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Intestinal Infections Among Febrile Hospitalized Patients in the Republic of Armenia: A Retrospective Chart Review.
- Source :
- Journal of Community Health; Oct2016, Vol. 41 Issue 5, p939-945, 7p
- Publication Year :
- 2016
-
Abstract
- 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. [ABSTRACT FROM AUTHOR]
- Subjects :
- ANTIBIOTICS
CHI-squared test
COMPARATIVE studies
CONFIDENCE intervals
STATISTICAL correlation
EPIDEMIOLOGICAL research
FEBRILE neutropenia
FISHER exact test
HOSPITAL care
LENGTH of stay in hospitals
INTESTINAL diseases
MICROBIAL sensitivity tests
PROBABILITY theory
QUESTIONNAIRES
RESEARCH funding
SALMONELLA
STATISTICAL sampling
SHIGELLA
STAPHYLOCOCCUS aureus
T-test (Statistics)
TRANSLATIONS
MATHEMATICAL variables
LOGISTIC regression analysis
RETROSPECTIVE studies
DATA analysis software
DESCRIPTIVE statistics
ODDS ratio
MANN Whitney U Test
DISEASE complications
SYMPTOMS
ADULTS
Subjects
Details
- Language :
- English
- ISSN :
- 00945145
- Volume :
- 41
- Issue :
- 5
- Database :
- Complementary Index
- Journal :
- Journal of Community Health
- Publication Type :
- Academic Journal
- Accession number :
- 117881264
- Full Text :
- https://doi.org/10.1007/s10900-016-0174-x