Investigation of Bacterial Gastroenteritis Agents in Patients Who Admitted to Pediatric Clinic with Diarrhea

Küçük Resim Yok

Tarih

2021

Dergi Başlığı

Dergi ISSN

Cilt Başlığı

Yayıncı

Doc Design Informatics Co Ltd

Erişim Hakkı

info:eu-repo/semantics/openAccess

Özet

Objective: In this study we aimed to determine bacterial causes of diarrhea in patients presenting to the pediatric clinic. Methods: The stool specimens of 487 patients with diarrhea from pediatric emergency and other pediatric clinics were investigated in order to determine gastroenteritis causes. Microscopic examinations, and appropriate culture methods were performed to determine Salmonella, Shigella, E. coil O157: H7, Campylobacter, Yersinia enterocolitica, Vibrio cholerae, and Aeromonas species. Stool specimens of patients with diarrhea were stained with methylene blue for microscopic examination, and they were cultured on propagating selenite F medium for Salmonella spp. and Shigellas spp., and 8 h later, were subcultured to Salmonella Shigella agar. Also they were cultured to hektoen and xylose lysine desoxycholate agar, to Sorbitol MacConkey agar for E. cob O157: H7 strain, to MacConkey agar for Yersinia enterocolitica, to Campylobacter selective agar for Campylobacter spp., to vibrio selective agar for Vibrio cholerae and to 5% sheep blood agar for Aeromonas spp.. The isolated microorganisms were identified by conventional methods, biochemical tests, specific antibody/antigens and VITEK* 2 (bioMerieux, Marcy l'Etoile, France) device. Results: Salmonella spp. was the most frequently isolated bacteria that was isolated in 19 (3.9%) samples, and Campylobacter spp. was isolated in seven (1.4%), and E. coil O157:H7 and Aeromonas spp. were isolated in three (0.6%) samples. We observed that Salmonella isolation was highest in HE agar. It is remarkable that E. coil O157: H7 was observed among the bacterial agents of gastroenteritis in children. Conclusions: We concluded that E. coil O157: 117 strain should be investigated especially in stool samples with bloody diarrhea in our region, and bacteria such as Campylobacter spp. Aeromonas spp. should be investigated in addition to Salmonella spp. for investigation of gastroenteritis agents in children.

Açıklama

Anahtar Kelimeler

Child, E. Coli O157: 117, Gastroenteritis, Diarrhea, Salmonella

Kaynak

Klimik Journal

WoS Q Değeri

Scopus Q Değeri

Q4

Cilt

34

Sayı

3

Künye