Artikel ; Online: Clinical profiles and antimicrobial resistance patterns of invasive Salmonella infections in children in China.
2022 Band 41, Heft 10, Seite(n) 1215–1225
Abstract: Invasive Salmonella infections result in a significant burden of disease including morbidity, mortality, and financial cost in many countries. Besides typhoid fever, the clinical impact of non-typhoid Salmonella infections is increasingly recognized with ...
Abstract | Invasive Salmonella infections result in a significant burden of disease including morbidity, mortality, and financial cost in many countries. Besides typhoid fever, the clinical impact of non-typhoid Salmonella infections is increasingly recognized with the improvement of laboratory detection capacity and techniques. A retrospective multicenter study was conducted to analyze the clinical profiles and antimicrobial resistance patterns of invasive Salmonella infections in hospitalized children in China during 2016-2018. A total of 130 children with invasive Salmonella infections were included with the median age of 12 months (range: 1-144 months). Seventy-nine percent of cases occurred between May and October. Pneumonia was the most common comorbidity in 33 (25.4%) patients. Meningitis and septic arthritis caused by nontyphoidal Salmonella (NTS) infections occurred in 12 (9.2%) patients and 5 (3.8%) patients. Patients < 12 months (OR: 16.04) and with septic shock (OR: 23.4), vomit (OR: 13.33), convulsion (OR: 15.86), C-reactive protein (CRP) ≥ 40 g/L (OR: 5.56), and a higher level of procalcitonin (PCT) (OR: 1.05) on admission were statistically associated to an increased risk of developing meningitis. Compared to 114 patients with NTS infections, 16 patients with typhoid fever presented with higher levels of CRP and PCT (P < 0.05). The rates of resistance to ampicillin, sulfamethoxazole/trimethoprim, ciprofloxacin, and ceftriaxone among Salmonella Typhi and NTS isolates were 50% vs 57.3%, 9.1% vs 24.8%, 0% vs 11.2%, and 0% vs 9.9%, respectively. NTS has been the major cause of invasive Salmonella infections in Chinese children and can result in severe diseases. Antimicrobial resistance among NTS was more common. |
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Mesh-Begriff(e) | Ampicillin ; Anti-Bacterial Agents/pharmacology ; Anti-Bacterial Agents/therapeutic use ; C-Reactive Protein ; Ceftriaxone ; Child ; Child, Preschool ; China/epidemiology ; Ciprofloxacin ; Drug Resistance, Bacterial ; Humans ; Infant ; Microbial Sensitivity Tests ; Procalcitonin ; Salmonella ; Salmonella Infections/epidemiology ; Salmonella Infections/microbiology ; Trimethoprim, Sulfamethoxazole Drug Combination ; Typhoid Fever/drug therapy |
Chemische Substanzen | Anti-Bacterial Agents ; Procalcitonin ; Ciprofloxacin (5E8K9I0O4U) ; Ceftriaxone (75J73V1629) ; Ampicillin (7C782967RD) ; Trimethoprim, Sulfamethoxazole Drug Combination (8064-90-2) ; C-Reactive Protein (9007-41-4) |
Sprache | Englisch |
Erscheinungsdatum | 2022-08-30 |
Erscheinungsland | Germany |
Dokumenttyp | Journal Article ; Multicenter Study |
ZDB-ID | 603155-9 |
ISSN | 1435-4373 ; 0934-9723 ; 0722-2211 |
ISSN (online) | 1435-4373 |
ISSN | 0934-9723 ; 0722-2211 |
DOI | 10.1007/s10096-022-04476-7 |
Datenquelle | MEDical Literature Analysis and Retrieval System OnLINE |
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