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International Journal of Current Microbiology and Applied Sciences (IJCMAS)
IJCMAS is now DOI (CrossRef) registered Research Journal. The DOIs are assigned to all published IJCMAS Articles.
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Original Research Articles                      Volume : 5, Issue:1, January, 2016

PRINT ISSN : 2319-7692
Online ISSN : 2319-7706
Issues : 12 per year
Publisher : Excellent Publishers
Email : editorijcmas@gmail.com /
submit@ijcmas.com
Editor-in-chief: Dr.M.Prakash
Index Copernicus ICV 2018: 95.39
NAAS RATING 2020: 5.38

Int.J.Curr.Microbiol.App.Sci.2016.5(1): 576-585
DOI: http://dx.doi.org/10.20546/ijcmas.2016.501.059


Antibiotic Associated Diarrhea and Incidence of Clostridium difficile Infection and Colonization in Infants and Children in Tanta University Hospital, Egypt
Marwa Ahmed Ali Abd El-Wahab, Ahmed Mohamed Naeem, Abd EL- Rahman Mohamed EL-Mashad and Nehad Refhat Mostafa Sallam
Department of Microbiology and Immunology, Faculty of Medicine, Tanta, Egypt
Department of Pediatrics, Faculty of Medicine, Tanta, Egypt
*Corresponding author
Abstract:

Injudicious use of antibiotics in hospitalized patients increases the risk of Clostridium dif icile associated diarrhea (CDAD). This study was conducted to determine the incidence of C. difficile as a cause of antibiotic associated diarrhea in pediatric patients in our hospital. Sixty infants and children with a history of antibiotic intake whether having diarrhea or not and 30 age and sex matched patients with no history of antibiotic intake were studied prospectively over a period of one year. Stool samples were processed for C. difficile isolation and examined for C. dif icile toxin A and B by the enzyme-linked immunosorbent assay. 26 out of 60 cases (43.3%) suffered from diarrhea. Only (22/60) showed positive stool culture for C. dif icile, 18 out of them had diarrhea while the remaining 4 patients had no diarrhea and only colonized with toxigenic C. dif icile representing 11.8% of total 34 cases without diarrhea. Toxin A and B were detected in 16 patients including 4 asymptomatic carriers and 12 out of 26 cases with diarrhea representing 46.2%. The incidence of CDAD in our hospital was 46.2%. The asymptomatic carriage rate was 11.8%.


Keywords: CDAD, C. difficile toxins, C. difficile colonization, Stool culture, Egypt

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How to cite this article:

Int.J.Curr.Microbiol.App.Sci. 5(1): 576-585. doi: http://dx.doi.org/10.20546/ijcmas.2016.501.059
Copyright: This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike license.

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