Invasive Salmonella infections among children in Bintulu, Sarawak, Malaysian Borneo a 6-year retrospective review
Background: Invasive Salmonella infections result in significant morbidity and mortality in developing countries. In Asia, typhoid and paratyphoid fever are reported to be the major invasive Salmonella infections, while invasive nontyphoidal Salmonella (iNTS) infections are believed to be uncommon....
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my.unimas.ir.256142021-04-21T00:26:48Z http://ir.unimas.my/id/eprint/25614/ Invasive Salmonella infections among children in Bintulu, Sarawak, Malaysian Borneo a 6-year retrospective review Mohan, Anand Munusamy, Chandran Tan, Yee Chin Muthuvelu, Sobana Hashim, Rohaidah Chien, Su Lin Wong, Ming Kui Nurul Aiman, Khairuddin Yuwana, Podin Lau, Peter Sie Teck Ng, David Chun Ern Ooi, Mong How Q Science (General) QR Microbiology QR180 Immunology R Medicine (General) RJ Pediatrics RJ101 Child Health. Child health services Background: Invasive Salmonella infections result in significant morbidity and mortality in developing countries. In Asia, typhoid and paratyphoid fever are reported to be the major invasive Salmonella infections, while invasive nontyphoidal Salmonella (iNTS) infections are believed to be uncommon. Data from Sarawak, in Malaysian Borneo, are limited. Methods: A retrospective study identifying all children aged < 15 years with invasive Salmonella infections from 2011 to 2016 was conducted in Bintulu Hospital in Sarawak. Population incidences, clinical and bacterial characteristics were examined. Results: Forty-four patients were identified during the 6-year study period: 43 had iNTS infection and 1 had typhoid fever. The average annual iNTS incidence was 32.4 per 100,000 children aged < 5 years. None of the children had malaria or HIV infection, and only 7% were severely malnourished. Salmonella Enteritidis and Salmonella Java were the commonest NTS serovars identified. Pneumonia was the most common manifestation of iNTS disease, present in 20 (47%) children. Other manifestations included gastroenteritis, fever without a source, septic arthritis and meningitis. Salmonella Enteritidis was identified in 76% of those with pneumonia, significantly more frequently than in children with other manifestations. Over 25% of children with iNTS developed severe disease and nearly 10% suffered long term morbidity or mortality. While 78% of Salmonella Java isolates were multidrug resistant, nearly all other isolates were susceptible to most antimicrobials, including ampicillin. Conclusions: Bintulu Division in Sarawak observed a very high incidence of childhood iNTS infections. Enteric fever was uncommon. The epidemiology of invasive Salmonella infections in Malaysian Borneo differs considerably from that of neighbouring countries in Asia. Keywords: Salmonella, Invasive, Non-typhoidal, Children, Malaysia, Borneo MC Infectious Diseases 2019-04-18 Article PeerReviewed text en http://ir.unimas.my/id/eprint/25614/1/Anand%20Mohan.pdf Mohan, Anand and Munusamy, Chandran and Tan, Yee Chin and Muthuvelu, Sobana and Hashim, Rohaidah and Chien, Su Lin and Wong, Ming Kui and Nurul Aiman, Khairuddin and Yuwana, Podin and Lau, Peter Sie Teck and Ng, David Chun Ern and Ooi, Mong How (2019) Invasive Salmonella infections among children in Bintulu, Sarawak, Malaysian Borneo a 6-year retrospective review. BMC Infectious Diseases, 19 (330). pp. 1-11. ISSN 1471-2334 https://bmcinfectdis.biomedcentral.com/articles/10.1186/s12879-019-3963-x DOI:org/10.1186/s12879-019-3963-x |
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Q Science (General) QR Microbiology QR180 Immunology R Medicine (General) RJ Pediatrics RJ101 Child Health. Child health services |
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Q Science (General) QR Microbiology QR180 Immunology R Medicine (General) RJ Pediatrics RJ101 Child Health. Child health services Mohan, Anand Munusamy, Chandran Tan, Yee Chin Muthuvelu, Sobana Hashim, Rohaidah Chien, Su Lin Wong, Ming Kui Nurul Aiman, Khairuddin Yuwana, Podin Lau, Peter Sie Teck Ng, David Chun Ern Ooi, Mong How Invasive Salmonella infections among children in Bintulu, Sarawak, Malaysian Borneo a 6-year retrospective review |
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Background: Invasive Salmonella infections result in significant morbidity and mortality in developing countries. In Asia, typhoid and paratyphoid fever are reported to be the major invasive Salmonella infections, while invasive nontyphoidal Salmonella (iNTS) infections are believed to be uncommon. Data from Sarawak, in Malaysian Borneo, are limited.
Methods: A retrospective study identifying all children aged < 15 years with invasive Salmonella infections from
2011 to 2016 was conducted in Bintulu Hospital in Sarawak. Population incidences, clinical and bacterial
characteristics were examined.
Results: Forty-four patients were identified during the 6-year study period: 43 had iNTS infection and 1 had
typhoid fever. The average annual iNTS incidence was 32.4 per 100,000 children aged < 5 years. None of the
children had malaria or HIV infection, and only 7% were severely malnourished. Salmonella Enteritidis and
Salmonella Java were the commonest NTS serovars identified. Pneumonia was the most common manifestation of
iNTS disease, present in 20 (47%) children. Other manifestations included gastroenteritis, fever without a source,
septic arthritis and meningitis. Salmonella Enteritidis was identified in 76% of those with pneumonia, significantly
more frequently than in children with other manifestations. Over 25% of children with iNTS developed severe
disease and nearly 10% suffered long term morbidity or mortality. While 78% of Salmonella Java isolates were multidrug resistant, nearly all other isolates were susceptible to most antimicrobials, including ampicillin.
Conclusions: Bintulu Division in Sarawak observed a very high incidence of childhood iNTS infections. Enteric fever
was uncommon. The epidemiology of invasive Salmonella infections in Malaysian Borneo differs considerably from
that of neighbouring countries in Asia.
Keywords: Salmonella, Invasive, Non-typhoidal, Children, Malaysia, Borneo |
format |
Article |
author |
Mohan, Anand Munusamy, Chandran Tan, Yee Chin Muthuvelu, Sobana Hashim, Rohaidah Chien, Su Lin Wong, Ming Kui Nurul Aiman, Khairuddin Yuwana, Podin Lau, Peter Sie Teck Ng, David Chun Ern Ooi, Mong How |
author_facet |
Mohan, Anand Munusamy, Chandran Tan, Yee Chin Muthuvelu, Sobana Hashim, Rohaidah Chien, Su Lin Wong, Ming Kui Nurul Aiman, Khairuddin Yuwana, Podin Lau, Peter Sie Teck Ng, David Chun Ern Ooi, Mong How |
author_sort |
Mohan, Anand |
title |
Invasive Salmonella infections among children in Bintulu, Sarawak, Malaysian Borneo a 6-year retrospective review |
title_short |
Invasive Salmonella infections among children in Bintulu, Sarawak, Malaysian Borneo a 6-year retrospective review |
title_full |
Invasive Salmonella infections among children in Bintulu, Sarawak, Malaysian Borneo a 6-year retrospective review |
title_fullStr |
Invasive Salmonella infections among children in Bintulu, Sarawak, Malaysian Borneo a 6-year retrospective review |
title_full_unstemmed |
Invasive Salmonella infections among children in Bintulu, Sarawak, Malaysian Borneo a 6-year retrospective review |
title_sort |
invasive salmonella infections among children in bintulu, sarawak, malaysian borneo a 6-year retrospective review |
publisher |
MC Infectious Diseases |
publishDate |
2019 |
url |
http://ir.unimas.my/id/eprint/25614/1/Anand%20Mohan.pdf http://ir.unimas.my/id/eprint/25614/ https://bmcinfectdis.biomedcentral.com/articles/10.1186/s12879-019-3963-x |
_version_ |
1698700793325027328 |
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13.160551 |