Document Detail


Bacterial enteropathogens isolated in childhood diarrhoea in Kuala Lumpur--the changing trend.
MedLine Citation:
PMID:  14569714     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A retrospective review of all stool samples obtained from children aged < 16 years with diarrhoea from University of Malaya Medical Centre (UMMC), Kuala Lumpur, from 1978 to 1997 was undertaken to ascertain the pattern of bacterial pathogens causing diarrhoea in children in an urban area in Malaysia. Of 26444 stool samples processed, 2989 (11%) were positive. The five most common bacterial pathogens isolated were non-typhoidal Salmonella (57%), enteropathogenic E. coli (EPEC) (14%), Shigella spp. (11%), Campylobacter spp. (5%) and Aeromonas spp. (4%). There was a significant reduction in the average percentage of positive isolation during the last 5 years of the study period as compared to the first 5 years (15.0% vs. 7.2%; r = -0.92, p = 0.0001). EPEC and Shigella spp. were less commonly isolated in the last five years compared with the first five years of the study (6% vs 21% p < 0.001 for E. coli; 7% vs 22%, p < 0.001 for Shigella spp.). This information is important for public health education in reducing the incidence of childhood diarrhoea further, and in the selection of appropriate antimicrobials in the management of extra-intestinal complications of childhood diarrhoea.
Authors:
W S Lee; S D Puthucheary
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Medical journal of Malaysia     Volume:  57     ISSN:  0300-5283     ISO Abbreviation:  Med. J. Malaysia     Publication Date:  2002 Mar 
Date Detail:
Created Date:  2003-10-22     Completed Date:  2003-11-04     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0361547     Medline TA:  Med J Malaysia     Country:  Malaysia    
Other Details:
Languages:  eng     Pagination:  24-30     Citation Subset:  IM    
Affiliation:
Department of Paediatrics, University of Malaya Medical Centre, 50603, Kuala Lumpur.
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MeSH Terms
Descriptor/Qualifier:
Academic Medical Centers
Adolescent
Age Distribution
Child
Child, Preschool
Diarrhea / microbiology*
Enterobacteriaceae / isolation & purification*
Enterobacteriaceae Infections / epidemiology*
Hospitals, Urban
Humans
Infant
Malaysia / epidemiology
Retrospective Studies
Time Factors
Comments/Corrections
Comment In:
Med J Malaysia. 2002 Mar;57(1):1-2   [PMID:  14569712 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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