Acute Gastroenteritis by Cambylobacter Spp: a Retrospective Study of a Paediatric Emergency Department
Autor(a) principal: | |
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Data de Publicação: | 2014 |
Outros Autores: | , , , , , |
Tipo de documento: | Artigo |
Idioma: | por eng |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/5122 |
Resumo: | Introduction: Infection by Cambylobacter occurs worldwide and represents the main cause of acute bacterial gastroenteritis within the European Union.Aims: Determine the prevalence of Campylobacter in stool cultures from patients with gastroenteritis and study their microbiological, epidemiological, clinical, and therapeutic profiles, as well as associated complications.Material and Methods: Review of clinical files of patients presenting to the paediatric emergency department of a general district hospital over a 30 month period with an acute gastroenteritis and a Campylobacter isolated in a stool specimen.Results: Out of 216 stool cultures, 98 (45%) were positive. We identified Campylobacter in 49 (50%) cases; 30 (61%) were female. Median age was 23 months. Fourteen patients were under one year of age, 25 between one and five years old and 10 patients were over five years old. Watery diarrhea was identified in 5 (10%) patients, bloody diarrhea in 44 (90%) and mucosanguineous in 14 (29%), while 23 (47%) had fever, 14 (29%) complained of abdominal pain and 11 (22%) presented with vomiting. One patient was septic. Five patients were admitted as inpatients. Eight patients were treated with azithromycin.Discussion: This is the largest published national series on gastroenteritis by Campylobacter in children and the first in the south region. Campylobacter was the main bacteria isolated. Infection was self-resolving in the majority of cases. Nevertheless, severe forms of this infection should be considered. Increased resistance to quinolones is worrisome.Conclusion: Judicious use of stool cultures allows etiological identification of bacterial gastroenteritis. The increase in Campylobacter cases reinforces the need for better control of hygiene measures in handling food products.Keywords: Campylobacter; Child; Gastroenteritis; Campylobacter Infections; Emergency Service, Hospital; Portugal. |
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Acute Gastroenteritis by Cambylobacter Spp: a Retrospective Study of a Paediatric Emergency DepartmentGastroenterite Aguda por Campylobacter Spp: Casuística de uma Urgência PediátricaIntroduction: Infection by Cambylobacter occurs worldwide and represents the main cause of acute bacterial gastroenteritis within the European Union.Aims: Determine the prevalence of Campylobacter in stool cultures from patients with gastroenteritis and study their microbiological, epidemiological, clinical, and therapeutic profiles, as well as associated complications.Material and Methods: Review of clinical files of patients presenting to the paediatric emergency department of a general district hospital over a 30 month period with an acute gastroenteritis and a Campylobacter isolated in a stool specimen.Results: Out of 216 stool cultures, 98 (45%) were positive. We identified Campylobacter in 49 (50%) cases; 30 (61%) were female. Median age was 23 months. Fourteen patients were under one year of age, 25 between one and five years old and 10 patients were over five years old. Watery diarrhea was identified in 5 (10%) patients, bloody diarrhea in 44 (90%) and mucosanguineous in 14 (29%), while 23 (47%) had fever, 14 (29%) complained of abdominal pain and 11 (22%) presented with vomiting. One patient was septic. Five patients were admitted as inpatients. Eight patients were treated with azithromycin.Discussion: This is the largest published national series on gastroenteritis by Campylobacter in children and the first in the south region. Campylobacter was the main bacteria isolated. Infection was self-resolving in the majority of cases. Nevertheless, severe forms of this infection should be considered. Increased resistance to quinolones is worrisome.Conclusion: Judicious use of stool cultures allows etiological identification of bacterial gastroenteritis. The increase in Campylobacter cases reinforces the need for better control of hygiene measures in handling food products.Keywords: Campylobacter; Child; Gastroenteritis; Campylobacter Infections; Emergency Service, Hospital; Portugal.Introdução: A infeção por Campylobacter é a principal causa de gastroenterite aguda bacteriana pediátrica na União Europeia.Objetivos: Conhecer a prevalência de isolamento deste agente nas crianças admitidas na urgência com gastroenterite aguda que realizaram coprocultura, caracterizando a microbiologia, epidemiologia, clínica, terapêutica e complicações associadas.Material e Métodos: Casuística por consulta dos processos dos doentes admitidos na Urgência Pediátrica dum hospital distrital, durante 30 meses, com o diagnóstico de gastroenterite aguda e isolamento em coprocultura de Campylobacter.Resultados: Das 216 coproculturas efetuadas, 98 (45%) foram positivas. Identificámos Campylobacter spp. em 49 (50%) doentes. Destes, 30 (61%) eram do género feminino. A mediana de idades foi 23 meses. Catorze doentes tinham idade inferior a um ano, 25 entre um e cinco anos e 10 idade superior a cinco anos. Verificámos diarreia aquosa em cinco (10%) doentes, diarreia com sangue em 44 (90%), sangue e muco em 14 (29%), febre em 23 (47%), dor abdominal em 14 (29%) e vómitos em 11 (22%). Registámos um caso de sépsis. Internámos cinco doentes. Oito doentes foram medicados com azitromicina.Discussão: Esta é a maior casuística nacional publicada de gastroenterite aguda a Campylobacter em idade pediátrica e a primeira no sul do país. Campylobacter foi a principal bactéria identificada, associada maioritariamente a doença auto-limitada. Contudo, há a considerar formas de infeção graves. O aumento da resistência às quinolonas é preocupante.Conclusão: A utilização criteriosa da coprocultura permite a identificação etiológica na gastrenterite aguda bacteriana. O crescente aumento dos casos de Campylobacter diagnosticados reforça a necessidade de maior controlo das medidas de higiene na manipulação dos alimentos.Palavras-chave: Campylobacter; Criança; Gastroenterite; Infecções por Campylobacter; Serviço de Urgência Hospitalar; Portugal.Ordem dos Médicos2014-09-25info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfapplication/pdfimage/pngimage/pngimage/pngimage/pngimage/bmpimage/pngapplication/vnd.openxmlformats-officedocument.wordprocessingml.documenthttps://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/5122oai:ojs.www.actamedicaportuguesa.com:article/5122Acta Médica Portuguesa; Vol. 27 No. 5 (2014): September-October; 556-560Acta Médica Portuguesa; Vol. 27 N.º 5 (2014): Setembro-Outubro; 556-5601646-07580870-399Xreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPporenghttps://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/5122https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/5122/4063https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/5122/4179https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/5122/7072https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/5122/7073https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/5122/7074https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/5122/7160https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/5122/7161https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/5122/7162https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/5122/7163Soares, Ana TeresaCouto, CatarinaRomão, PatríciaMelo, Isabel Saraiva deBraga, ManuelaDiogo, JoséCalhau, Pauloinfo:eu-repo/semantics/openAccess2022-12-20T11:04:13Zoai:ojs.www.actamedicaportuguesa.com:article/5122Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T16:19:02.080712Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
Acute Gastroenteritis by Cambylobacter Spp: a Retrospective Study of a Paediatric Emergency Department Gastroenterite Aguda por Campylobacter Spp: Casuística de uma Urgência Pediátrica |
title |
Acute Gastroenteritis by Cambylobacter Spp: a Retrospective Study of a Paediatric Emergency Department |
spellingShingle |
Acute Gastroenteritis by Cambylobacter Spp: a Retrospective Study of a Paediatric Emergency Department Soares, Ana Teresa |
title_short |
Acute Gastroenteritis by Cambylobacter Spp: a Retrospective Study of a Paediatric Emergency Department |
title_full |
Acute Gastroenteritis by Cambylobacter Spp: a Retrospective Study of a Paediatric Emergency Department |
title_fullStr |
Acute Gastroenteritis by Cambylobacter Spp: a Retrospective Study of a Paediatric Emergency Department |
title_full_unstemmed |
Acute Gastroenteritis by Cambylobacter Spp: a Retrospective Study of a Paediatric Emergency Department |
title_sort |
Acute Gastroenteritis by Cambylobacter Spp: a Retrospective Study of a Paediatric Emergency Department |
author |
Soares, Ana Teresa |
author_facet |
Soares, Ana Teresa Couto, Catarina Romão, Patrícia Melo, Isabel Saraiva de Braga, Manuela Diogo, José Calhau, Paulo |
author_role |
author |
author2 |
Couto, Catarina Romão, Patrícia Melo, Isabel Saraiva de Braga, Manuela Diogo, José Calhau, Paulo |
author2_role |
author author author author author author |
dc.contributor.author.fl_str_mv |
Soares, Ana Teresa Couto, Catarina Romão, Patrícia Melo, Isabel Saraiva de Braga, Manuela Diogo, José Calhau, Paulo |
description |
Introduction: Infection by Cambylobacter occurs worldwide and represents the main cause of acute bacterial gastroenteritis within the European Union.Aims: Determine the prevalence of Campylobacter in stool cultures from patients with gastroenteritis and study their microbiological, epidemiological, clinical, and therapeutic profiles, as well as associated complications.Material and Methods: Review of clinical files of patients presenting to the paediatric emergency department of a general district hospital over a 30 month period with an acute gastroenteritis and a Campylobacter isolated in a stool specimen.Results: Out of 216 stool cultures, 98 (45%) were positive. We identified Campylobacter in 49 (50%) cases; 30 (61%) were female. Median age was 23 months. Fourteen patients were under one year of age, 25 between one and five years old and 10 patients were over five years old. Watery diarrhea was identified in 5 (10%) patients, bloody diarrhea in 44 (90%) and mucosanguineous in 14 (29%), while 23 (47%) had fever, 14 (29%) complained of abdominal pain and 11 (22%) presented with vomiting. One patient was septic. Five patients were admitted as inpatients. Eight patients were treated with azithromycin.Discussion: This is the largest published national series on gastroenteritis by Campylobacter in children and the first in the south region. Campylobacter was the main bacteria isolated. Infection was self-resolving in the majority of cases. Nevertheless, severe forms of this infection should be considered. Increased resistance to quinolones is worrisome.Conclusion: Judicious use of stool cultures allows etiological identification of bacterial gastroenteritis. The increase in Campylobacter cases reinforces the need for better control of hygiene measures in handling food products.Keywords: Campylobacter; Child; Gastroenteritis; Campylobacter Infections; Emergency Service, Hospital; Portugal. |
publishDate |
2014 |
dc.date.none.fl_str_mv |
2014-09-25 |
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info:eu-repo/semantics/publishedVersion |
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info:eu-repo/semantics/article |
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article |
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publishedVersion |
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https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/5122 oai:ojs.www.actamedicaportuguesa.com:article/5122 |
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https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/5122 |
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oai:ojs.www.actamedicaportuguesa.com:article/5122 |
dc.language.iso.fl_str_mv |
por eng |
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por eng |
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https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/5122 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/5122/4063 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/5122/4179 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/5122/7072 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/5122/7073 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/5122/7074 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/5122/7160 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/5122/7161 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/5122/7162 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/5122/7163 |
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info:eu-repo/semantics/openAccess |
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openAccess |
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application/pdf application/pdf image/png image/png image/png image/png image/bmp image/png application/vnd.openxmlformats-officedocument.wordprocessingml.document |
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Ordem dos Médicos |
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Ordem dos Médicos |
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Acta Médica Portuguesa; Vol. 27 No. 5 (2014): September-October; 556-560 Acta Médica Portuguesa; Vol. 27 N.º 5 (2014): Setembro-Outubro; 556-560 1646-0758 0870-399X reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
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Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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