Abstract
The frequency of bacterial enteropathogens in children with diarrhea in a developing country in an ambulatory private clinic (site 1) and hospitalized children (site 2) is unknown and to establish guidelines for determining bacterial cultures and pediatricians to administrate antibiotic.Methods: Children less than five years of age with diarrhea were prospectively enrolled in two sites and their stools were examined for diarrheogenic bacteria and parasites.Results: A total of 183 and 529 stool samples of children with diarrhea examined in site 1 and 2 respectively for bacterial enteric pathogen and parasites. Of the 183 stool samples examined in site 1, 28 (15.3%) detected enteropathogen including Escherichia coli 10 (5.5%), Salmonella spp 17 (9.3%), Shigella spp 1 (0.5 %), Entamoeba histolytica 5 (2.7%), and 148 (80.8%) were culture negative. Of the 529 stool samples in site 2, E.coli 18 (3.4%), Entamoeba histolytica, 5 (0.9%) and 506 (95.6%) did not show any pathogen.Conclusion: The most prevalent bacterial pathogen in site 1 was Salmonella spp and E.coli in site 2. The etiology of diarrhea in each geographic area are different from other areas and all pediatricians should know information about them.
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