Major enteropathogenic bacteria isolated in Hai Phong pediatric hospital from diarrhea patients

ABSTRACT

Background: Diarrhea is a leading cause of death in children under 5 years old, especially in developing countries. About 12.600 children die because of diarrhea everyday in Asia, Africa and Latin-America. Objective: To identify the main organism that causes diarrhea in children under 5 years old. Subject and Method: The etiology agents of diarrheal children under 5 years old admitted to the Pediatric Hospital in Hai Phong city were studied in the period from September 2006 to August 2007. A total of 968 children were examined for diarrheagenic Escherichia coli (DEC), Salmonella, Shigella, Vibrio, Aeromonas, Campylobacter, these pathogens as being significant bacteria associated with diarrhea. A total of 212 out of 968 cases were positive for bacteria. Result: The main pathogens were diarrheagenic Eschierichiacoli 153 (15.7%), Salmonella 12 (1.24%), Shigella 32 (3.3%). Vibirio paraheamolyticus 1(0.1%), Aeromonas 8 (0.8%), Campylobacter 6(0.6%) from rectal swabs and no Vibrio cholerae was found. The multiplex PCR assays for the identification of DEC was developed. DEC was classified into 6 categories with frequencies of EPEC 3.9%, ETEC 4.4%, EIEC 0.6%, EAggEC 6.7%, DAEC 0.1%, no EHEC was identified. Conclusion: An analysis of incidence of enteropathogens with respect to seasonal variant demonstrated that the frequencies of isolation of etiology agents mainly in July, August and September. This study also showed that diarrheagenic- Escherichia coli is the main organism causing diarrhea in children under 5 years old.