Bacteraemia in malnourished rural African children.
Ann Trop Paediatr
; 16(1): 61-8, 1996 Mar.
Article
en En
| MEDLINE
| ID: mdl-8787368
ABSTRACT
PIP: There are an estimated 170 million children in the world who are malnourished, 20 million severely. The authors determined the prevalence of bacteremia in malnourished children admitted to Shongwe Mission Hospital, documented the effect of bacteremia upon mortality, and provide a basis for antimicrobial use in malnourished children with suspected bacteremia. 323 of 863 children under age 5 years admitted to the hospital between May 23 and October 22, 1992, were malnourished, 66% severely. There was a 9.6% prevalence of bacteremia in malnourished children, 11.8% in those severely malnourished, and 5.8% in nutritional dwarfs. Gram-negative enteric bacilli were retrieved in 48.5% of cases. 95.8% of all isolates among the severely malnourished children were sensitive to the combination of intravenous ampicillin and gentamicin. There was a 20.8% case fatality rate among severely malnourished bacteremic children. In malnutrition categories overall, the case fatality rate for bacteremic children (22.6%) was significantly greater than in those without bacteremia (9.3%). The authors note that it may not be necessary to fully identify bacteria in hospitals with limited resources as long as regular surveillance for emerging resistance is conducted.
Palabras clave
Africa; Africa South Of The Sahara; Age Factors; Bacterial And Fungal Diseases; Child; Child Mortality; Demographic Factors; Developing Countries; Diseases; English Speaking Africa; Infections; Malnutrition; Measurement; Mortality; Nutrition Disorders; Population; Population Characteristics; Population Dynamics; Prevalence; Research Methodology; Research Report; Rural Population; South Africa; Southern Africa; Treatment; Youth
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Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Bacteriemia
/
Trastornos Nutricionales
Tipo de estudio:
Etiology_studies
/
Incidence_studies
/
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Límite:
Child, preschool
/
Female
/
Humans
/
Infant
/
Male
/
Newborn
País/Región como asunto:
Africa
Idioma:
En
Revista:
Ann Trop Paediatr
Año:
1996
Tipo del documento:
Article
Pais de publicación:
Reino Unido