Salmonella Typhi and Paratyphi A infections in Cambodian children, 2012 - 2016

<br><strong>Objectives: </strong>Enteric fever remains an important diagnostic and treatment challenge in febrile children living in the tropics. In the context of a national Salmonella enterica serovar Paratyphi A outbreak, the objective of this retrospective study was to compare...

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Main Authors: Kheng, C, Meas, V, Pen, S, Sar, P, Turner, P
Format: Journal article
Language:English
Published: Elsevier 2020
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author Kheng, C
Meas, V
Pen, S
Sar, P
Turner, P
author_facet Kheng, C
Meas, V
Pen, S
Sar, P
Turner, P
author_sort Kheng, C
collection OXFORD
description <br><strong>Objectives: </strong>Enteric fever remains an important diagnostic and treatment challenge in febrile children living in the tropics. In the context of a national Salmonella enterica serovar Paratyphi A outbreak, the objective of this retrospective study was to compare features of S. Typhi and S. Paratyphi A infections in Cambodian children.</br> <br><strong>Methods: </strong>Clinical and laboratory features were reviewed for 192 blood culture-confirmed children with S. Typhi and S. Paratyphi A infections presenting to a paediatric referral hospital in Siem Reap, 2012–2016.</br> <br><strong>Results: </strong>Children with S. Typhi infections were younger, were more likely to have chills and/or diarrhoea, and were more frequently hospitalized than those with S. Paratyphi A infections. Over three quarters (88.3%) of S. Typhi isolates were multidrug-resistant, compared to none of the S. Paratyphi A.</br> <br><strong>Conclusions: </strong>In this small study of Cambodian children, S. Typhi infections were more severe than S. Paratyphi A infections. Antibiotic resistance limits treatment options for enteric fever in this population.</br>
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spelling oxford-uuid:ae11fe98-5b5b-478b-830b-b820aabae0fa2023-03-17T09:34:37ZSalmonella Typhi and Paratyphi A infections in Cambodian children, 2012 - 2016Journal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:ae11fe98-5b5b-478b-830b-b820aabae0faEnglishSymplectic ElementsElsevier2020Kheng, CMeas, VPen, SSar, PTurner, P<br><strong>Objectives: </strong>Enteric fever remains an important diagnostic and treatment challenge in febrile children living in the tropics. In the context of a national Salmonella enterica serovar Paratyphi A outbreak, the objective of this retrospective study was to compare features of S. Typhi and S. Paratyphi A infections in Cambodian children.</br> <br><strong>Methods: </strong>Clinical and laboratory features were reviewed for 192 blood culture-confirmed children with S. Typhi and S. Paratyphi A infections presenting to a paediatric referral hospital in Siem Reap, 2012–2016.</br> <br><strong>Results: </strong>Children with S. Typhi infections were younger, were more likely to have chills and/or diarrhoea, and were more frequently hospitalized than those with S. Paratyphi A infections. Over three quarters (88.3%) of S. Typhi isolates were multidrug-resistant, compared to none of the S. Paratyphi A.</br> <br><strong>Conclusions: </strong>In this small study of Cambodian children, S. Typhi infections were more severe than S. Paratyphi A infections. Antibiotic resistance limits treatment options for enteric fever in this population.</br>
spellingShingle Kheng, C
Meas, V
Pen, S
Sar, P
Turner, P
Salmonella Typhi and Paratyphi A infections in Cambodian children, 2012 - 2016
title Salmonella Typhi and Paratyphi A infections in Cambodian children, 2012 - 2016
title_full Salmonella Typhi and Paratyphi A infections in Cambodian children, 2012 - 2016
title_fullStr Salmonella Typhi and Paratyphi A infections in Cambodian children, 2012 - 2016
title_full_unstemmed Salmonella Typhi and Paratyphi A infections in Cambodian children, 2012 - 2016
title_short Salmonella Typhi and Paratyphi A infections in Cambodian children, 2012 - 2016
title_sort salmonella typhi and paratyphi a infections in cambodian children 2012 2016
work_keys_str_mv AT khengc salmonellatyphiandparatyphiainfectionsincambodianchildren20122016
AT measv salmonellatyphiandparatyphiainfectionsincambodianchildren20122016
AT pens salmonellatyphiandparatyphiainfectionsincambodianchildren20122016
AT sarp salmonellatyphiandparatyphiainfectionsincambodianchildren20122016
AT turnerp salmonellatyphiandparatyphiainfectionsincambodianchildren20122016