Haematological Manifestations in Children with Extended Drug-Resistant Salmonella Typhi Infections in a Tertiary Care Hospital

OBJECTIVE: To analyze the haematological parameters in children affected by extended drug-resistant salmonella typhi (XDR S. typhi) infections in a Tertiary care hospital. METHODOLOGY: This Descriptive Cross-Sectional study was carried out at the Department of Haematology at PNS SHIFA Hospital,...

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Main Authors: Nazish Tahir, Saeed Akhtar Khan Khattak, Nighat Jamal, Ghulam Murtaza Shaikh, Rabia Ahme, Waleed Ahmed
Format: Article
Language:English
Published: Liaquat University of Medical and Health Sciences 2024-03-01
Series:JLUMHS
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author Nazish Tahir
Saeed Akhtar Khan Khattak
Nighat Jamal
Ghulam Murtaza Shaikh
Rabia Ahme
Waleed Ahmed
author_facet Nazish Tahir
Saeed Akhtar Khan Khattak
Nighat Jamal
Ghulam Murtaza Shaikh
Rabia Ahme
Waleed Ahmed
author_sort Nazish Tahir
collection DOAJ
description OBJECTIVE: To analyze the haematological parameters in children affected by extended drug-resistant salmonella typhi (XDR S. typhi) infections in a Tertiary care hospital. METHODOLOGY: This Descriptive Cross-Sectional study was carried out at the Department of Haematology at PNS SHIFA Hospital, Karachi, from November 2021 to October 2022. Seventy children with XDR S. Typhi on blood culture were selected using a consecutive sampling technique. The study focused on haematological parameters, i.e., haemoglobin (Hb), WBC count, and platelet count. Descriptive statistics were expressed as mean ±SD, and the Chi-square test was applied. A p-value ≤0.05 was considered statistically significant. RESULTS: Out of the total of 70 children (under 12 years of age) included in the study, 41 (58.6%) were male and 29 (41.4%) were female. The mean age was 8.17±2.92 years. Anaemia was observed in 51% percent of cases. Leucopenia and thrombocytopenia were noted in 44% and 54% of cases. Seventeen children had bicytopenia, while pancytopenia was seen in only two children. CONCLUSION: XDR S. Typhi infection causes significant cytopenias. Therefore, patients with a history of sustained fever with cytopenias should be worked up for possible XDR S. Typhi infection.
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publishDate 2024-03-01
publisher Liaquat University of Medical and Health Sciences
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spelling doaj-art-83254bf8ae9041b896a8790f42adea022025-08-20T02:10:20ZengLiaquat University of Medical and Health SciencesJLUMHS1729-03412309-86272024-03-01231535710.22442/jlumhs.2024.01082Haematological Manifestations in Children with Extended Drug-Resistant Salmonella Typhi Infections in a Tertiary Care HospitalNazish Tahir0Saeed Akhtar Khan Khattak1Nighat Jamal2Ghulam Murtaza Shaikh3Rabia Ahme 4 Waleed Ahmed5Department of Pathology, PNS Shifa, Karachi, Sindh-PakistanDepartment of Pathology, PNS Shifa, Karachi, Sindh-PakistanDepartment of Pathology, PNS Shifa, Karachi, Sindh-PakistanDepartment of Pathology, PNS Shifa, Karachi, Sindh-PakistanDepartment of Pathology, PNS Shifa, Karachi, Sindh-PakistanDepartment of Pathology, PNS Shifa, Karachi, Sindh-Pakistan OBJECTIVE: To analyze the haematological parameters in children affected by extended drug-resistant salmonella typhi (XDR S. typhi) infections in a Tertiary care hospital. METHODOLOGY: This Descriptive Cross-Sectional study was carried out at the Department of Haematology at PNS SHIFA Hospital, Karachi, from November 2021 to October 2022. Seventy children with XDR S. Typhi on blood culture were selected using a consecutive sampling technique. The study focused on haematological parameters, i.e., haemoglobin (Hb), WBC count, and platelet count. Descriptive statistics were expressed as mean ±SD, and the Chi-square test was applied. A p-value ≤0.05 was considered statistically significant. RESULTS: Out of the total of 70 children (under 12 years of age) included in the study, 41 (58.6%) were male and 29 (41.4%) were female. The mean age was 8.17±2.92 years. Anaemia was observed in 51% percent of cases. Leucopenia and thrombocytopenia were noted in 44% and 54% of cases. Seventeen children had bicytopenia, while pancytopenia was seen in only two children. CONCLUSION: XDR S. Typhi infection causes significant cytopenias. Therefore, patients with a history of sustained fever with cytopenias should be worked up for possible XDR S. Typhi infection.xdr salmonella typhidrug-resistant s. typhihigh-grade feverthrombocytopenialeukopenia
spellingShingle Nazish Tahir
Saeed Akhtar Khan Khattak
Nighat Jamal
Ghulam Murtaza Shaikh
Rabia Ahme
Waleed Ahmed
Haematological Manifestations in Children with Extended Drug-Resistant Salmonella Typhi Infections in a Tertiary Care Hospital
JLUMHS
xdr salmonella typhi
drug-resistant s. typhi
high-grade fever
thrombocytopenia
leukopenia
title Haematological Manifestations in Children with Extended Drug-Resistant Salmonella Typhi Infections in a Tertiary Care Hospital
title_full Haematological Manifestations in Children with Extended Drug-Resistant Salmonella Typhi Infections in a Tertiary Care Hospital
title_fullStr Haematological Manifestations in Children with Extended Drug-Resistant Salmonella Typhi Infections in a Tertiary Care Hospital
title_full_unstemmed Haematological Manifestations in Children with Extended Drug-Resistant Salmonella Typhi Infections in a Tertiary Care Hospital
title_short Haematological Manifestations in Children with Extended Drug-Resistant Salmonella Typhi Infections in a Tertiary Care Hospital
title_sort haematological manifestations in children with extended drug resistant salmonella typhi infections in a tertiary care hospital
topic xdr salmonella typhi
drug-resistant s. typhi
high-grade fever
thrombocytopenia
leukopenia
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