Why So Many Negative Coproculture? About 2329 Corocultures Carried Out at the Charles De Gaulle Pediatric Hospital Center in Hospitalized Children Aged 0 To 5 Years Old

Abstract

Introduction: Clinical syndromes of digestive expression or various origins, infectious diarrhea is a major public health problem in children in tropical countries. Methodology: This was a descriptive retrospective study aimed at analyzing the epidemiological and microbiological aspects of the stool cultures carried out in children aged 0-5 years hospitalized at CHUP-CDG from January 2010 to December 2015. Results: Out of 2329 stool cultures performed, we found a positivity rate of 4.12% with a predominance of requests in the infant service. With regard to the bacteria isolated, enteropathogenic Escherichia coli came first with 19 cases, then Salmonella spp with 10 cases and Shigella spp with 2 cases. Candida albicans were isolated in 30 cases and Candida spp in 33 cases. The frequency of parasites was 7.17% and that of Rotavirus / Adenovirus 44.12% (out of 68 virus search requests). 452 patients were on probabilistic antibiotic therapy out of 465 patients (97.20%) with a predominance of the combination ceftriaxone + gentamycin (87.6%). Also there were no suitable isolation media for germs such as as Yersinia, Campylobacter, and Clostridium. Conclusion: In view of all the above, there is a need to review the indications and the practical conditions for carrying out this technique in tropical environments with limited resources.