Salmonella gastroenteritis in children: six-year experience in İstanbul, Turkey

Authors

  • Ayşe Karaaslan Department of Pediatric Infectious Diseases, University of Health Sciences, Kartal Dr. Lütfi Kırdar City Hospital, Istanbul, Turkey https://orcid.org/0000-0003-4289-3321
  • Ceren Çetin Department of Pediatric Infectious Diseases, University of Health Sciences, Kartal Dr. Lütfi Kırdar City Hospital, Istanbul, Turkey https://orcid.org/0000-0001-6423-7523
  • Mehmet Tolga Köle Department of Pediatrics, University of Health Sciences, Kartal Dr. Lütfi Kırdar City Hospital, Istanbul, Turkey https://orcid.org/0000-0002-6055-7746
  • Serap Demir Tekol Department of Microbiology, University of Health Sciences, Kartal Dr. Lütfi Kırdar City Hospital, Istanbul, Turkey https://orcid.org/0000-0002-6525-1818
  • Elif Söbü Department of Pediatrics, University of Health Sciences, Kartal Dr. Lütfi Kırdar City Hospital, Istanbul, Turkey https://orcid.org/0000-0002-2037-7046
  • Yasemin Akın Department of Pediatrics, University of Health Sciences, Kartal Dr. Lütfi Kırdar City Hospital, Istanbul, Turkey https://orcid.org/0000-0002-7618-7778

DOI:

https://doi.org/10.3855/jidc.17042

Keywords:

Salmonella, gastroenteritis, children

Abstract

Introduction: The aim of this study was to evaluate the demographic and clinical characteristics and treatment outcomes of children with Salmonella gastroenteritis.

Methodology: We retrospectively reviewed the medical records of pediatric patients aged between 1 month and 18 years with the diagnosis of Salmonella gastroenteritis between May 2015 and December 2021.

Results: A total of 172 children diagnosed with Salmonella gastroenteritis, including 113 outpatients and 59 hospitalized children, were included in this study. There were 95 (55.2%) males and 77 (44.8%) females with a median age of 59.5 months (interquartile range [IQR]: 33.5–96 months, min–max: 1–205 months). The most common clinical symptoms were diarrhea (n = 166, 96.5%), fever (n = 113, 65.7%) and abdominal pain (n = 73, 42.4%). Bloody diarrhea was seen in 19.2% of patients. Fifty (29.1%) of the Salmonella species could not be typed. Serogroup D (n = 106, 61.6%) was the predominant serogroup isolated from stool cultures, followed by serogroup B (n = 16, 9.3%). 62.2% of the isolates were susceptible to ampicillin, 97.7% to ciprofloxacin, 98.8% to trimethoprim-sulfamethoxazole, and 98.8% to ceftriaxone. Fever, vomiting, and underlying disease occurred more frequently in hospitalized patients than in outpatients (p: 0.005, p: 0.000, p: 0.000, respectively). C-reactive protein value was found to be higher in hospitalized patients (p: 0.000).

Conclusions: Salmonella should be considered as a causative agent in pediatric patients with abdominal pain, fever, and bloody-mucous diarrhea, and patients with severe clinical conditions should be hospitalized and antibiotic therapy initiated if indicated.

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Published

2022-11-29

How to Cite

1.
Karaaslan A, Çetin C, Köle MT, Demir Tekol S, Söbü E, Akın Y (2022) Salmonella gastroenteritis in children: six-year experience in İstanbul, Turkey. J Infect Dev Ctries 16:1757–1761. doi: 10.3855/jidc.17042

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Brief Original Articles

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