A review of hospitalized patients with bacterial gastroenteritis.
The distribution and clinical management of thirty-two hospitalized patients with salmonella and campylobacter infections were reviewed and the impact of these infections on hospital resources was assessed. Eighteen patients with salmonella infection had an age and sex distribution comparable with the community cases. In contrast, 10 out of 14 (71.4%) patients with campylobacter infection were under 20 years of age though the peak incidence of the infection in the community occurred in the 21-65 years age group (67%). There was no male predominance. The median duration of stay in hospital was 6 days for patients with salmonella infection and 3 days for those with campylobacter infection. Physicians were inconsistent in the treatment of campylobacter infection. Overall the financial impact of managing patients with salmonella and campylobacter infection was considerable (1384 pounds and 779 pounds respectively per patient). A limitation on unnecessarily prolonged hospital stays and the establishment of clear guidelines for the clinical management of these infections are necessary.
North Tyneside General Hospital, North Shields, Tyne and Wear.
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D000328:Adult; D000367:Age Factors; D000368:Aged; D002169:Campylobacter Infections / Q000191:economics / Q000628:therapy; D003365:Costs and Cost Analysis; D005260:Female; D005759:Gastroenteritis / Q000191:economics / Q000382:microbiology* / Q000628:therapy; D006760:Hospitalization / Q000191:economics; D006801:Humans; D007902:Length of Stay; D008297:Male; D008875:Middle Aged; D012480:Salmonella Infections / Q000191:economics / Q000628:therapy