Intestinal Infections Among Febrile Hospitalized Patients in the Republic of Armenia: A Retrospective Chart Review
| Autor: | V. Asoyan, Karo Palayan, H. Apresyan, Vahe Bakunts, Eduard Zardaryan, Zaruhi Gevorgyan, Lusine Paronyan, Robert G. Rivard, Alvard I. Hovhannisyan, Christian T. Bautista, Tinatin Kuchuloria |
|---|---|
| Jazyk: | angličtina |
| Předmět: |
Adult
Male 0301 basic medicine Staphylococcus aureus Pediatrics medicine.medical_specialty Salmonella Health (social science) Fever Etiology Gastrointestinal Diseases Epidemiology Staphylococcus 030106 microbiology Disease Salmonella typhi medicine.disease_cause Enteric Disease Outbreaks Health(social science) 03 medical and health sciences 0302 clinical medicine medicine Humans Shigella 030212 general & internal medicine Retrospective Studies Inpatients Medical Audit Original Paper Surveillance business.industry Public Health Environmental and Occupational Health Retrospective cohort study Odds ratio Armenia Length of Stay Middle Aged Population Surveillance Female business |
| Zdroj: | Journal of Community Health |
| ISSN: | 0094-5145 |
| DOI: | 10.1007/s10900-016-0174-x |
| Popis: | In the past, several enteric outbreaks in 1996, 1998, 1999, and 2003 caused by Salmonella typhi, a Gram-negative bacterium, have occurred in Armenia. This study describes the demographic, epidemiological, and clinical characteristics of febrile hospitalized patients with intestinal infections in Armenia. Using a chart review study design, medical data from adult patients who were hospitalized at the Nork hospital during 2010–2012 were reviewed. A total of 600 medical charts were reviewed. Of these, 51 % were diagnosed with intestinal infections. Among these patients, 59 % had an intestinal infection of known etiology, with three main pathogens identified: Salmonella sp. (32 %), Shigella sp. (32 %), and Staphylococcus aureus (18 %). After controlling for the calendar year, age in years, and gender, patients detected with Salmonella sp. were more likely to reported the presence of a family member with similar signs or symptoms [odds ratio (OR) 9.0; 95 % CI 2.4–33.7] and the lack of a water tap at home (OR 3.9; 95 % CI 1.7–9.5). Evidence indicates that Salmonella sp., Shigella sp., and S. aureus as the most common etiologies reported among febrile hospitalized patients. A high percentage of patients had intestinal infections of unknown etiology; thus, improvement in laboratory capacity (enabling more advanced tests, such as polymerase chain reaction) would increase the identification of the enteropathogens causing disease in Armenia. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|