J Med Assoc Thai 1997; 80 (10):613

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Nontyphoidal Salmonella Diarrhea in Thai Children: A Study at Bamrasnaradura Hospital, Nonthaburi, Thailand
Moolasart P Mail, Sangsujja J , Eampokalap B , Ratanasrithong M , Likanonsakul S

From July 1, 1994 to June 30, 1996, 394 children with Nontyphoidal Salmonella diarrhea
were studied at Bamrasnaradura Infectious Disease Hospital in Thailand. The ages ranged from 1
month to 12 years (mean, 1.4 years). Eighty-seven per cent of patients were in the first 2 years
of life. Diarrhea, mostly acute with watery stool and fever were the most common presenting
symptoms. The duration of diarrhea ranged from 1 to 20 days (mean, 5.2 days). Salmonella group
B was the most common serogroup (56.1% ). Most isolates were multiresistant strains, however,
they were all sensitive to norfloxacin. Four (1%) patients were HIV -infected. Pneumonia
found in 2 patients (0.5%) and septicemia in 1 patient (0.3%). None of the patients died. We conclude
that nontyphoidal Salmonella diarrhea in children is still endemic in Thailand, especially
among infants and high multidrug resistance occurs.

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