Wie wird das hamolytisch-uramische Syndrom des Kindesalters in der Schweiz erworben? [How is hemolytic-uremic syndrome in childhood acquired in Switzerland?]

Details

Serval ID
serval:BIB_D375FC015BBD
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Wie wird das hamolytisch-uramische Syndrom des Kindesalters in der Schweiz erworben? [How is hemolytic-uremic syndrome in childhood acquired in Switzerland?]
Journal
Schweizerische Medizinische Wochenschrift
Author(s)
Kernland  K. H., Laux-End  R., Truttmann  A. C., Reymond  D., Bianchetti  M. G.
ISSN
0036-7672 (Print)
Publication state
Published
Issued date
07/1997
Volume
127
Number
29-30
Pages
1229-33
Notes
English Abstract
Journal Article --- Old month value: Jul 22
Abstract
Intestinal infections with shigatoxin-producing Escherichia coli or Shigella dysenteriae type I play a major role in the pathogenesis of the hemolytic-uremic syndrome in childhood. Escherichia coli has been repeatedly detected in the intestines of healthy cattle. Twenty-seven children with hemolytic-uremic syndrome were treated at our hospital between June 1990 and March 1997. Factors indicating a possible previous contact with bovine intestinal content were found in 18 out of the 27 patients: parents stockbreeders (n = 7), recent visit to a cowshed or contact with cowdung or manure (n = 5), residence in a rural cattle-breeding area (n = 5), or consumption of raw milk (n = 1). The factors mentioned were found in 5 out of 27 control patients (p < 0.01). Two children experienced hemolytic-uremic syndrome after a stay respectively in Egypt and Tunisia. Our results indicate an important source for acquisition of hemolytic-uremic syndrome in childhood. Observing simple hygienic rules such as washing of hands and pasteurization of milk is likely to have a positive influence on the incidence of this illness. There are also grounds to consider adding the hemolytic-uremic syndrome to the list of travel-related diseases.
Keywords
Animals Cattle Child Child, Preschool Dysentery, Bacillary/complications/transmission Escherichia coli Infections/complications/transmission Female Gastroenteritis/complications/etiology Gastrointestinal Contents/microbiology Hemolytic-Uremic Syndrome/*etiology/prevention & control Humans Infant Male Risk Factors Shigella dysenteriae Travel
Pubmed
Web of science
Create date
28/01/2008 13:50
Last modification date
20/08/2019 15:53
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