Bacterial and parasitic profile of paediatric diarrhoea and dysentery in a tertiary care hospital in South India

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Original Article

Author Details : Arthi E, Anitha Raj M, Abarna V, Rajkiran R

Volume : 4, Issue : 4, Year : 2017

Article Page : 358-362

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Abstract

Aim: Diarrheal disease is a frequent disease among paediatric age group especially in developing countries. Dysentery, a sign of invasive enteric infections, is associated increased morbidity and mortality. This study was undertaken to study the bacterial and parasitic causes of childhood diarrhoea and dysentery.
Materials and Method: The study was conducted in tertiary care centre in children aged between 1-11 years of age, attending the out-patient clinic with complaints of diarrhoea or dysentery. Fresh stool samples was collected and presence of bacterial infections were identified by culture in MacConkey medium, Sorbitol MacConkey medium (SMAC) and Deoxycholate citrate agar (DCA). Parasites were identified by saline and iodine mount preparations.
Results: Out of the 60 stool specimens, 8(13%) showed presence of bacterial pathogens with diarrheogenic E.coli 4 (6.6%), Salmonella typhi 2(3.3%) and Shigella flexneri 2(3.3%). Among the 9(15%) parasites isolated, Ascaris lumbricoides, 3(5%), Giardia lamblia, 2(3.3%), Enterobius vermicularis, 2(3.3%), Ancylostoma duodenale 1(1.7%), and cysts of E.histolytica, 1(1.7%) were obtained. The bacterial isolates showed increased resisistance to Ampicillin(60%), Ciprofloxacin (50%) and Cotrimoxazole(50%). Both E.coli & Shigella flexneri, yielded one ESBL producer each.
Conclusion: This study has highlighted the common enteropathogens in pediatric age in our region and hence the necessity to undertake control measures by personal hygiene and environmental sanitation.

Keywords: Pediatrics, Diarrhea, Dysentery, Diarrheogenic E.coli, Salmonella typhi, Ascaris

How to cite : Arthi E, Anitha Raj M, Abarna V, Rajkiran R, Bacterial and parasitic profile of paediatric diarrhoea and dysentery in a tertiary care hospital in South India. Indian J Microbiol Res 2017;4(4):358-362

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