infection in Polish pediatric outpatients with inflammatory bowel disease

D. Wultańska (1) , A. Banaszkiewicz (2) , A. Radzikowski (2) , P. Obuch-Woszczatyński (2) , G. Młynarczyk (2) , J. S. Brazier (3) , H. Pituch (2, 4) , A. Belkum (5)

1 Department of Medical Microbiology
2 Pediatric Gastroenterology and Nutrition
3 Anaerobe Reference Laboratory, National Public Health Service Microbiology Cardiff
4 Department of Medical Microbiology
5 Department of Medical Microbiology and Infectious Diseases

The prevalence of infection (CDI) in pediatric patients with inflammatory bowel disease (IBD) is still not sufficiently recognized. We assessed the prevalence of CDI and recurrences in outpatients with IBD. In addition, the influence of IBD therapy on CDI and antimicrobial susceptibility of the potentially causative strains was assessed. This was a prospective, single-center, observational study. All specimens were obtained between January 2005 and January 2007 from the IBD outpatient service and screened for and its toxins. isolates were genotyped by PCR ribotyping. Diagnosis of Crohn's disease (CD) and ulcerative colitis (UC) was based on Porto criteria. Severity of disease was assessed using the Hyams scale (for Crohn's disease) and the Truelove-Witts scale (for ulcerative colitis). One hundred and forty-three fecal samples from 58 pediatric IBD patients (21 with Crohn's disease and 37 with ulcerative colitis) were screened. The risk of infection was 60% and was independent of disease type (CD or UC) (χ2 = 2.5821, df = 3,  = 0.4606). About 17% of pediatric IBD patients experienced a recurrence of CDI. All strains were susceptible to metronidazole, vancomycin and rifampin. A high prevalence of infection and recurrences in pediatric outpatients with IBD was observed, independent of disease type. There was no significant correlation between infection and IBD therapy. PCR ribotyping revealed re-infection and relapses during episodes of IBD in pediatric outpatients.

Mots clés: Life Sciences

D. Wultańska, A. Banaszkiewicz, A. Radzikowski, P. Obuch-Woszczatyński, G. Młynarczyk, et al.. infection in Polish pediatric outpatients with inflammatory bowel disease. European Journal of Clinical Microbiology and Infectious Diseases, 2010, 29 (10), pp.1265-1270. ⟨10.1007/s10096-010-0997-9⟩. ⟨hal-00603542⟩