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

研究成果: Article

30 引文 (Scopus)

摘要

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.

原文English
頁(從 - 到)290-293
頁數4
期刊European Journal of Clinical Microbiology and Infectious Diseases
21
發行號4
DOIs
出版狀態Published - 2002 五月 23

指紋

Gastroenteritis
Bacteremia
Salmonella
Fever
Panama
Salmonella Infections
Salmonella typhimurium
Infection
Multivariate Analysis
Retrospective Studies

All Science Journal Classification (ASJC) codes

  • Microbiology (medical)
  • Infectious Diseases

引用此文

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title = "Analysis of risk factors for bacteremia in children with nontyphoidal Salmonella gastroenteritis",
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.",
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AU - Cheng, C. P.

AU - Liu, Ching-Chuan

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AB - 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.

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