ATTACHING AND EFFACING ENTEROPATHOGENIC ESCHERICHIA-COLI AS A CAUSE OF INFANTILE DIARRHEA IN BANGKOK

被引:60
作者
ECHEVERRIA, P
ORSKOV, F
ORSKOV, I
KNUTTON, S
SCHEUTZ, F
BROWN, JE
LEXOMBOON, U
机构
[1] ARMED FORCES RES INST MED SCI, BANGKOK, THAILAND
[2] STATENS SERUM INST, INT ESCHERICHIA & KLEBSIELLA CTR, DK-2300 COPENHAGEN, DENMARK
[3] CHILDRENS HOSP, BANGKOK, THAILAND
[4] UNIV BIRMINGHAM, INST CHILD HLTH, BIRMINGHAM B15 2TT, W MIDLANDS, ENGLAND
关键词
D O I
10.1093/infdis/164.3.550
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
To identify Escherichia coli that cause infantile diarrhea in Bangkok, Thailand, E. coli isolated in a year-long study of infantile diarrhea were examined for O and H serotypes and virulence determinants. Classic enteropathogenic E. coli (EPEC) were isolated from 28 of 509 infants with diarrhea (cases) and 11 of 509 age-matched controls (P = .009; odds ratio [OR], 2.64). Most of this difference was attributable to EPEC adherence factor (EAF)-positive EPEC that produced an attachment and effacement lesion, as identified in the fluorescence actin staining assay, isolated from 13 cases and 1 control (P = .003; OR, 13.3). EAF- EPEC was isolated from 15 cases and 10 controls (P = .418; OR, 1.52) and EAF+ non-EPEC from 17 cases and 10 controls (P = .242; OR, 1.72). EAF+ EPEC that caused an attachment and effacement lesion was found in 3% of children < 6 months old with diarrhea who were studied in an outpatient clinic in Bangkok in 1988.
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收藏
页码:550 / 554
页数:5
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