%0 Journal Article
%A García Vera, César
%A García Ventura, María
%A Del Castillo Aguas, Guadalupe
%A Domínguez Aurrecoechea, Begoña
%A Esparza Olcina, María Jesús
%A Martínez Rubio, Ana
%A Mengual Gil, José María
%A Red de Vigilancia Epidemiológica de Pediatría de Atención Primaria (PAPenRED)
%T [Acute bacterial gastroenteritis: 729 cases recruited by a Primary Care national network].
%D 2016
%U http://hdl.handle.net/10668/10488
%X To determine the main clinical and epidemiological features of bacterial gastroenteritis in our environment. An observational study of a Spanish population in 17 Autonomous Communities. Questionnaires of children with a stool positive culture to bacteria were collected over a one year period. A bivariate analysis was performed on the variables involved, as well as two multivariate models (for antibiotic treatment variables, and comparison Campylobacter/Salmonella). A total of 729 bacterial gastroenteritis episodes were recorded in the 17 Spanish autonomous regions, of which 41.2% were girls and 58.8% boys. The median age was 3.41 years old (interquartile range 1.55 to 6.72). The bacteria isolated were 59.9% Campylobacter, 31.8% non-Typhi Salmonella, 2.7% Aeromonas, 2.4% Yersinia, and 1.5% had more than one strain. Most infections (70%) were direct contacts, and food poisoning was less probable (25.9%). Salmonella is significantly less frequent than Campylobacter in children under the age of 3 years (adjusted OR 0.61; 95%CI: 0.43 to 0.86; P=.005), and Campylobacter is more frequent in rural areas (adjusted OR 1.48; 95%CI: 1.07 to 2.07; P=.012). Antibiotic was prescribed in 33.2% of cases. There was a greater significant difference if stools contained blood or mucus (adjusted OR 1.53; 95%CI: 1.04 to 2.27; P=.031), if the symptoms lasted more than 7days (adjusted OR 2.81; 95%CI: 2.01 to 3.93; P The aetiology of bacterial diarrhoea in paediatrics is typical of that of a developed country. The transmission mechanism is mainly direct, and more cases than appropriate are treated with antibiotics.
%K Atención primaria
%K Bacteria
%K Children
%K Diarrea
%K Diarrhoea
%K Gastroenteritis
%K Niños
%K Primary care
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