Prevalence Of Bacterial , Parasite And Non Growth Enteric Pathogens Associated With Diarrhea In Pediatric Outpatients And Inpatients Settings

Gasteroenteritis, Escherichiacoli, Salmonella spp, Children.

Authors

  • Hossein Dahifar Dahifar Associate Professor of Shahid Beheshti University of Medical Sciences and Health Services, Shohada Hospital Medical Center, Pediatric Department Tajrish Sq. Tehran, Iran
  • Aboulfazl Ghorbani Noor Hospital, Pathology Department, Tehran, Iran E-mail:
  • Manijeh Ghods 3Medical Microbiologist, Sandwell and West Birmingham, Birmingham, England
August 20, 2015

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The frequency of bacterial enteropathogens in children with diarrhea in a developing country in an ambulatory private clinic (site 1) and hospitalized children (site 2) is unknown and to establish guidelines for determining bacterial cultures and pediatricians to administrate antibiotic.
Methods: Children less than five years of age with diarrhea were prospectively enrolled in two sites and their stools were examined for diarrheogenic bacteria and parasites.
Results: A total of 183 and 529 stool samples of children with diarrhea examined in site 1 and 2 respectively for bacterial enteric pathogen and parasites. Of the 183 stool samples examined in site 1, 28 (15.3%) detected enteropathogen including Escherichia coli 10 (5.5%), Salmonella spp 17 (9.3%), Shigella spp 1 (0.5 %), Entamoeba histolytica 5 (2.7%), and 148 (80.8%) were culture negative. Of the 529 stool samples in site 2, E.coli 18 (3.4%), Entamoeba histolytica, 5 (0.9%) and 506 (95.6%) did not show any pathogen.
Conclusion: The most prevalent bacterial pathogen in site 1 was Salmonella spp and E.coli in site 2. The etiology of diarrhea in each geographic area are different from other areas and all pediatricians should know information about them.