Abstract：Objective To study the clinical features and drug resistance in children with Salmonella infection. Methods A total of 163 children with positive fecal cultures for Salmonella who were hospitalized between 2013 and 2017 were enrolled. A retrospective analysis was performed for their data on clinical features, distribution of Salmonella serotypes, and drug sensitivity test results. Results Among the 163 children with Salmonella infection, 79 (48.5%) were aged ≤ 1 year. Main clinical manifestations included fever and diarrhea. Of all the children, 121 (74.2%) reached a body temperature of above 39℃, 52 (31.9%) had diarrhea more than 10 times a day, and 56 (34.4%) had respiratory infection. Salmonella infection often occurred in summer and autumn. Of all the children, 131 (80.4%) had the infection in May to October. Salmonella typhimurium was observed in 100 children (61.3%) and Salmonella enteritidis was observed 15 children (9.2%). All serotypes of Salmonella had a drug resistance rate of > 20% to cefotaxime, as well as high sensitivities to β-lactamase inhibitors (amoxicillin/clavulanic acid and piperacillin/tazobactam). There were no strains resistant to carbapenems including imipenem. Conclusions Infants aged ≤ 1 year are susceptible to Salmonella infection in summer and autumn, and the most common serotype is Salmonella typhimurium. Main clinical manifestations are fever and diarrhea in children with Salmonella infection, and most children also have respiratory infection. Salmonella has an increased rate of drug resistance to third-generation cephalosporins. In clinical treatment, antimicrobial drugs should be used according to the results of drug sensitivity test.
M100S, Performance standards for antimicrobial susceptibility testing[S].
[5]
Hendriksen RS, Vieira AR, Karlsmose S, et al. Global monitoring of salmonella serovar distribution from the World Health Organization Global Foodborne Infections Network Country Data Bank:results of quality assured laboratories from 2001 to 2007[J]. Foodborne Pathog Dis, 2011, 8(8):887-900.
