Wang Pingping, Liu Di, Jin Xuefeng. Clinical Characteristics and Pathogens of Children with Bacterial Diarrhea. [J]. 26(5):26-28(2020)
DOI:
Wang Pingping, Liu Di, Jin Xuefeng. Clinical Characteristics and Pathogens of Children with Bacterial Diarrhea. [J]. 26(5):26-28(2020) DOI: 10.13407/j.cnki.jpp.1672-108X.2020.05.008.
Clinical Characteristics and Pathogens of Children with Bacterial Diarrhea
Objective: To analyze the clinical characteristics
pathogenic bacteria and drug resistance of children with bacterial diarrhea
so as to guide clinical diagnosis and treatment. Methods: Retrospective analysis was conducted on clinical data of 296 children with bacterial diarrhea admitted into our hospital from Jan. to Dec. 2017. Results: Among the 296 children
171 cases were male and 125 cases were female
the ratio of male to female was 1.37∶1. There were 239 children under 5 years old
accounting for 80.74%. The onset time was concentrated in 5 to 9 months (79.39%). The clinical manifestations were diarrhea
fever
abdominal pain
mucous stool
some of which were bloody stool
and the number of stools was 5 to 10 times. There were 166 cases (56.08%) of Salmonella
73 cases (24.66%) of Escherichia coli
41 cases (13.85%) of Orthomonas shigella
15 cases (5.07%) of Vibrio parahaernolyticus
and 1 case (0.34%) of Shigella. All bacteria were sensitive to imipenem and piperacillin tazobactam (with sensitivity rate of 100%). The sensitivity rates of Salmonella and diarrhogenic E. coli to ceftazidime and cefatriaxone were 75.00%
93.55% and 67.31%
80.65%
respectively
with different degrees of resistance to the three generation cephalosporins. V. parahaemolyticus was highly sensitive to drugs. Conclusion: Children with bacterial diarrhea have higher incidence
faster transmission and higher drug resistance. Clinical examination should be completed as soon as possible