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ISSN: 2168-9784

Journal of Medical Diagnostic Methods
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Research Article

Frequency and Etiology of Community-Acquired Bloodstream Infection in Hospitalized Febrile Children

Tufail Soomro1, Shiyam Sunder Tikmani2 and Sumera Aziz Ali2*

1Department of Pediatrics, Ghulam Mohammad Mahar Medial College, Sukkur, Karachi, Pakistan

2Department of Community health Sciences, Aga Khan University, Karachi, Pakistan

*Corresponding Author:
Sumera Aziz Ali
Department of Community health Sciences
Aga Khan University, Karachi, Pakistan
Tel: +9234864837
E-mail: [email protected]

Received date: June 29, 2016; Accepted date: July 15, 2016; Published date: July 22, 2016

Citation: Soomro T, Tikmani SS, Ali SA (2016) Frequency and Etiology of Community-Acquired Bloodstream Infection in Hospitalized Febrile Children. J Med Diagn Meth 5:217. doi:10.4172/2168-9784.1000217

Copyright: © 2016 Soomro T, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Abstract

Background: Blood stream infection is a serious problem that needs immediate attention and treatment. We aim to identify the frequency of common organisms in blood culture of febrile pediatric patients so that empirical antibiotic therapy can be started timely.

Methods: This cross-sectional study was conducted in pediatric ward Civil Hospital Sukkur from 1st May 2013 to 31st October 2014. Children of both genders who are between the age of one month to 15 years admitted to the pediatric ward with a fever of > 38.0 c and with a history of fever ˃ two days and whose blood culture has been sent were included in this study. Informed consent was taken prior to enrollment. The patient’s blood culture was taken under aseptic technique. Samples were sent to microbiology lab civil hospital Sukkur. 1st culture on admission to be taken to avoid confounding with hospital-acquired the infection. The frequency of organisms grown in the culture was documented.

Results: The median age of enrolled participants was 48.5 (46.6) months, 153 (38.5%) were male and 158 (61.5%) were the female and median weight of enrolled participants was 15.9 (9.7) kg. Overall, 178 (69.3%) cases had a history of prior antibiotic use; blood cultures sent within 24 hours were 117 (45.5%) cases. Twenty-two (8.4%) cases were positive. Six were positive for Salmonella typhi cases followed by E. coli.

Conclusions: It was concluded from this study that the frequency of community acquired blood stream infection was 7.6%. Salmonella typhi, E. coli were found to be common pathogens.

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