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Acute Campylobacter spp. gastroenteritis in the Pediatric Emergency Department of a level II hospital

2022-03Journal article Open access
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dc.contributor.authorSá, Liliana
dc.contributor.authorPinheiro, Teresa
dc.contributor.authorSilva, Joana
dc.contributor.authorPedrosa, Adriana
dc.contributor.authorSoares, Laura
dc.contributor.authorCosta, Miguel
dc.contributor.authorRocha, Cristina
dc.date.accessioned2023-02-02T10:16:41Z
dc.date.available2023-02-02T10:16:41Z
dc.date.issued2022-03
dc.description.abstractIntroduction: Campylobacter spp. is the main cause of pediatric acute bacterial gastroenteritis (ABG) in the European Union, with greater incidence in children under five years old. Most patients present complete recovery within days of infection, with no associated comorbidities. Antibiotic therapy should be reserved for severe cases. Objectives: The aim of this study was to investigate the epidemiology, symptoms, treatment, and complications of Campylobacter spp. infection in pediatric patients with ABG. Material and methods: Case-by-case review of the clinical records of patients evaluated in the Pediatric Emergency Department of a level II hospital with a diagnosis of ABG and Campylobacter spp. isolated from stool samples over a five-year period (2013-2017). Results: Of the 1990 stool tests performed, 637 (32%) were positive for the presence of bacteria. Campylobacter spp. was identified in the samples of 459 patients (72%). Eighteen patients were excluded for insufficient data, making up a final sample of 441 patients, with a mean age of three years old. Clinically, patients presented with aqueous diarrhea (59.6%), bloody diarrhea (43.8%), bloody and mucus diarrhea (15.4%), mucus diarrhea (3.9%), vomiting (36.3%), abdominal pain (24.3%), fever (63%), seizures (0.9%), and rash (0.2%). Eighty-nine patients were hospitalized. Eleven patients received antibiotic therapy. Discussion: This study represents the largest national case-by-case review of ABG by Campylobacter spp. in the pediatric population. Campylobacter was the main bacteria identified, mostly associated with self-limited disease. Conclusion: A judicious use of stool tests allows etiological identification in ABG. The growing number of cases of ABG by Campylobacter spp. reinforces the need for better hygiene procedures.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationNascer e Crescer - Birth and Growth Medical Journal 2022;31(1):9-15. doi:10.25753/BirthGrowthMJ.v31.i1.20981pt_PT
dc.identifier.doihttps://doi.org/10.25753/BirthGrowthMJ.v31.i1.20981pt_PT
dc.identifier.eissn2183-9417
dc.identifier.urihttp://hdl.handle.net/10400.16/2758
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherCentro Hospitalar Universitário do Portopt_PT
dc.rights.urihttp://creativecommons.org/licenses/by-nc/4.0/pt_PT
dc.subjectCampylobacterpt_PT
dc.subjectchildpt_PT
dc.subjectacute gastroenteritispt_PT
dc.subjecthygienept_PT
dc.titleAcute Campylobacter spp. gastroenteritis in the Pediatric Emergency Department of a level II hospitalpt_PT
dc.title.alternativeGastroenterite aguda por Campylobacter spp. no Serviço de Urgência Pediátrica de um hospital de nível IIpt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.conferencePlacePortopt_PT
oaire.citation.endPage15pt_PT
oaire.citation.issue1pt_PT
oaire.citation.startPage9pt_PT
oaire.citation.titleNascer e Crescer - Birth and Growth Medical Journalpt_PT
oaire.citation.volume31pt_PT
person.familyNameSá
person.familyNameSousa Veloso da Costa Pinheiro
person.familyNameSilva
person.familyNamePedrosa
person.familyNameSoares
person.familyNameCosta
person.familyNameRocha
person.givenNameLiliana
person.givenNameTeresa
person.givenNameJoana
person.givenNameAdriana
person.givenNameLaura
person.givenNameArtur Miguel
person.givenNameCristina
person.identifier.ciencia-idA61E-2EC6-30C6
person.identifier.ciencia-id5F19-6FF8-DC34
person.identifier.ciencia-id1210-C3C7-D601
person.identifier.orcid0000-0001-6324-2849
person.identifier.orcid0000-0002-6384-5962
person.identifier.orcid0000-0003-4065-2102
person.identifier.orcid0000-0002-6071-8642
person.identifier.orcid0000-0003-0271-3760
person.identifier.orcid0000-0001-8572-2771
person.identifier.orcid0000-0001-7595-8676
person.identifier.scopus-author-id57189039239
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT
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