Table 2. Etiological agents identified in febrile children presenting to the Pediatric Outpatient Department at Patan Hospital, Nepal, during the summer and winter study periods.
Bacterial pathogen | Summer (n = 845) | Winter (n = 239) |
Bloodstream isolates (Blood culture) | 131 (16%) | 16 (7%) |
Salmonella enterica serovar Typhi | 95 (11%) | 12 (5%) |
Salmonella enterica serovar Paratyphi A | 29 (3%) | 1 (0.4%) |
Salmonella enterica serovar Typhimurium | 2 (0.2%) | 0 (0%) |
Streptococcus pneumoniae | 3 (0.4%) | 3 (1%) |
Haemophilus influenzae type b | 1 (0.1%) | 0 (0%) |
Escherichia coli | 1 (0.1%) | 0 (0%) |
PCR | ||
Rickettsia typhi | 17† (2%) | 5 (2%) |
4 R. typhi PCR positive patients had S. Typhi and 1 had S. Paratyphi A in blood culture.