  • Children with AGE were significantly more likely to have malnutrition (OR=8.57; p<0.001), and malnutrition status was the only independent factor associated with infection (OR=8.37; p<0.001).

    “Children with AGE were significantly more likely to have malnutrition (OR=8.57; p<0.001), and malnutrition status was the only independent factor associated with infection (OR=8.37; p<0.001) 45.”

    From Antibiotic treatment of acute gastroenteritis in children (2018) · cites this paper as [45]

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Authors
Al Jarousha, A. M. K., El Jarou, M. A., & El Qouqa, I. A.
Venue
The Indian Journal of Pediatrics
Publisher
Springer Science and Business Media LLC
Published
2010-10-06
Volume
78
Issue
2
Pages
165-170
ISSN
  • 0019-5456 (ISSN-L)
  • 0973-7693
DOI
10.1007/s12098-010-0249-0
OpenAlex
W2030776927
Cited by
44
References
16
Citations by year
2026: 2 · 2024: 2 · 2023: 1 · 2022: 2 · 2021: 3 · 2020: 2 · 2019: 2 · 2018: 2 · 2017: 3 · 2016: 2 · 2015: 8 · 2014: 7 · 2013: 5 · 2012: 3
FWCI
3.92
Type
journal article
Language
en
Open access
closed
Licence
www.springer.com/tdm (tdm)
Locations
  • The Indian Journal of Pediatrics (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Life Sciences › Agricultural and Biological Sciences › Food Science › Salmonella and Campylobacter epidemiology
  • Health Sciences › Medicine › Infectious Diseases › Viral gastroenteritis research and epidemiology
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Endocrinology › Escherichia coli research studies
Keywords
bacterial enteropathogens, childhood diarrhea, gastroenteritis, enterohemorrhagic Escherichia coli, Shigella, Campylobacter jejuni, Salmonella, Yersinia enterocolitica, Aeromonas, Plesiomonas, malnutrition, risk factors, antimicrobial susceptibility, ampicillin resistance, empirical antibiotic therapy
MeSH terms
Ampicillin Resistance, Child, Child, Preschool, Diarrhea, Escherichia coli Infections, Feces, Female, Gastroenteritis, Humans, Male, Middle East, Risk Factors, Multivariate Analysis, Case-Control Studies, Malnutrition, Disk Diffusion Antimicrobial Tests, Enterohemorrhagic Escherichia coli

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