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2017 | 11 |

Tytuł artykułu

Prevalence and antibiotic susceptibility patterns of Shigella and Salmonella causing Diarrhoea in children below five years at Thika Level Five District Hospital

Treść / Zawartość

Warianty tytułu

Języki publikacji

EN

Abstrakty

EN
The aim of the study was to isolate and identify the extent of Salmonella and Shigella induced diarrhoea in children under five and to determine their antibacterial susceptibility patterns. The method of investigation was a cross-sectional study. Samples were collected from children less than five years old afflicted with diarrhoea coming for treatment at Thika Level Five Hospital, Kiambu County. A total of 80 stool samples were collected. These were specifically examined for Shigella and Salmonella. In doing so, the samples were cultured in MacConkey and Xylose lactose deoxycholate (XLD) agar. The plates were subsequently incubated aerobically at 37 °C overnight. After incubation, suspected Salmonella and Shigella colonies were identified morphologically, marked and the colonies inoculated to biochemical tests for species identification as described in the Medical Laboratory Manual. Following this, colonies derived from purity plating through biochemical testing were subcultured onto nutrient agar to obtain pure colonies. The obtained pure colonies were then used to perform susceptibility tests to commonly prescribed antibacterial drugs, including Gentamicin, Ciproflaxicin and Erythromycin. Results showed 10 (12.5%) confirmed positive isolates, where 6 (60%) were Salmonella and 4 (40%) Shigella. With respect to age, both isolates were found to be concentrated more at ages of 1-4 years. Herein, Salmonella – 1-2 years (33.33%), - 2-3 years (50%); Shigella – 1-2 years (50%), - 2-3 years (25%). From the study, sex distribution (male or female) of the host isolates was equal (50-50%). Moreover, Ciprofloxacin and Gentamycin were the most potent antibiotics, whereas Ampicillin, Erythromycin, Cotrimoxazole and Sulfamethoxazole were highly resisted. According to study results, Quinolones and Aminogylcosides are the antibiotics of choice for severe diarrhoea illnesses caused by Salmonella and Shigella.

Słowa kluczowe

Wydawca

-

Rocznik

Tom

11

Opis fizyczny

p.28-36,fig.,ref.

Twórcy

autor
  • Department of Medical Microbiology, Jomo Kenyatta University of Agriculture and Technology, Nairobi, Kenya
autor
  • Department of Medical Microbiology, Jomo Kenyatta University of Agriculture and Technology, Nairobi, Kenya
autor
  • Department of Medical Microbiology, Jomo Kenyatta University of Agriculture and Technology, Nairobi, Kenya
  • University of Chinese Academy of Sciences, Beijing, China
autor
  • Department of Pure and Applied Chemistry, University of Calabar, P.M.B 1115 Calabar, Nigeria
autor
  • Department of Pure and Applied Chemistry, University of Calabar, P.M.B 1115 Calabar, Nigeria
  • University of Chinese Academy of Sciences, Beijing, China

Bibliografia

  • [1] Guarner F, Schaafsma GJ. Probiotics. Int J Food Microbiol 1998; 39: 237–8.
  • [2] Van Niel C, Feudtner C, Garrison MM, Christakis DA. Lactobacillus therapy for acute infectious diarrhea in children: a meta-analysis. Pediatrics 2002; 109: 678–84.
  • [3] Huang JS, Bousvaros A, Lee JW, et al. Efficacy of probiotic use in acute diarrhea in children: a meta-analysis. Dig Dis Sci 2002; 47: 2625–34.
  • [4] Szajewska H, Mrukowicz J. Probiotics in the treatment and prevention of acute infectious diarrhea in infants and children: a systematic review of published randomized, double-blind, placebo controlled trials. J Pediatr Gastroenterol Nutr 2001; 33: S17–25.
  • [5] Rodrigues AC, Nardi RM, Bambirra EA, Vieira EC, Nicoli JR. Effect of Saccharomyces boulardii against experimental oral infection with Salmonella typhimurium and Shigella flexneri in conventional and gnotobiotic mice. J Appl Bacteriol 1996; 81: 251–6.
  • [6] Czerucka D, Rampal P. Effect of Saccharomyces boulardii on cAMP- and Ca2+-dependent Cl- secretion in T84 cells. Dig Dis Sci 1999; 44: 2359–68.
  • [7] Czerucka D, Dahan S, Mograbi B, Rossi B, Rampal P. Implication of mitogen-activated protein kinases in T84 cell responses to enteropathogenic Escherichia coli infection. Infect Immun 2001; 69: 1298–305.
  • [8] Fredenucci I, Chomarat M, Boucaud C, Flandrois JP. S. boulardii fungemia in a patient receiving ultra-levure therapy. Clin Infect Dis 1998; 27: 222–3.
  • [9] Lherm T, Monet C, Nougiere B, et al. Seven cases of fungemia with S. boulardii in critically ill patients. Intensive Care Med 2002; 28: 797–801.
  • [10] Niault M, Thomas F, Prost J, Ansari HF, Kalfon P. Fungemia due to Saccharomyces species in a patient treated with enteral S. boulardii. Clin Infect Dis 1999; 28: 930.
  • [11] Perapoch J, Planes AM, Querol A, et al. Fungemia with Saccharomyces cerevisiae in two newborns, only one of whom had been treated with ultra-levure. Eur J Clin Microbiol Infect Dis 2000; 19: 468–70.
  • [12] Pletincx M, Legein J, Vandenplas Y. Fungemia with S. boulardii in a 1-year-old girl with protracted diarrhoea. J Pediatr Gastroenterol Nutr 1995; 21: 113–5.
  • [13] Carlstedt G, Dahl P, Niklasson PM, Gullberg K, Banck G. Norfloxacin treatment of salmonellosis does not shorten the carrier stage. Scand J Infect Dis 1990; 22: 553-556.
  • [14] Neil MA, Opal SM, Heelan J, Giusti R, Ellen J, White R, Mayer KH. Failure of ciprofloxacin to eradicate convalescent fecal excretion after acute salmonellosis: Experience during an outbreak in health care workers. Ann Intern Med 1991; 114: 195-9.
  • [15] Kazemi M, Gumpert TG, Marks MI. A controlled trial comparing sulfamethoxazole-trimethoprim, ampicillin and no therapy in the treatment of salmonella gastroenteritis in children. J Pediatr 1973; 83(4): 646-50.

Typ dokumentu

Bibliografia

Identyfikatory

Identyfikator YADDA

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