Trends in Blood Stream Infections of Adolescents the Forthcoming Challenges in a North Indian Tertiary Care Hospital IGMC Shimla, India
Pankaj Katoch1* and Sanjay Chandel2
1Senior Resident, Department of Microbiology, IGMC Shimla, India
2Assistant Professor, Department of Forensic Medicine, DR. RKGMC Hamirpur, Himachal Pradesh, India
*Corresponding Author: Pankaj Katoch, Senior Resident, Department of Microbiology, IGMC Shimla, India.
Received: October 28, 2021 ; Published: November 24, 2021
Background: Septicaemia and bacteremia are among the major challenges faced by health care professionals worldwide, these days leading to increased chances of morbidity and mortality for patients of all age groups.
The incidence among newborns can be low, but the chances of adverse consequences are increased. Blood culture forms a critical part of the evaluation of patients with suspected sepsis . However, very little is known about the trends of bacterial bloodstream infections and antimicrobial susceptibilities among the adolescent population, as the literature is less. Hence, the present study is designed to evaluate the current trends in incidences and the etiological profile of BSI among adolescents using automated Bactec systems
Objective: To formulate guidelines for the care of adolescents from birth to 18 years of age.
Materials and Methods: All blood culture samples received in the Department of Microbiology for culture by Bactec Bd fx from July 2015 to June 2016 were included in the study. The blood culture was observed in the Bactec Bd fx system for at least 5 days before reporting as sterile.
Results: A total of 563 samples in the adolescent age group and suspected of BSI’s received in the Department of Microbiology, IGMC, Shimla. All indoor and outdoor patients with temperatures>=38 degrees C. Among them, 324(57.5%) were of males while 239(42.5%) were females. Among the total of 563 samples, 124(22%) were found to be positive in culture, 426(75.7%) were negative, while 13(2.3%) had contaminants defined by the growth of three different types of colonies in the medium. Among the 124 positive cases, 67(54%) were men while 57(46%) were women.
Conclusion: Bloodstream infection is an important cause of morbidity and mortality in patients of the adolescent age group. All febrile patients in the study group diagnosed with bacterial infections were included in this study. There was relatively high positivity in blood culture among the age group. Positivity was high in males compared to females.
Keywords: Infections; Culture; Bactec; Group of Adolescents
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