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.