TY - CHAP

T1 - Bacterial gastroenteritis among hospitalized patients in a Danish County, 1991-93

AU - Petersen, A M

AU - Nielsen, S V

AU - Meyer, D

AU - Ganer, P

AU - Ladefoged, K

PY - 1996/9

Y1 - 1996/9

N2 - BACKGROUND: Denmark has in recent years experienced an increase in the number of bacterial gastrointestinal infections.METHODS: We have reviewed patients hospitalized with culture-confirmed bacterial gastroenteritis in Roskilde County during 1991-93.RESULTS: Two hundred and seven patients were included; 68 were children (< 15 years). The microorganism isolated was Salmonella in 61% of the cases, Campylobacter in 20% and Yersinia enterocolitica in 13%. Ninety-three per cent of the patients had diarrhea, 74% had fever (> 38 degrees C), and 66% abdominal pain. Blood in stools was most frequent in patients infected with Campylobacter. Leukocytosis was rare. Twenty-four patients had bacteremia. Reactive arthritis occurred in 4.8%. Three patients died, all infected with zoonotic Salmonella types. Three stool cultures were made for 115 patients, and in 73% all 3 cultures were positive.CONCLUSIONS: Bacterial gastroenteritis requiring hospitalization affects mainly children and young adults. Infections due to zoonotic Salmonella types were more severe than Campylobacter and Y. enterocolitica gastroenteritis. It seems necessary to make at least three stool cultures to secure a bacteriologic diagnosis.

AB - BACKGROUND: Denmark has in recent years experienced an increase in the number of bacterial gastrointestinal infections.METHODS: We have reviewed patients hospitalized with culture-confirmed bacterial gastroenteritis in Roskilde County during 1991-93.RESULTS: Two hundred and seven patients were included; 68 were children (< 15 years). The microorganism isolated was Salmonella in 61% of the cases, Campylobacter in 20% and Yersinia enterocolitica in 13%. Ninety-three per cent of the patients had diarrhea, 74% had fever (> 38 degrees C), and 66% abdominal pain. Blood in stools was most frequent in patients infected with Campylobacter. Leukocytosis was rare. Twenty-four patients had bacteremia. Reactive arthritis occurred in 4.8%. Three patients died, all infected with zoonotic Salmonella types. Three stool cultures were made for 115 patients, and in 73% all 3 cultures were positive.CONCLUSIONS: Bacterial gastroenteritis requiring hospitalization affects mainly children and young adults. Infections due to zoonotic Salmonella types were more severe than Campylobacter and Y. enterocolitica gastroenteritis. It seems necessary to make at least three stool cultures to secure a bacteriologic diagnosis.

KW - Adolescent

KW - Adult

KW - Aged

KW - Aged, 80 and over

KW - Animals

KW - Bacteremia/complications

KW - Bacterial Infections/complications

KW - Campylobacter/isolation & purification

KW - Child

KW - Child, Preschool

KW - Denmark/epidemiology

KW - Female

KW - Gastroenteritis/complications

KW - Hospitalization

KW - Humans

KW - Infant

KW - Inpatients

KW - Male

KW - Middle Aged

KW - Salmonella/isolation & purification

KW - Yersinia enterocolitica/isolation & purification

KW - Zoonoses

U2 - 10.3109/00365529609052000

DO - 10.3109/00365529609052000

M3 - Book chapter

C2 - 8888439

VL - 31

T3 - Scandinavian Journal of Gastroenterology

SP - 906

EP - 911

BT - engelsk

ER -