Reptiles in Guadeloupe (French West Indies) are a reservoir of major human Salmonella enterica serovars
Résumé
A retrospective study was conducted to identify the risk factors associated with
Salmonella enterica bacteremia in infants and children in Guadeloupe. The 171 patients with S.
S. enterica infection seen between 2010 and 2014 included 155 (90.6%) with acute
gastroenteritis, of whom 42 (27.1%) had concomitant bacteremia, and 16 (9.4%) with primary
bacteremia. The most common Salmonella serovars were Panama (N = 57, 33.3% of isolates)
and Arechavaleta (N = 28, 16.4%). Infection with the previous serovars was significantly
associated with bacteremia in a multivariate analysis. A delay between onset of symptoms and
hospital admission > 5 days (P = 0.01), vomiting (P = 0.001), and increased respiratory rate (P
= 0.001) contributed independently to bacteremia in the multivariate analysis. Thus, if nontyphoidal
infection is suspected, blood should be cultured and antibiotic treatment initiated in all
all patients who meet these criteria.