Hostname: page-component-5c6d5d7d68-xq9c7 Total loading time: 0 Render date: 2024-08-25T07:45:25.745Z Has data issue: false hasContentIssue false

Enteropathogen carriage by healthy individuals living in an area with poor sanitation

Published online by Cambridge University Press:  19 October 2009

G. Figueroa
Affiliation:
Institute of Nutrition and Food Technology (INTA), University of Chile, Casilla 15138, Santiago 11, Chile
M. Troncoso
Affiliation:
Institute of Nutrition and Food Technology (INTA), University of Chile, Casilla 15138, Santiago 11, Chile
M. Araya
Affiliation:
Institute of Nutrition and Food Technology (INTA), University of Chile, Casilla 15138, Santiago 11, Chile
J. Espinoza
Affiliation:
Institute of Nutrition and Food Technology (INTA), University of Chile, Casilla 15138, Santiago 11, Chile
O. Brunser
Affiliation:
Institute of Nutrition and Food Technology (INTA), University of Chile, Casilla 15138, Santiago 11, Chile
Rights & Permissions [Opens in a new window]

Summary

Core share and HTML view are not available for this content. However, as you have access to this content, a full PDF is available via the ‘Save PDF’ action button.

Faecal carriage of bacterial enteropathogens (enteropathogenic Escherichia coli (EPEC), shigellae and salmonellae) was studied in 265 individuals: 65 infants 3–6 months of age (50 bottle-fed and 15 breast-fed), 100 school-age children 8–10 years of age and 100 adults 21–50 years of age. All were apparently healthy, did not have gastrointestinal symptoms, had not received antibiotics in the proceding fortnight and were not malnourished. Enteropathogens were isolated from the faeces of 24 individuals (9–1%). Cultures were positive for enteropathogens in 20% of the infants (both breast- and bottle-fed), 8% of school-age children and 3% of the adults. EPEC was the most frequent isolate. Twelve different serotypes were detected. The highest recoveries were E. coli026: K60 and 044·K74. Shigella was detected only in school-age children (2%) and salmonella only in adults (1%). Campylobacter jejuni and Yersinia enterocolitica were studied only in the school-age children: there was one isolate of each of them. Most enteropathogens isolated were susceptible to the majority of the antibiotics tested. Only four E. coli strains, isolated from bottle-fed infants, could be considered multi-resistant. Two of the strains were E. coli 044: K74 and 020a020c: K61. The remainder were E. coli 0111: K58 and were capable of transferring some of their antibiotic resistance traits to a recipient strain.

Type
Research Article
Copyright
Copyright © Cambridge University Press 1983

References

REFERENCES

Alvarez, M. L. (1982). Deprivation y Familia, 1st ed, pp. 3760. Santiago, Chile: Editorial Universitaria.Google Scholar
Arava, M., Esrinoza, J., Fioueroa, G., Montksinos, N. & Brunser, O. (1982). Markers of bacterial contamination in population of the low socioeeonomic strata in Chile. Proceedings of the XXth Annual Meeting of the IMUH American Society for Pediatrics Research. Lima, Peru: Ciba.Google Scholar
Bauer, A. W, Kirov, W. N. M., Sheris, J. C. & Turck, M. (1906). Antibiotic susceptibility testing by a standardised single disc method. American Journal of Clinical Pathology 45, 493496CrossRefGoogle Scholar
Bokkenhevskr, V. D., Richardson, N. J., Beyner, J. H., Roux, D. J., Schutte, A. B.Koornhof, H.J., Freiman, I. & Hartman, E. (1979). Detection of enteric Campylobacteriosis in children. Journal of Clinical Microbiology 9, 227232.Google Scholar
Brush, H. A., Ascoli, W., Scrimshaw, N. S. & Gordon, J. (1963). Studies of diarrheal disease in Central America. V. Environmental factors in the origin and transmission of acute diarrheal disease of four Guatemalan villages. American Journal of Tropical Medicine and Hygiene 12, 507579.Google Scholar
Curtiss, R., III (1981). Gene transfer. Manual of Methods for General Bacteriology (ed. Gerhardt, P.), pp. 243265. Washington, D.C: American Society for Microbiology.Google Scholar
Febney, A. R., Cooke, E. M. & Shinehaum, R. (1980). A comparative study of gram-negative aerobic bacilli in the faeces of babies born in hospital and at home. Journal of Hygiene 84, 9196.Google Scholar
Fioueroa, G. G. (1981). Estudio de prevalencia do serotipos enteropatdgenos de Escherichia coli en deposiciones de ninos quo habitan una poblacion suburbana de Santiago. Revista Chilena de Pediatria 5, 255–227.Google Scholar
Fioueroa, G., Troncoso, M., Alcayde, M. P. & Sepulveda, C. (19801981). Aislamiento de Campylobacterfetus subespecie jejuni en heces de porcinos. Revista Chilena de Tecnologia Medica 4, 69.Google Scholar
Frisancho, A. R. (1974). Triceps skinfold and upper muscle size norms for assessment of nutritional status. American Journal of Clinical Nutrition 27, 10521058.CrossRefGoogle Scholar
Ganoarosa, E. J., Bennett, J. V., Wyatt, C., Pierce, P. E., Olarte, J., Mendoza, H., Vasquez, B. & Bessudo, D. (1972). An epidemic-associated episode? Journal of Infectious Disease 126, 215218.Google Scholar
Garcia, M. J., Maldonado, A. B., Lagos, R., Valenzuela, M.E., Avendano, A., Schenone, H. & Santana, M. (1981). Primer aislamiento en Chile de Campylobacter fetus subespecie jejuni y Yersinia enterocolitica des de deposicion de nino menores de dos anos de edad con diarrea aguda. Boletin del Institulo de Salud Publica de Chile 22, 2326.Google Scholar
Gordon, J. E. (1971). Diarrheal disease in early childhood: world wide scope of the problem. Annals of the New York Academy of Science 176, 915.CrossRefGoogle Scholar
Gothefors, L., Carlsson, B.M., Ahlestedt, S., Hanson, L. A. & Winberg, J. (1976). Influence of maternal gut flora and colostral and cord serum antibodies on presence of Escherichia coli in endemic diarrheal disease. Journal of Infectious Diseases 137, 292297.Google Scholar
Gurwith, M., Hinde, D., Gross, R. J. & Rowe, B. (1978). A prospective study of enteropathogenic Escherichia coli in endemic diarrhoeal disease. Journal of Infectious Diseases 137, 292297.CrossRefGoogle Scholar
Hanson, L. A. & Winbero, J. (1972). Breast milk and defence against infection in the newborn. Archives of Disease in Childhood 47, 845848.CrossRefGoogle ScholarPubMed
Jellife, D. B. (1968). Evaluacion del Estado de Nutricion de la Comunidad. Ginebra: Organizacion Mundial de la Salud.Google Scholar
Lennette, E. H., Balows, A., Hausler, W. J. & Truant, J. P. (eds) (1980). Manual of Clinical Microbiology, 3rd edWashington, D.C: American Society for Microbiology.Google Scholar
Levine, M. M., Bergquist, E. J., Nalin, D. R., Waterman, D. H., Hornick, R. B., Young, C. R., Sotman, S. & Rowe, B. (1978). Escherichia coli strains that cause diarrhea but do not produce heat-labile or heat stable enterotoxins and are noninvasive. Lancet i, 11191122.Google Scholar
Levy, S. B., Fitzgerald, G. B. & Macone, A. B. (1970). Effect of tetracycline-containing feed on human intestinal flora. New England Journal of Medicine 295, 583588.CrossRefGoogle Scholar
Luckey, T. D. & Meier, B. R. (1972). A holistic approach to the interpretation of the diarrhea-malabsorption-malnutrition cycle. American Journal of Clinical Nutrition 25, 612614.Google Scholar
Mata, L. J., Catalán, M. D. & Gordon, J. E. (1966). Studies of diarrheal disease in Central America. IX. Shigella carriers among young children of a heavily seeded Guatemalan convalescent home. American Journal of Tropical Medicine and Hygiene 15, 632638.CrossRefGoogle ScholarPubMed
Mata, L. J., Fernandez, R. & Urrutia, J. J. (1969). Infeccion del intestino por bacterias enteropatogenas en ninos de una aldea de Guatemala, durante los 3 primeros anos de vida. Revista iMtinoamericana de Microbiologia y Parasitologia 11, 102109.Google Scholar
Mata, L. J. & Urrutia, J. J. (1971). Intestinal colonization of breast-fed children in a rural area of low socioeconomic level. Anyials of the New York Academy of Science 176, 93109.CrossRefGoogle Scholar
Mata, L. J. (1978). The children of Santaman'a Cauque: a prospective field study of health and growth. Cambridge, Mass: The MIT Press.Google Scholar
N.C.H.S (1977). Growth Curves for Children, Birth to 18 Years. U.S. Department of Health, Education and Welfare. Public Health Service National Center for Health Statistics, Hyattsville, Md., USA.Google Scholar
Rothbaum, R., McAdams, A. J., Giannella, R. & Partin, J. C. (1982). A clinicopathologic study of enterocyte-adherent Escherichia coli: a cause of protracted diarrhea in infants. Gastroenterology 83, 441454.Google Scholar
Rosenberg, I. H., Beisel, W. R., Gordon, J. E., Katz, M., Keuch, G. T., Luckey, T. D. & Mata, L. J. (1974). Infant and child enteritis-malabsorption-malnutrition: the potential of limited studies with low-dose antibiotic feeding. American Journal of Clinical Nutrition 27, 304309.CrossRefGoogle ScholarPubMed
Rowe, B. & Gross, R. J. (1971). E.coli 0142 and infantile enteritis in Scotland. Lancet i, 649650.Google Scholar
Rowland, M. G. M., Cole, T. J., Tully, M., Dolby, J. M. & Honour, P. (1980). Bacteriostasis of Escherichia coli in endemic diarrheal disease. Journal of Infectious Diseases 137, 292297.Google Scholar
Skirrow, M. D. (1977). Campy lobacter enteritis: a ‘new’ disease. British Medical Journal ii, 911.Google Scholar
Toledo, M. R. F., Alvariza, M. C. B., Murahovschi, J., Ramos, S. R. T. S. & Trabulsi, L. R. (1983). Enteropathogenic Escherichia coli serotypes and endemic diarrhea in infants. Infection and Immunity 39, 586589.Google Scholar
Ulshen, M. H. & Rollo, J. L. (1980). Pathogenesis of Escherichia coli. Gastroenteritis in man. Another mechanism. New England Journal of Medicine 302, 99101.CrossRefGoogle ScholarPubMed