1887

Abstract

Surmmary

The association of spp. with travellers’ diarrhoea was studied among 978 Finnish tourists travelling to Morocco in winter (n = 398) and autumn (n = 580) in 1989. Fifty-five isolates from diarrhoeal patients with (n = 16) or without (n = 39) a recent travelling history in a developing country were also included. In Morocco, spp. were isolated from 8.7 % of patients with diarrhoea and from 1.4 % of non-diarrhoeal tourists (p < 0.001). spp. were found as the sole pathogen in 5.5 % of patients (p < 0.001). Diarrhoea with multiple pathogens, including spp., was found in 3.1% of patients. Species identification by phenotypic and genotypic methods indicated that biotype (hybridisation group HG 8/10) and (HG 4) were the most common spp. associated with travellers’ diarrhoea. (HG 1) and (HG 4) were common in patients acquiring diarrhoea in Finland. Ribotyping of strains within a species showed that all strains had different ribotypes although the tourists were infected during the same trip. This study suggested that only certain spp. were commonly found in travellers’ diarrhoea. However, the causative role of those species is unclear.

Loading

Article metrics loading...

/content/journal/jmm/10.1099/00222615-42-1-26
1995-01-01
2024-04-19
Loading full text...

Full text loading...

/deliver/fulltext/jmm/42/1/medmicro-42-1-26.html?itemId=/content/journal/jmm/10.1099/00222615-42-1-26&mimeType=html&fmt=ahah

References

  1. Altwegg M., Geiss H. K. Aeromonas as a human pathogen. CRC Crit Rev Microbiol 1989; 16:253–286
    [Google Scholar]
  2. Borczyk A., McLeod S., Riley G., Lior H. Isolation of Aeromonas species from diarrheal cases in Ontario, Canada. Abstracts of the Fourth International Symposium on Aeromonas and Plesiomonas 1993 Abstract P-25 59
    [Google Scholar]
  3. DuPont H. L., Ericsson D. C., Johnson P. C., Bitsura J. A. M., DuPont M. W., de la Cabada F. J. Prevention of travelers’ diarrhea by the tablet formulation of bismuth subsalicylate. JAMA 1987; 257:1347–1350
    [Google Scholar]
  4. Echeverria P., Pitarangsi C., Fampokalap B., Vibulbandnitkit S., Boonthai P., Rowe B. A longitudinal study of the prevalence of bacterial enteric pathogens among adults with diarrhea in Bangkok, Thailand. Diagn Microbiol Infect Dis 1983; 1:193–204
    [Google Scholar]
  5. Holmberg S. D., Schell W. L., Fanning G. R. Aeromonas intestinal infections in the United States. Ann Intern Med 1986; 105:683–689
    [Google Scholar]
  6. Kuijper E. J., Bol P., Peeters F. M., Steigerwalt A. G., Zanen H. C., Brenner D. J. Clinical and epidemiologic aspects of members of Aeromonas DNA hybridization groups isolated from human feces. J Clin Microbiol 1989; 27:1531–1537
    [Google Scholar]
  7. Liesenfeld O., Weinke T., Hahn H. Three-year prevalence of enteropathogenic bacteria in an urban patient population in Germany. Infection 1993; 21:101–105
    [Google Scholar]
  8. Pitarangsi C., Echeverria P., Whitmire R. Entero-pathogenicity of Aeromonas hydrophila and Plesiomonas shigelloides: prevalence among individuals with and without diarrhea in Thailand. Infect Immun 1982; 35:666–673
    [Google Scholar]
  9. Echeverria P., Blacklow N. R., Sanford L. B., Cukor G. G. Travelers’ diarrhea among American Peace Corps volunteers in rural Thailand. J Infect Dis 1981; 143:767–771
    [Google Scholar]
  10. Janda J. M. Recent advances in the study of the taxonomy, pathogenicity, and infectious syndromes associated with the genus Aeromonas. Clin Microbiol Rev 1991; 4:397–410
    [Google Scholar]
  11. Popoff M. Genus III. Aeromonas. Klyver and Van Niel 1936, 398 AL. In Krieg N. R., Holt J. G. (eds) Bergey’s Manual of systematic bacteriology 8th edn, vol 1 Baltimore: Williams and Wilkins Co; 1984545–548
    [Google Scholar]
  12. Altwegg M., Steigerwalt A. G., Altwegg-Bissig R., Luthy-Hottenstein J., Brenner D. J. Biochemical identification of Aeromonas genospecies isolated from humans. J Clin Microbiol 1990; 28:258–264
    [Google Scholar]
  13. Mattila L., Siitonen A., Kyronseppa H. Seasonal variation in etiology of travelers’ diarrhea. J Infect Dis 1993; 165:385–388
    [Google Scholar]
  14. Mattila L., Peltola H., Siitonen A., Kyronseppa H., Simula I., Kataja M. Short-term treatment of traveler’s diarrhea with norfloxacin: a double-blind, placebo-controlled study during two seasons. Clin Infect Dis 1993; 17:779–782
    [Google Scholar]
  15. Peltola H., Siitonen A., Kyronseppa H. Prevention of travellers’ diarrhea by oral B-subunit/whole-cell cholera vaccine. Lancet 1991; 338:1285–1289
    [Google Scholar]
  16. Carnahan A. M., Behram S., Joseph S. W. Aerokey II: a flexible key for identifying clinical Aeromonas species. J Clin Microbiol 1991; 29:2843–2849
    [Google Scholar]
  17. Abbott S. L., Cheung W. K. W., Kroske-Bystrom S., Malekzadeh T., Janda J. M. Identification of Aeromonas strains to the genospecies level in the clinical laboratory. J Clin Microbiol 1990; 30:1262–1266
    [Google Scholar]
  18. Martinetti Lucchini G. L., Altwegg M. RNA gene restriction patterns as taxonomic tools for the genus Aeromonas. Int J Syst Bacteriol 1992; 42:384–389
    [Google Scholar]
  19. Tarkka E., Ahman H., Siitonen A. Ribotyping as an epidemiologic tool for Escherichia coli. Epidemiol Infect 1994; 112:263–274
    [Google Scholar]
  20. Peltola H., Kyrönseppa H., Hölsä P. Trips to the South—a health hazard. Morbidity of Finnish travellers. Scand J Infect Dis 1983; 15:375–381
    [Google Scholar]
  21. Black R. E. Epidemiology of travelers’ diarrhea and relative importance of various pathogens. Rev Infect Dis 1990; 12: Suppl 1S73–S77
    [Google Scholar]
  22. Moyer N. P. Clinical significance of Aeromonas species isolated from patients with diarrhea. J Clin Microbiol 1987; 25:2044–2048
    [Google Scholar]
  23. Carnahan A. M., Chakrabotry T., Fanning G. R. Aeromonastrota sp. nov., an ampicillin-susceptible species isolated from clinical specimens. J Clin Microbiol 1991; 29:1206–1210
    [Google Scholar]
  24. Wadstrom T., Ljungh Å. Aeromonas and Plesiomonas as food-and waterborne pathogens. Int J Food Microbiol 1991; 12:303–311
    [Google Scholar]
http://instance.metastore.ingenta.com/content/journal/jmm/10.1099/00222615-42-1-26
Loading
/content/journal/jmm/10.1099/00222615-42-1-26
Loading

Data & Media loading...

This is a required field
Please enter a valid email address
Approval was a Success
Invalid data
An Error Occurred
Approval was partially successful, following selected items could not be processed due to error