Etiological agents of infectious diarrhea: implications for requests for microbial culture.

Journal of Clinical Microbiology
P RohnerR Auckenthaler

Abstract

Gastrointestinal infections remain a frequent disease worldwide. In order to increase our knowledge of the epidemiology for our patient population, we retrospectively analyzed the results obtained for stool samples received at the clinical microbiology laboratory of the University Hospital of Geneva during a 4-year period. A total of 13,965 specimens from 7,124 patients (1.96 specimens per patient) were cultured, yielding 369 (2.6%) Salmonella spp., 408 (2.9%) Campylobacter spp., and 79 (0.6%) Shigella spp. The cumulative positivity rate of 6.1% decreased to 2.7% when patients received antimicrobial agents (P < 0.001). The positivity rate for 5,912 specimens obtained from patients hospitalized for < or = 3 days was 12.6%, whereas it dropped to 1.4% for patients hospitalized for > 3 days (P < 0.001). Of 3,837 stool samples originating from pediatric patients, 8.8% were positive, and 5.1% of 10,128 samples from adults were positive (P < 0.001). The cytotoxin of Clostridium difficile was detected in 379 of 3,723 samples analyzed (10.2%), and rotaviruses were detected in 190 of 1,601 samples (11.9%). We recommend that the use of cultures for enteric bacterial pathogens be restricted to patients hospitalized for < or = 3 days, with ...Continue Reading

References

Nov 1, 1991·European Journal of Clinical Microbiology & Infectious Diseases : Official Publication of the European Society of Clinical Microbiology·H Adler-MoscaM Altwegg
Jan 1, 1991·European Journal of Clinical Microbiology & Infectious Diseases : Official Publication of the European Society of Clinical Microbiology·S Ashkenazi, L K Pickering
Aug 9, 1990·The New England Journal of Medicine·E E TelzakS Schultz
Jan 1, 1990·Reviews of Infectious Diseases·R L GuerrantJ Crane
Sep 18, 1969·The New England Journal of Medicine·B Aserkoff, J V Bennett
Jun 1, 1980·Infection and Immunity·M EhrichT D Wilkins
Apr 1, 1995·Journal of Pediatric Gastroenterology and Nutrition·I E Haffejee
May 1, 1995·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·B M Allos, M J Blaser
Apr 1, 1995·European Journal of Clinical Microbiology & Infectious Diseases : Official Publication of the European Society of Clinical Microbiology·F BarbutJ C Petit
Jan 1, 1994·The Journal of Infectious Diseases·L R HirschhornR Platt
Jul 1, 1993·Clinical Microbiology Reviews·F C KnoopI C Crocker
Aug 1, 1993·Journal of Clinical Microbiology·K FanL B Reller
Apr 1, 1993·Scandinavian Journal of Gastroenterology·H AlbrechtH Greten
Jul 1, 1995·The Journal of Antimicrobial Chemotherapy·J Wiström, S R Norrby
Oct 1, 1995·The Journal of Antimicrobial Chemotherapy·M H Wilcox, R Howe
Jul 1, 1996·Journal of Clinical Microbiology·A J MorrisL B Reller

❮ Previous
Next ❯

Citations

Nov 30, 2000·Current Treatment Options in Gastroenterology·C R Gregg, N N Nassar
Jul 17, 2003·Current Gastroenterology Reports·James V Lawler, Mark R Wallace
Dec 18, 2004·European Journal of Clinical Microbiology & Infectious Diseases : Official Publication of the European Society of Clinical Microbiology·J DelaloyeP E Tarr
Sep 15, 2007·Journal of Gastroenterology and Hepatology·Farid H Abu ElamreenJamal Elshikh Deeb
May 22, 2007·Transplant Infectious Disease : an Official Journal of the Transplantation Society·M KambojG A Papanicolaou
Jun 18, 2014·European Journal of Clinical Microbiology & Infectious Diseases : Official Publication of the European Society of Clinical Microbiology·J S BiswasS D Goldenberg
May 5, 2005·Irish Journal of Medical Science·R M McLoughlin, H J O'Connor
Sep 15, 2005·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·Carmen E RexachStuart H Cohen
Dec 20, 2012·The American Journal of Tropical Medicine and Hygiene·Alpha Kabinet KeitaFlorence Fenollar
Jun 4, 2002·The American Journal of Gastroenterology·Sameh A Basta, Edward C Oldfield
Feb 1, 2007·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·Frédéric BarbutJean-Claude Petit
Oct 13, 2006·Current Opinion in Infectious Diseases·M H Wilcox, N Modi
Sep 8, 2005·Journal of Clinical Gastroenterology·Allen C ChengNathan M Thielman
Oct 1, 2005·Tijdschrift voor gerontologie en geriatrie·C Van DesselM Hiele
Mar 18, 2016·Expert Review of Molecular Diagnostics·Yuliya Zboromyrska, Jordi Vila
Jun 30, 2018·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·J Michael MillerJoseph D Yao
Nov 9, 2018·Indian Journal of Gastroenterology : Official Journal of the Indian Society of Gastroenterology·Ujjala Ghoshal, Nidhi Tejan
Mar 10, 2001·The Journal of Pediatrics·H SzajewskaW Mikołajczyk
Dec 18, 2001·Chest·P Eggimann, D Pittet
May 8, 2004·The Journal of Hospital Infection·UNKNOWN National Clostridium difficile Standards Group
Dec 31, 2003·Gastroenterology Clinics of North America·Julia I Gore, Christina Surawicz
Jan 10, 2002·Infectious Disease Clinics of North America·G W Procop
Jul 1, 2020·Reviews on Recent Clinical Trials·Valentina SicilianoFrancesco Franceschi
Feb 3, 2005·La Presse médicale·Alexandre MathieuAlexandre Pariente
Oct 10, 2001·Clinical Microbiology and Infection : the Official Publication of the European Society of Clinical Microbiology and Infectious Diseases·F Barbut, J C Petit
Oct 10, 2001·Clinical Microbiology and Infection : the Official Publication of the European Society of Clinical Microbiology and Infectious Diseases·M Delmée
Apr 16, 2002·Clinical Microbiology and Infection : the Official Publication of the European Society of Clinical Microbiology and Infectious Diseases·T HänscheidM J Salgado
Nov 18, 2003·Clinical Microbiology and Infection : the Official Publication of the European Society of Clinical Microbiology and Infectious Diseases·F BarbutUNKNOWN ESCMID Study Group on Clostridium difficile (ESGCD)

❮ Previous
Next ❯

Related Concepts

Related Feeds

Campylobacteriosis

Campylobacteriosis is caused by the bacteria Campylobacter jejuni and is a common cause of gastroenteritis in humans. Discover the latest research on Campylobacteriosis here.

Campylobacteriosis (ASM)

Campylobacteriosis is caused by the bacteria Campylobacter jejuni and is a common cause of gastroenteritis in humans. Discover the latest research on Campylobacteriosis here.

Related Papers

Clinical Microbiology and Infection : the Official Publication of the European Society of Clinical Microbiology and Infectious Diseases
A M BourgaultFrançois Lamothe
Clinical Microbiology and Infection : the Official Publication of the European Society of Clinical Microbiology and Infectious Diseases
B SvenungssonA Lundberg
© 2021 Meta ULC. All rights reserved