Clinical features and analysis of the duration of colonisation during an outbreak of Salmonella braenderup gastroenteritis

Details

Serval ID
serval:BIB_044528E9D694
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Clinical features and analysis of the duration of colonisation during an outbreak of Salmonella braenderup gastroenteritis
Journal
Schweizerische Medizinische Wochenschrift
Author(s)
Rossier  P., Urfer  E., Burnens  A., Bille  J., Francioli  P., Mean  F., Zwahlen  A.
ISSN
0036-7672 (Print)
Publication state
Published
Issued date
08/2000
Volume
130
Number
34
Pages
1185-91
Notes
Comparative Study
Journal Article --- Old month value: Aug 26
Abstract
During an outbreak of acute Salmonella braenderup gastroenteritis we performed a standardised interview encompassing questions on clinical symptoms in 156 (127 adults and 29 children) of 215 identified patients. Sequential stool cultures were obtained for up to five months in these 156 cases. We restricted the analysis to the 122 patients with at least 3 or more available cultures. They were treated with a fluoroquinolone, trimethoprim-sulfamethoxazole, or not treated with antibiotics, according to the decision of the practitioners. For this reason, a randomised double blind study was not possible. Minimum inhibitory concentrations (MIC) of the prescribed drugs were measured for representative isolates before and after treatment. The most frequent symptoms were diarrhoea (98%) and abdominal pain (96%). Vomiting occurred in 43% of cases. Children were more severely ill. Seven weeks after acute gastroenteritis, stool cultures were still positive for salmonella in 71% of the 22 children and 30% of the 100 adults examined (p < 0.002). This rate decreased progressively in both groups to 5 and 3% respectively at 20 weeks (n.s.). Among adults, no significant difference in enteric carriage over time could be demonstrated between untreated patients and those treated with either a fluoroquinolone or trimethoprim-sulfamethoxazole. MIC for salmonella isolates remained unchanged after treatment. In a cohort of patients infected with a single strain of salmonella, fluoroquinolone therapy of acute gastroenteritis failed to influence the duration of enteric carriage, despite continuing susceptibility of the strain. In children, the rate of clearance of Salmonella braenderup from stool was statistically lower until the tenth week after the acute disease, but there was no further difference after 5 months.
Keywords
Adult Anti-Infective Agents/therapeutic use Child Diarrhea/etiology *Disease Outbreaks Fever Fluoroquinolones Gastroenteritis/drug therapy/*epidemiology/microbiology Humans Salmonella Infections/drug therapy/*epidemiology/physiopathology Switzerland/epidemiology Trimethoprim-Sulfamethoxazole Combination/therapeutic use
Pubmed
Web of science
Create date
25/01/2008 17:07
Last modification date
20/08/2019 12:26
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