J Korean Med Sci.  2017 Jul;32(7):1202-1206. 10.3346/jkms.2017.32.7.1202.

Different Age Distribution between Campylobacteriosis and Nontyphoidal Salmonellosis in Hospitalized Korean Children with Acute Inflammatory Diarrhea

• Shim JO
• Chang JY
• Kim A
• Shin S

• KMID: 2379618
• DOI: http://doi.org/10.3346/jkms.2017.32.7.1202

Abstract

We investigated recent epidemiologic trends regarding campylobacteriosis vs. nontyphoidal salmonellosis (NTS), a previously known leading cause of bacterial enterocolitis in Korean children. Among 363 hospitalized children with acute inflammatory diarrhea, Campylobacter (18.7%) was the most frequently detected pathogen using multiplex polymerase chain reaction tests followed by Salmonella (15.4%). Children with campylobacteriosis were older than children with NTS (112.6 months [interquartile range (IQR) 66.0-160.1] vs. 53 months [IQR 31.0-124.0], P < 0.001) and had higher prevalences of abdominal cramping and stool hemoglobin. Campylobacteriosis may be suspected as a primary cause of acute inflammatory diarrhea in hospitalized school-aged Korean children and adolescents.

Keyword

Children; Campylobacter; Nontyphoidal Salmonella; Age

MeSH Terms

Adolescent
Age Distribution*
Campylobacter
Child*
Child, Hospitalized
Colic
Diarrhea*
Enterocolitis
Humans
Multiplex Polymerase Chain Reaction
Prevalence
Salmonella
Salmonella Infections*

Figure

• 

  Fig. 1 Prevalence of enteropathogenic bacteria in children with acute inflammatory diarrhea (n = 363). Among enteropathogenic bacteria (n = 189, 52.1%), Campylobacter spp. (n = 68, 18.7%) was most common followed by Salmonella spp. (n = 56, 15.4%). Children coinfected with other bacterial enteropathogens are also shown.

• 

  Fig. 2 Enteropathogen notifications in children with inflammatory diarrhea by ages during 2011–2016. An increase in the number of notifications for Campylobacter infection, particularly in older children and school-aged children, is observed (n = 363, P < 0.001).

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