ArticleEmergency medicine journal : EMJ2003
Acute bacterial gastroenteritis: a study of adult patients with positive stool cultures treated in the emergency department.
Article in Emergency medicine journal : EMJ, 2003. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.
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Who cites it
21 citing papers in PubMed, 60 citations in OpenAlex.
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- Characterization ofChina CDC weekly · 2025Article
- Prevalence, antibiotic susceptibility, and genomic analysis ofFrontiers in microbiology · 2024Article
- Stool cultures show a lack of impact in the management of acute gastroenteritis for hospitalized patients in the Bronx, New York.Gut pathogens · 2020Article
- O-Antigen Gene Clusters ofFrontiers in microbiology · 2019Article
- Article
- Rapid and sensitive detection of Plesiomonas shigelloides by cross‑priming amplification of the hugA gene.Molecular medicine reports · 2016Article
- Plesiomonas shigelloides Revisited.Clinical microbiology reviews · 2016Review
- Practical Guidance for Clinical Microbiology Laboratories: Diagnosis of Bacterial GastroenteritisClinical microbiology reviews · 2015Review
- A study on the epidemiology and aetiology of acute gastroenteritis in adult patients presenting at the infectious diseases hospital in tirana, Albania.Balkan medical journal · 2014Article
- Genome Sequence of Plesiomonas shigelloides Strain 302-73 (Serotype O1).Genome announcements · 2013Article
- Characterization of extended-spectrum-β-lactamase-producing Vibrio parahaemolyticus.Antimicrobial agents and chemotherapy · 2012Article
- Article
- Rapid and sensitive detection of Plesiomonas shigelloides by loop-mediated isothermal amplification of the hugA gene.PloS one · 2012Article
- Emerging Aeromonas species infections and their significance in public health.TheScientificWorldJournal · 2012Review
- Phenotypic characterization and putative virulence factors of human, animal and environmental isolates of Plesiomonas shigelloides.Folia microbiologica · 2010Article
- The genus Aeromonas: taxonomy, pathogenicity, and infection.Clinical microbiology reviews · 2010Review
- Classification of brown pigmented aeromonads isolated from river water.Folia microbiologica · 2009Article
- Vibrio fluvialis peritonitis in a patient receiving continuous ambulatory peritoneal dialysis.Journal of clinical microbiology · 2005Article
- Aeromonas spp. and infectious diarrhea, Hong Kong.Emerging infectious diseases · 2004Article
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Authors and funding
6 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesTo investigate the presenting clinical features of acute bacterial gastroenteritis in adult patients treated as outpatients in the emergency department (ED), and the pathogens responsible in this setting and population; and to identify the frequency with which positive stool culture result changes management.
methodThis was a retrospective study of all patients who attended the accident and emergency department of an university affiliated hospital in Hong Kong over a 12 month period, who satisfied the following inclusion criteria: (a) age >/=16, (b) presented with acute gastroenteritis, (c) treated as outpatients with or without observation, and (d) had positive stool cultures.
resultsOne hundred and thirty patients were included. Pathogens identified were Vibrio parahaemolyticus (42.3%), Samonella spp (34.6%), Plesiomonas spp (9.2%), Campylobacter spp (6.9%), Aeromonas spp (6.9%), and Shigella spp (6.2%). Mean highest body temperature was 37.5 degrees C (95% confidence intervals (CI) 37.3 to 37.6). Bloody diarrhoea was present in 14 patients (10.8%). Mean duration of diarrhoea, from onset to the completion of stay in ED, was 2.2 days (95% CI 1.7 to 2.7). Likewise, mean duration of abdominal pain was 1.8 days (95% CI 1.5 to 2.1). Mean number of unformed stools per day was 9.3 (95% CI 8.3 to 10.3). Change of management, subsequent to the availability of positive stool culture results, was not required in 115 (88.5%) patients. Ciprofloxacin resistance occurred in eight (6.2%) cases, and seven of nine campylobacter isolates. Campylobacter positive patients had a significantly longer duration of abdominal pain (p=0.0236) and were less likely to be dehydrated (p=0.0103).
conclusionsMost patients with bacterial gastroenteritis do not present with high fever, bloody diarrhoea, or persistent diarrhoea, but generally have quite severe diarrhoea. Stool cultures do not change management for most patients. Vibrio parahaemolyticus is the commonest bacterial pathogen identified.
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