Enteroadherent Escherichia coli and diarrhea in children: a prospective case-control study.

Journal of Clinical Microbiology
C ForestierC De Champs

Abstract

The relative contribution of diarrheagenic Escherichia coli was examined during a 1-year prospective study of hospitalized children in Clermont-Ferrand, France, including 220 case patients (with diarrhea) and 211 matched controls. Fecal isolates were characterized by means of their pattern of adherence to HEp-2 cells and by colony hybridization with DNA probes specific for the six categories of diarrheagenic E. coli. No enteroinvasive or enterotoxigenic E. coli isolates were isolated. Twenty-eight (6.5%) eae-positive isolates and 39 (9%) enteroaggregative E. coli isolates characterized with the aggregative adherence probe and/or by their adherence pattern were detected; they were equally distributed among the patients and the controls. Diffusely adhering E. coli was the predominant pathotype: 30.7% were detected by their adherence pattern and 13.7% were detected with the daaC probe. They were isolated with similar frequencies from the patients and the controls, thereby showing no association with diarrhea. However, daaC-positive strains were significantly associated with a past record of urinary tract infections. These results suggest that the diffusely adhering E. coli organisms isolated in the present study are not true intes...Continue Reading

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Citations

Oct 9, 2003·Journal of Medical Microbiology·Jan E AfsetLars Bevanger
Aug 4, 2006·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·David B HuangTom Chiang
Apr 30, 1999·FEMS Microbiology Letters·C RichC Forestier
Sep 14, 2002·Infection and Immunity·Anne-Beatrice Blanc-PotardMarie-Francoise Bernet-Camard
Aug 2, 2001·Journal of Pediatric Gastroenterology and Nutrition·S KnuttonE Price
Apr 16, 2005·Clinical Microbiology Reviews·Alain L Servin
Oct 22, 2004·Journal of Medical Microbiology·Jan E AfsetKåre Bergh
Jun 7, 2003·Journal of Clinical Microbiology·Werner L PabstDavid Nadal
Feb 4, 1998·Baillière's Clinical Gastroenterology·A D Phillips, G Frankel
Feb 28, 2002·Clinical Microbiology and Infection : the Official Publication of the European Society of Clinical Microbiology and Infectious Diseases·M. VargasJ. Vila

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