[Validity of a score of clinical parameters as a screening method in acute bacterial diarrhea in childhood].
We report a prospective study of the cases of acute diarrhea admitted to our pediatric service during one year (n = 172) to elaborate a screening method to identify patients with bacterial diarrhea. A bacterial causative organism was identified in 31.4%. The most common species was Salmonella, followed by Campylobacter. We evaluated the clinical presentation parameters, looking for differences between the group were a bacterial organism was isolated and in the group where it was not. We designated a score valid as a first level screening for bacterial diarrhea. With a score greater than or equal to 7 the sensitivity was 81.5% and the specificity 60.2%. The latter increased to 95% when occult blood in feces was associated with the greater than or equal to 7 score (second screening level). We propose this clinical score as a criterion for the indication of fecal cultures in children with acute gastroenteritis.
Rodríguez Ruiz
T
T
Servicio de Pediatría del Hospital General San Jorge de la Seguridad Social de Huesca.
Berdún
E
E
Lostal
I
I
Moneo
I
I
Lacasa
A
A
Vera
F
F
Tajada
N
N
Gonzalvo
N
N
D000208:Acute Disease; D000293:Adolescent; D000367:Age Factors; D001419:Bacteria / Q000302:isolation & purification; D001424:Bacterial Infections / Q000175:diagnosis*; D002648:Child; D002675:Child, Preschool; D003967:Diarrhea / Q000382:microbiology*; D005243:Feces / Q000382:microbiology; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D011446:Prospective Studies
Validez de una escala de puntuación de parámetros clínicos como método screening de diarrea aguda bacteriana en la infancia.