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44164

Frequency of Clostridium Difficile Infection in Hospitalized Children in Suez Canal University Hospital

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Last updated: 22 Jan 2023

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Abstract

Background: Clostridium difficile (C. difficile), a Gram-positive spore-forming bacillus, is the most common etiologic agent of antibiotic-associated diarrhea. The clinical presentation of Clostridium difficile-associated disease (CDAD) occurs secondary to the production of two exotoxins; toxin A, an enterotoxin and toxin B, a cytotoxin. Aim: to assess the frequency of C. difficile infection in hospitalized children in Suez Canal University Hospital for the purpose of prevention and control. Patients and Methods: This study was conducted as a cross-sectional study to detect C. difficile infection in 90 hospitalized children in Pediatric inpatient ward in Suez Canal University Hospital selected through a simple random sample. History taking as well as complete stool analysis and enzyme immunoassay to determine toxins A and B of C. difficile in stool samples were done. Results: Determination of toxins A and B of C. difficile in stool samples was found positive in 8.9% of the studied sample. Prevalence of C. difficile was slightly higher in infants than in children and in males more than in females. All 8 patients (100%) with Clostridium difficile infection (CDI) presented by diarrhea, 25% of them presented by abdominal pain and none of them presented by bloody stool. C. difficile infection was highest among patients having Cephalosporin (18.2%) followed by combination therapy between penicillin and cephalosporin (8.6%) while the lowest prevalence was among those on Penicillins only (4.8%). Conclusion: C. difficile infection is prevalent in hospitalized children receiving antibiotics therapy causing a wide variety of GIT symptoms mainly diarrhea.

DOI

10.21608/scumj.2015.44164

Keywords

Clostridium difficile, antibiotic-associated diarrhea

Authors

First Name

Ahmed

Last Name

Kotb

MiddleName

M

Affiliation

Department of Pediatrics, Faculty of Medicine, Suez Canal University, Egypt

Email

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City

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Orcid

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First Name

Mohammed

Last Name

Elkalioby

MiddleName

I

Affiliation

Department of Pediatrics, Faculty of Medicine, Suez Canal University, Egypt

Email

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City

-

Orcid

-

First Name

Suzan

Last Name

Gad

MiddleName

S

Affiliation

Department of Pediatrics, Faculty of Medicine, Suez Canal University, Egypt

Email

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City

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Orcid

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First Name

Omar

Last Name

Dessouk

MiddleName

F

Affiliation

Departments of Clinical Pathology, Faculty of Medicine, Suez Canal University, Egypt

Email

dromarof@hotmail.com

City

-

Orcid

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Volume

18

Article Issue

1

Related Issue

6815

Issue Date

2015-03-01

Receive Date

2019-08-06

Publish Date

2015-03-01

Page Start

39

Page End

46

Print ISSN

1110-6999

Online ISSN

2090-2581

Link

https://scumj.journals.ekb.eg/article_44164.html

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https://scumj.journals.ekb.eg/service?article_code=44164

Order

6

Type

Original Article

Type Code

938

Publication Type

Journal

Publication Title

Suez Canal University Medical Journal

Publication Link

https://scumj.journals.ekb.eg/

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Article

Created At

22 Jan 2023