TY - JOUR AU - Karaaslan, Ayşe AU - Çetin, Ceren AU - Köle, Mehmet Tolga AU - Demir Tekol, Serap AU - Söbü, Elif AU - Akın, Yasemin PY - 2022/11/29 Y2 - 2024/03/28 TI - Salmonella gastroenteritis in children: six-year experience in İstanbul, Turkey JF - The Journal of Infection in Developing Countries JA - J Infect Dev Ctries VL - 16 IS - 11 SE - Brief Original Articles DO - 10.3855/jidc.17042 UR - https://www.jidc.org/index.php/journal/article/view/36449648 SP - 1757-1761 AB - <p>Introduction: The aim of this study was to evaluate the demographic and clinical characteristics and treatment outcomes of children with <em>Salmonella</em> gastroenteritis.</p><p>Methodology: We retrospectively reviewed the medical records of pediatric patients aged between 1 month and 18 years with the diagnosis of <em>Salmonella</em> gastroenteritis between May 2015 and December 2021.</p><p>Results: A total of 172 children diagnosed with <em>Salmonella</em> 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 <em>Salmonella</em> 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 (<em>p</em>: 0.005, <em>p</em>: 0.000, <em>p</em>: 0.000, respectively). C-reactive protein value was found to be higher in hospitalized patients (<em>p</em>: 0.000).</p><p>Conclusions: <em>Salmonella</em> 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.</p> ER -