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Salmonella Bacteremia in Spanish Pediatric Emergency Departments: Uncommon But Not Mild.
Garrido Rodríguez, María; Alonso-Cadenas, José Antonio; Gómez, Borja; Gangoiti, Iker; Hernández-Bou, Susanna; de la Torre Espí, Mercedes.
Afiliación
  • Garrido Rodríguez M; From the Pediatric Emergency Department, Hospital Infantil Universitario Niño Jesús, Madrid, Spain.
  • Alonso-Cadenas JA; From the Pediatric Emergency Department, Hospital Infantil Universitario Niño Jesús, Madrid, Spain.
  • Gómez B; Pediatric Emergency Department, Hospital Cruces, Barakaldo, Spain.
  • Gangoiti I; Pediatric Emergency Department, Hospital Cruces, Barakaldo, Spain.
  • Hernández-Bou S; Pediatric Emergency Department, Hospital Sant Joan de Déu de Barcelona, Esplugues de Llobregat, Spain.
  • de la Torre Espí M; From the Pediatric Emergency Department, Hospital Infantil Universitario Niño Jesús, Madrid, Spain.
Pediatr Infect Dis J ; 43(9): 825-830, 2024 Sep 01.
Article en En | MEDLINE | ID: mdl-38709997
ABSTRACT

BACKGROUND:

Salmonella spp. is an uncommon microorganism in bloodstream infections among pediatric patients in our setting, although in developing countries it is the most common causative organism in blood cultures.

METHODS:

We describe the children presenting to pediatric emergency departments and diagnosed with Salmonella bacteremia (SB) and identify clinical and laboratory predictors of poor outcome (ie, complications, sequelae and death) by bivariate analysis. We performed an observational study and subanalysis of a multicenter prospective registry, including patients <18 years of age with a positive blood culture obtained at any of the 22 participating Spanish pediatric emergency departments between 2011 and 2016. We considered young age, chronic diseases, immunosuppressive treatment and intestinal flora disruption as risk factors for SB.

RESULTS:

Of the 55 patients with SB (3.2% of registered bacteremia), 32 (58.2%) had no risk factors for SB, 42 (76.3%) had a normal pediatric assessment triangle and 45 (81.8%) an associated gastrointestinal infection (acute gastroenteritis or enteric fever). Nine (16.4%) had a poor outcome, including 1 death (1.8%). A poor outcome was more common in patients with an abnormal pediatric assessment triangle [odds ratio (OR) 51.6; 95% confidence interval (CI) 9.2-289.5], an altered physical examination (OR 15.2; 95% CI 4.4-58.8) and elevated C-reactive protein (OR 1.01; 95% CI 1.005-1.03).

CONCLUSIONS:

Most SBs were related to a gastrointestinal infection. One in 6 children had a poor outcome; abnormal pediatric assessment triangle on arrival (25% of patients) was the main risk factor identified.
Asunto(s)

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Salmonella / Infecciones por Salmonella / Bacteriemia / Servicio de Urgencia en Hospital Límite: Adolescent / Child / Child, preschool / Female / Humans / Infant / Male País/Región como asunto: Europa Idioma: En Revista: Pediatr Infect Dis J Asunto de la revista: DOENCAS TRANSMISSIVEIS / PEDIATRIA Año: 2024 Tipo del documento: Article País de afiliación: España Pais de publicación: Estados Unidos

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Salmonella / Infecciones por Salmonella / Bacteriemia / Servicio de Urgencia en Hospital Límite: Adolescent / Child / Child, preschool / Female / Humans / Infant / Male País/Región como asunto: Europa Idioma: En Revista: Pediatr Infect Dis J Asunto de la revista: DOENCAS TRANSMISSIVEIS / PEDIATRIA Año: 2024 Tipo del documento: Article País de afiliación: España Pais de publicación: Estados Unidos