Evaluation of Acute Enteritis Cases in Adults Presenting to the Emergency Department: A Single Tertiary Care Hospital Experience
Introduction: Acute enteritis can occur due to numerous bacterial, viral, and parasitic infections. This clinical condition can have various spectra in vulnerable patient groups with immunodeficiency and inflammatory bowel disease. This study aimed to examine cases of acute enteritis in the emergenc...
Saved in:
| Main Authors: | , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Sakarya University
2025-03-01
|
| Series: | Sakarya Tıp Dergisi |
| Subjects: | |
| Online Access: | https://dergipark.org.tr/tr/download/article-file/4327646 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1849703359900024832 |
|---|---|
| author | Tufan Tükek Alpay Medetalibeyoğlu Barış Emekdaş Kaan Akın Hilal Senkal Merve Guzel Dirim Naci Şenkal |
| author_facet | Tufan Tükek Alpay Medetalibeyoğlu Barış Emekdaş Kaan Akın Hilal Senkal Merve Guzel Dirim Naci Şenkal |
| author_sort | Tufan Tükek |
| collection | DOAJ |
| description | Introduction: Acute enteritis can occur due to numerous bacterial, viral, and parasitic infections. This clinical condition can have various spectra in vulnerable patient groups with immunodeficiency and inflammatory bowel disease. This study aimed to examine cases of acute enteritis in the emergency unit of a tertiary-care hospital.Material and Methods: This cohort study was conducted with consecutive patients between September 2022 and November 2023. The clinical, laboratory, and microbiological data of the 194 patients were retrospectively examined. Patients with immunocompromised (IC) or inflammatory bowel disease (IBD) were analyzed in a healthy population. Results: The mean age of patients was 47 ± 19 (19 - 91). One-third of the patients had IC, and in the stool analysis, leukocytes and blood were positive in one-third and one-twentieth of the patients, respectively. Only one-tenth of patients had positive stool culture results. IC patients presented with metabolic acidosis, increased creatinine levels, and acute-phase reactant levels. Despite the lower prevalence of leukocytes and blood in stool samples, culture positivity was higher in IC patients.Conclusion: Stool culture positivity was low for the diagnosis of acute enteritis. Culture examination is important in IC patients, even in the absence of direct microscopic findings. Because patients with IC are more susceptible to complications, clinical assessment is important. |
| format | Article |
| id | doaj-art-dc04bee5affb47209a7ceee16e14b560 |
| institution | DOAJ |
| issn | 2146-409X |
| language | English |
| publishDate | 2025-03-01 |
| publisher | Sakarya University |
| record_format | Article |
| series | Sakarya Tıp Dergisi |
| spelling | doaj-art-dc04bee5affb47209a7ceee16e14b5602025-08-20T03:17:18ZengSakarya UniversitySakarya Tıp Dergisi2146-409X2025-03-01151162210.31832/smj.157647628Evaluation of Acute Enteritis Cases in Adults Presenting to the Emergency Department: A Single Tertiary Care Hospital ExperienceTufan Tükek0https://orcid.org/0000-0002-4237-1163Alpay Medetalibeyoğlu1https://orcid.org/0000-0002-5829-9186Barış Emekdaş2https://orcid.org/0000-0001-8648-2941Kaan Akın3https://orcid.org/0009-0001-4811-1864Hilal Senkal4https://orcid.org/0000-0003-3036-9143Merve Guzel Dirim5https://orcid.org/0000-0002-6065-4423Naci Şenkal6https://orcid.org/0000-0001-7072-8724İSTANBUL ÜNİVERSİTESİ, İSTANBUL TIP FAKÜLTESİİSTANBUL ÜNİVERSİTESİ, İSTANBUL TIP FAKÜLTESİİZMİR BAKIRÇAY ÜNİVERSİTESİ, TIP FAKÜLTESİ, TIP PR.İSTANBUL ÜNİVERSİTESİ, İSTANBUL TIP FAKÜLTESİİSTANBUL ÜNİVERSİTESİ, İSTANBUL TIP FAKÜLTESİİSTANBUL ÜNİVERSİTESİ, İSTANBUL TIP FAKÜLTESİİSTANBUL ÜNİVERSİTESİ, İSTANBUL TIP FAKÜLTESİIntroduction: Acute enteritis can occur due to numerous bacterial, viral, and parasitic infections. This clinical condition can have various spectra in vulnerable patient groups with immunodeficiency and inflammatory bowel disease. This study aimed to examine cases of acute enteritis in the emergency unit of a tertiary-care hospital.Material and Methods: This cohort study was conducted with consecutive patients between September 2022 and November 2023. The clinical, laboratory, and microbiological data of the 194 patients were retrospectively examined. Patients with immunocompromised (IC) or inflammatory bowel disease (IBD) were analyzed in a healthy population. Results: The mean age of patients was 47 ± 19 (19 - 91). One-third of the patients had IC, and in the stool analysis, leukocytes and blood were positive in one-third and one-twentieth of the patients, respectively. Only one-tenth of patients had positive stool culture results. IC patients presented with metabolic acidosis, increased creatinine levels, and acute-phase reactant levels. Despite the lower prevalence of leukocytes and blood in stool samples, culture positivity was higher in IC patients.Conclusion: Stool culture positivity was low for the diagnosis of acute enteritis. Culture examination is important in IC patients, even in the absence of direct microscopic findings. Because patients with IC are more susceptible to complications, clinical assessment is important.https://dergipark.org.tr/tr/download/article-file/4327646enteritisdiarrheacultureimmunocompromisedenteritdiyarei̇mmün yetmezlik |
| spellingShingle | Tufan Tükek Alpay Medetalibeyoğlu Barış Emekdaş Kaan Akın Hilal Senkal Merve Guzel Dirim Naci Şenkal Evaluation of Acute Enteritis Cases in Adults Presenting to the Emergency Department: A Single Tertiary Care Hospital Experience Sakarya Tıp Dergisi enteritis diarrhea culture immunocompromised enterit diyare i̇mmün yetmezlik |
| title | Evaluation of Acute Enteritis Cases in Adults Presenting to the Emergency Department: A Single Tertiary Care Hospital Experience |
| title_full | Evaluation of Acute Enteritis Cases in Adults Presenting to the Emergency Department: A Single Tertiary Care Hospital Experience |
| title_fullStr | Evaluation of Acute Enteritis Cases in Adults Presenting to the Emergency Department: A Single Tertiary Care Hospital Experience |
| title_full_unstemmed | Evaluation of Acute Enteritis Cases in Adults Presenting to the Emergency Department: A Single Tertiary Care Hospital Experience |
| title_short | Evaluation of Acute Enteritis Cases in Adults Presenting to the Emergency Department: A Single Tertiary Care Hospital Experience |
| title_sort | evaluation of acute enteritis cases in adults presenting to the emergency department a single tertiary care hospital experience |
| topic | enteritis diarrhea culture immunocompromised enterit diyare i̇mmün yetmezlik |
| url | https://dergipark.org.tr/tr/download/article-file/4327646 |
| work_keys_str_mv | AT tufantukek evaluationofacuteenteritiscasesinadultspresentingtotheemergencydepartmentasingletertiarycarehospitalexperience AT alpaymedetalibeyoglu evaluationofacuteenteritiscasesinadultspresentingtotheemergencydepartmentasingletertiarycarehospitalexperience AT barısemekdas evaluationofacuteenteritiscasesinadultspresentingtotheemergencydepartmentasingletertiarycarehospitalexperience AT kaanakın evaluationofacuteenteritiscasesinadultspresentingtotheemergencydepartmentasingletertiarycarehospitalexperience AT hilalsenkal evaluationofacuteenteritiscasesinadultspresentingtotheemergencydepartmentasingletertiarycarehospitalexperience AT merveguzeldirim evaluationofacuteenteritiscasesinadultspresentingtotheemergencydepartmentasingletertiarycarehospitalexperience AT nacisenkal evaluationofacuteenteritiscasesinadultspresentingtotheemergencydepartmentasingletertiarycarehospitalexperience |