Korean J Pediatr Infect Dis.  2013 Apr;20(1):1-8.

Clinical Manifestations of Salmonellosis in Children during the last 12 Years: A Single Institution Experience

Affiliations
  • 1Department of Pediatrics, CHA Bundang Medical Center, CHA University, Seongnam, Korea. bjlover@lycos.co.kr

Abstract

PURPOSE
The purpose of this study is to investigate the clinical manifestations and antibiotic resistance of salmonellosis in children.
METHODS
We reviewed medical records and investigated the clinical characteristics of culture-proven childhood salmonellosis from January 2000 through December 2011 at the CHA Bundang Medical center.
RESULTS
We assessed 53 patients. The median age was 3-years-old (minimum 12 days, maximum 18-years-old) and the number of male patients was 33 (62.3%). It occurred most frequently in the summer (39%) and in 2001 (11 cases) however there was no case in 2009 and 2010. Salmonella typhi was isolated in 3 cases with septicemia. Antibiotic resistance to ampicillin was most frequently presented (30.2%) and 63.6% in serogroup B. No antibiotics resistance strains were cultured in patients with positive Salmonella typhi. Admitted patients from 2000 to 2011 were divided into 2 groups; group 1 from 2000 to 2005 and group 2 from 2006 to 2011. 40 cases belonged to group 1 and 13 cases were in the group 2. Group 2 showed more resistance to ampicillin than group 1 but without any statistical significance(25% vs. 38.5%, P=0.349). In group 1, the most common serotype was group D and in group 2, the most common serotype were group C and D.
CONCLUSION
Salmonellosis in children was frequently occurred from 2000 to 2003 but decreased after 2004. There was no difference in clinical manifestations, serotypes and antibiotic resistances between the years.

Keyword

Salmonellosis; Antibiotics resistance; Children

MeSH Terms

Ampicillin
Anti-Bacterial Agents
Child
Drug Resistance, Microbial
Humans
Male
Medical Records
Salmonella Infections
Salmonella typhi
Sepsis
Ampicillin
Anti-Bacterial Agents
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