Analysis of risk factors for bacteremia in children with nontyphoidal Salmonella gastroenteritis

Y. J. Yang, M. C. Huang, S. M. Wang, J. J. Wu, C. P. Cheng, C. C. Liu

Research output: Contribution to journalArticlepeer-review

36 Citations (Scopus)

Abstract

To identify the risk factors for Salmonella bacteremia in infants and children with Salmonella gastroenteritis, a retrospective study of a 10-year period was conducted to evaluate 456 infants and children with culture-proven nontyphoidal Salmonella infection. Salmonella typhimurium was the most common isolate found. Among the 257 patients with gastroenteritis who had a concomitant blood culture performed, 50 exhibited bacteremia. Statistically significant differences were noted between patients with gastroenteritis and bacteremia and those without bacteremia in duration of fever ±5 days (P<0.001; OR, 5.6; 95% CI, 2.6-12.1) and infection with group D1 Salmonella (P<0.001; OR, 6.5; 95% CI, 2.5-16.9) after adjustment for multivariate analysis. Of the 320 Salmonella strains that were serotyped, Salmonella panama was shown to be strongly associated with bacteremia (P<0.001) in children with gastroenteritis. In summary, in children with nontyphoidal Salmonella gastroenteritis, prolonged fever lasting 5 days or more and infection with a specific Salmonella serotype were risk factors closely associated with development of bacteremia.

Original languageEnglish
Pages (from-to)290-293
Number of pages4
JournalEuropean Journal of Clinical Microbiology and Infectious Diseases
Volume21
Issue number4
DOIs
Publication statusPublished - 2002

All Science Journal Classification (ASJC) codes

  • Microbiology (medical)
  • Infectious Diseases

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