Incidence, Antibiogram, and Comorbid Conditions of Nontyphoidal Salmonella Infections Before and After the COVID-19 Outbreak: A Retrospective, Cross-sectional Study

Background: The number of patients with diarrheal diseases admitted to the hospital was reduced during the COVID-19 lockdown. Following the relaxation of the lockdown, admissions of nontyphoidal Salmonella (NTS) infection showed a two-fold rise compared to pre-COVID-19 years. This retrospective stud...

Full description

Saved in:
Bibliographic Details
Main Authors: Kundoly V. Suseela, Aiswariya Alex, Subi Das, V. Geethalakshmi
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2024-12-01
Series:International Journal of Advanced Medical and Health Research
Subjects:
Online Access:https://journals.lww.com/10.4103/ijamr.ijamr_97_24
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1841554657121402880
author Kundoly V. Suseela
Aiswariya Alex
Subi Das
V. Geethalakshmi
author_facet Kundoly V. Suseela
Aiswariya Alex
Subi Das
V. Geethalakshmi
author_sort Kundoly V. Suseela
collection DOAJ
description Background: The number of patients with diarrheal diseases admitted to the hospital was reduced during the COVID-19 lockdown. Following the relaxation of the lockdown, admissions of nontyphoidal Salmonella (NTS) infection showed a two-fold rise compared to pre-COVID-19 years. This retrospective study aimed to detect the incidence of NTS in the pre-COVID-19 and post-COVID-19 outbreak periods, along with describing the antibiogram and comorbid conditions of the patients. Materials and Methods: Using a retrospective design, from January 2015 to December 2022, we studied stool samples for the presence of NTS. Antibiogram with ampicillin, co-trimoxazole, ceftriaxone, chloramphenicol, and ciprofloxacin were studied. The presence of comorbid conditions was noted. Results: We examined 2312 and 937 stool samples collected during the pre-COVID-19 and post-COVID-19 outbreak period, respectively. The number of samples collected during the outbreak (2020) was 273. During the pre-COVID-19 period (2015–2019), the average annual isolation rate of NTS was 5.63%. During the lockdown of 2020, the corresponding rate was 5.49%. The isolation rate showed a significant rise (11.45%) during the relaxation of the lockdown (P < 0.001). No significant change in resistance to antibiotics other than ciprofloxacin was noted in the present study. Malignancy was the leading comorbid condition (11.91%) followed by chronic liver diseases (10.31%). Conclusions: A significant rise in NTS diarrheal cases was detected following the COVID-19 outbreak. During this period, people were attending more celebrations and feasts. No significant change in antibiotic resistance was noted when comparing pre-COVID-19 and COVID-19 periods. Malignancy was the leading comorbid condition.
format Article
id doaj-art-b7dd955d39df40b2a1ece14183ab676f
institution Kabale University
issn 2349-4220
2350-0298
language English
publishDate 2024-12-01
publisher Wolters Kluwer Medknow Publications
record_format Article
series International Journal of Advanced Medical and Health Research
spelling doaj-art-b7dd955d39df40b2a1ece14183ab676f2025-01-08T13:20:43ZengWolters Kluwer Medknow PublicationsInternational Journal of Advanced Medical and Health Research2349-42202350-02982024-12-0111210611010.4103/ijamr.ijamr_97_24Incidence, Antibiogram, and Comorbid Conditions of Nontyphoidal Salmonella Infections Before and After the COVID-19 Outbreak: A Retrospective, Cross-sectional StudyKundoly V. SuseelaAiswariya AlexSubi DasV. GeethalakshmiBackground: The number of patients with diarrheal diseases admitted to the hospital was reduced during the COVID-19 lockdown. Following the relaxation of the lockdown, admissions of nontyphoidal Salmonella (NTS) infection showed a two-fold rise compared to pre-COVID-19 years. This retrospective study aimed to detect the incidence of NTS in the pre-COVID-19 and post-COVID-19 outbreak periods, along with describing the antibiogram and comorbid conditions of the patients. Materials and Methods: Using a retrospective design, from January 2015 to December 2022, we studied stool samples for the presence of NTS. Antibiogram with ampicillin, co-trimoxazole, ceftriaxone, chloramphenicol, and ciprofloxacin were studied. The presence of comorbid conditions was noted. Results: We examined 2312 and 937 stool samples collected during the pre-COVID-19 and post-COVID-19 outbreak period, respectively. The number of samples collected during the outbreak (2020) was 273. During the pre-COVID-19 period (2015–2019), the average annual isolation rate of NTS was 5.63%. During the lockdown of 2020, the corresponding rate was 5.49%. The isolation rate showed a significant rise (11.45%) during the relaxation of the lockdown (P < 0.001). No significant change in resistance to antibiotics other than ciprofloxacin was noted in the present study. Malignancy was the leading comorbid condition (11.91%) followed by chronic liver diseases (10.31%). Conclusions: A significant rise in NTS diarrheal cases was detected following the COVID-19 outbreak. During this period, people were attending more celebrations and feasts. No significant change in antibiotic resistance was noted when comparing pre-COVID-19 and COVID-19 periods. Malignancy was the leading comorbid condition.https://journals.lww.com/10.4103/ijamr.ijamr_97_24antibiogramcomorbid conditionsdiarrheanontyphoidal salmonellazoonotic infection
spellingShingle Kundoly V. Suseela
Aiswariya Alex
Subi Das
V. Geethalakshmi
Incidence, Antibiogram, and Comorbid Conditions of Nontyphoidal Salmonella Infections Before and After the COVID-19 Outbreak: A Retrospective, Cross-sectional Study
International Journal of Advanced Medical and Health Research
antibiogram
comorbid conditions
diarrhea
nontyphoidal salmonella
zoonotic infection
title Incidence, Antibiogram, and Comorbid Conditions of Nontyphoidal Salmonella Infections Before and After the COVID-19 Outbreak: A Retrospective, Cross-sectional Study
title_full Incidence, Antibiogram, and Comorbid Conditions of Nontyphoidal Salmonella Infections Before and After the COVID-19 Outbreak: A Retrospective, Cross-sectional Study
title_fullStr Incidence, Antibiogram, and Comorbid Conditions of Nontyphoidal Salmonella Infections Before and After the COVID-19 Outbreak: A Retrospective, Cross-sectional Study
title_full_unstemmed Incidence, Antibiogram, and Comorbid Conditions of Nontyphoidal Salmonella Infections Before and After the COVID-19 Outbreak: A Retrospective, Cross-sectional Study
title_short Incidence, Antibiogram, and Comorbid Conditions of Nontyphoidal Salmonella Infections Before and After the COVID-19 Outbreak: A Retrospective, Cross-sectional Study
title_sort incidence antibiogram and comorbid conditions of nontyphoidal salmonella infections before and after the covid 19 outbreak a retrospective cross sectional study
topic antibiogram
comorbid conditions
diarrhea
nontyphoidal salmonella
zoonotic infection
url https://journals.lww.com/10.4103/ijamr.ijamr_97_24
work_keys_str_mv AT kundolyvsuseela incidenceantibiogramandcomorbidconditionsofnontyphoidalsalmonellainfectionsbeforeandafterthecovid19outbreakaretrospectivecrosssectionalstudy
AT aiswariyaalex incidenceantibiogramandcomorbidconditionsofnontyphoidalsalmonellainfectionsbeforeandafterthecovid19outbreakaretrospectivecrosssectionalstudy
AT subidas incidenceantibiogramandcomorbidconditionsofnontyphoidalsalmonellainfectionsbeforeandafterthecovid19outbreakaretrospectivecrosssectionalstudy
AT vgeethalakshmi incidenceantibiogramandcomorbidconditionsofnontyphoidalsalmonellainfectionsbeforeandafterthecovid19outbreakaretrospectivecrosssectionalstudy