Spectrum of complications in blood culture positive enteric  fever in children aged 1-15 years: A 10-year-experience from a tertiary care centre in Eastern India

Partha Pratim Halder, P. Ranjit, B. Das, Subhajit Dey Sarkar
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Abstract

Background: Enteric fever is caused by Salmonella enterica serovar typhi and Paratyphi A, B and C. Blood culture is the gold standard for diagnosis, but is not always feasible due to logistical issues. This may delay definite diagnosis and treatment resulting in increased complications.Objectives: To document the spectrum of complications involving different organ systems in blood-culture positive enteric cases  Method: This was a single centre retrospective observational study conducted in the Institute of Child Health (ICH), Kolkata, India. The study period was from January 2013 to December 2022. Children aged 6 months to 15 years, admitted in ICH, with a history of fever of any duration, whose blood culture revealed Salmonella species were included. Clinical symptoms, complications and the outcome of treatment were noted. Data were statistically analysed using SPSS software.Results: Around one third of the total study population presented with complications. Age group of 5-10 years was the most vulnerable for the infection and its complications. Central nervous system (CNS) involvement, hepato-biliary involvement and gastrointestinal (GI) involvement were the common complications.Conclusions: Enteric fever involved a broad spectrum of complications involving the CNS, hepato-biliary system and the GI system.
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1-15 岁儿童血培养阳性肠热病的并发症谱:印度东部一家三级医疗中心的十年经验
背景:血液培养是诊断的金标准,但由于后勤问题,并非总是可行。这可能会延误确诊和治疗,导致并发症增加:记录血培养阳性肠道病例中涉及不同器官系统的并发症:这是一项在印度加尔各答儿童健康研究所(ICH)进行的单中心回顾性观察研究。研究时间为 2013 年 1 月至 2022 年 12 月。研究对象包括 6 个月至 15 岁的儿童,这些儿童均在 ICH 住院,有任何持续时间的发热病史,血液培养显示为沙门氏菌。研究人员记录了临床症状、并发症和治疗结果。使用 SPSS 软件对数据进行统计分析:研究总人数中约有三分之一出现并发症。5-10岁年龄组最容易感染并出现并发症。中枢神经系统(CNS)受累、肝胆受累和胃肠道(GI)受累是常见的并发症:结论:肠热涉及中枢神经系统、肝胆系统和消化系统等多种并发症。
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来源期刊
Sri Lanka Journal of Child Health
Sri Lanka Journal of Child Health Medicine-Pediatrics, Perinatology and Child Health
CiteScore
0.30
自引率
0.00%
发文量
101
审稿时长
24 weeks
期刊介绍: This is the only journal of child health in Sri Lanka. It is designed to publish original research articles and scholarly articles by recognized authorities on paediatric subjects. It is distributed widely in Sri Lanka and bears the ISSN number 1391-5452 for the print issues and e-ISSN 2386-110x for the electronic version in the internet. The journal is published quarterly and the articles are reviewed by both local and foreign peers. The Journal is the primary organ of Continuing Paediatric Medical Education in Sri Lanka.
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