RESUMO
We determined the prevalence of enterohaemorrhagic Escherichia coli, especially E. coli O157, and other enteropathogens among 200 children with bloody diarrhoea and 100 age-matched controls at two Baghdad hospitals. Bacterial and parasitic agents were found in 39.5% and 28.5% of cases, respectively; no pathogen was detected in 32%. E. coli O157 was identified in 11.5% and more than one pathogen was found in 15.5% of cases. The most common pathogens were enteropathogenic E. coli (EPEC) (5%); E. coli other than E. coli O157 or EPEC (15%); Entamoeba histolytica (25%) and Giardia lamblia (3.5%). All isolates of E. coli O157:H7 were sensitive to cephalexin, ciprofloxacin, gentamicin and nalidixic acid and resistant to erythromycin, polymyxin B and vancomycin. Resistance to 6 or more antimicrobial agents was common (50% of isolates).
Assuntos
Infecções por Escherichia coli/epidemiologia , Escherichia coli O157 , Dor Abdominal/microbiologia , Dor Abdominal/parasitologia , Estudos de Casos e Controles , Criança , Pré-Escolar , Diarreia/microbiologia , Diarreia/parasitologia , Farmacorresistência Bacteriana , Infecções por Escherichia coli/complicações , Infecções por Escherichia coli/microbiologia , Fezes/microbiologia , Feminino , Febre/microbiologia , Febre/parasitologia , Hospitais Pediátricos , Hospitais de Ensino , Humanos , Incidência , Lactente , Enteropatias Parasitárias/complicações , Enteropatias Parasitárias/epidemiologia , Enteropatias Parasitárias/parasitologia , Iraque/epidemiologia , Masculino , Testes de Sensibilidade Microbiana , Vigilância da População , Prevalência , Sorotipagem , Vômito/microbiologia , Vômito/parasitologiaRESUMO
We determined the prevalence of enterohaemorrhagic Escherichia coli, especially E. coli O157, and other enteropathogens among 200 children with bloody diarrhoea and 100 age-matched controls at two Baghdad hospitals. Bacterial and parasitic agents were found in 39.5% and 28.5% of cases, respectively; no pathogen was detected in 32%. E. coli O157 was identified in 11.5% and more than one pathogen was found in 15.5% of cases. The most common pathogens were enteropathogenic E. coli [EPEC] [5%]; E. coli other than E. coli O157 or EPEC [15%]; Entamoeba histolytica [25%] and Giardia lamblia [3.5%]. All isolates of E. coli O157:H7 were sensitive to cephalexin, ciprofloxacin, gentamicin and nalidixic acid and resistant to erythromycin, polymyxin B and vancomycin. Resistance to 6 or more antimicrobial agents was common [50% of isolates]
