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The Journal of Medical Microbiology, Vol 37, Issue 5 315-318, Copyright © 1992 by Society for General Microbiology

JOURNAL ARTICLE

A 15-year study of the role of Aeromonas spp. in gastroenteritis in hospitalised children

I. Gluskin, D. Batash, D. Shoseyov, A. Mor, R. Kazak, E. Azizi and I. Boldur
Department of Microbiology, Assaf Harofeh Medical Center, Zerifin, Israel.

During a 15-year period, 146 strains of Aeromonas spp. were isolated from 32810 faecal specimens from 13,820 hospitalised patients up to 13 years of age. These isolates constituted 4% of all the pathogenic bacterial strains cultured. For the years 1978-1988, the files of children with gastro-enteritis revealed 81 whose faeces yielded Aeromonas spp. Most of them (94%) were < 3 years of age, 78% < 1 year old. The peak incidence was at 2-6 months, involving severe morbidity including dehydration and vomiting with acidaemia and azotaemia; the mean duration of illness and length of hospitalisation at this age were longer than at other ages. Bloody diarrhoea was found in 7% of the children. Almost all the strains of Aeromonas were resistant to ampicillin. We conclude that Aeromonas spp. are of aetiological significance in gastro-enteritis in small children; culture for this pathogen should be routine in the bacteriological examination of faeces.


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