Wie wird das hamolytisch-uramische Syndrom des Kindesalters in der Schweiz erworben? [How is hemolytic-uremic syndrome in childhood acquired in Switzerland?]
Détails
ID Serval
serval:BIB_D375FC015BBD
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Institution
Titre
Wie wird das hamolytisch-uramische Syndrom des Kindesalters in der Schweiz erworben? [How is hemolytic-uremic syndrome in childhood acquired in Switzerland?]
Périodique
Schweizerische Medizinische Wochenschrift
ISSN
0036-7672 (Print)
Statut éditorial
Publié
Date de publication
07/1997
Volume
127
Numéro
29-30
Pages
1229-33
Notes
English Abstract
Journal Article --- Old month value: Jul 22
Journal Article --- Old month value: Jul 22
Résumé
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.
Mots-clé
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
Création de la notice
28/01/2008 13:50
Dernière modification de la notice
20/08/2019 15:53