Analysis of Risk Factors for Bacteremia in Children with Nontyphoidal Salmonella Gastroenteritis

Abstract
To identify the risk factors for Salmonella bacteremia in infants and children with Salmonella gastroenteritis, a retrospective study of a 10-year period was conducted to evaluate 456 infants and children with culture-proven nontyphoidal Salmonella infection. Salmonella typhimurium was the most common isolate found. Among the 257 patients with gastroenteritis who had a concomitant blood culture performed, 50 exhibited bacteremia. Statistically significant differences were noted between patients with gastroenteritis and bacteremia and those without bacteremia in duration of fever ≥5 days (PSalmonella (PSalmonella strains that were serotyped, Salmonella panama was shown to be strongly associated with bacteremia (PSalmonella gastroenteritis, prolonged fever lasting 5 days or more and infection with a specific Salmonella serotype were risk factors closely associated with development of bacteremia.

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