| Enteropathogens in adult patients with diarrhea and healthy control subjects: a 1-year prospective study in a Swedish clinic for infectious diseases. | |
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MedLine Citation:
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PMID: 10816147 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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A 1-year prospective study was conducted to identify enteropathogens in adults with diarrhea (n=851) and in healthy control subjects (n=203) by use of conventional laboratory methods. Virulence factor genes for diarrheagenic Escherichia coli were detected by polymerase chain reaction. Enteropathogens were identified in 56% of patients and 16% of control subjects. The isolation rate was 65% for patients with symptoms for <1 week and for travelers; >1 pathogen was found in 11% of patients. The most frequent enteropathogens were Campylobacter (13% of patients), Clostridium difficile (13%), enterotoxigenic Escherichia coli (8%), Salmonella (7%), Shigella (4%), Blastocystis hominis (4%), calicivirus (3%), rotavirus (3%), enteroaggregative E. coli (2%), Aeromonas (2%), Giardia intestinalis (2%), Cryptosporidium (2%), and astrovirus (2%). Less frequently isolated (< or =1% of patients) were verotoxigenic E. coli, enteropathogenic E. coli, enteroinvasive E. coli, Entamoeba histolytica/Entamoeba dispar, microsporidia, and adenovirus. Fifty percent of the patients were hospitalized, and 43% needed intravenous fluids. The median duration of diarrhea was 14 days. Clinical features were not helpful for predicting the etiology of diarrhea. |
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Authors:
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B Svenungsson; A Lagergren; E Ekwall; B Evengård; K O Hedlund; A Kärnell; S Löfdahl; L Svensson; A Weintraub |
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Publication Detail:
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Type: Journal Article; Research Support, Non-U.S. Gov't Date: 2000-05-18 |
Journal Detail:
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Title: Clinical infectious diseases : an official publication of the Infectious Diseases Society of America Volume: 30 ISSN: 1058-4838 ISO Abbreviation: Clin. Infect. Dis. Publication Date: 2000 May |
Date Detail:
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Created Date: 2000-08-24 Completed Date: 2000-08-24 Revised Date: 2009-11-19 |
Medline Journal Info:
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Nlm Unique ID: 9203213 Medline TA: Clin Infect Dis Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 770-8 Citation Subset: IM |
Affiliation:
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Karolinska Institute, Huddinge University Hospital, Sweden. bo.svenungsson@medhs.ki.se |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Adult Aged Aged, 80 and over Animals Bacteria / classification, isolation & purification Bacterial Infections / epidemiology, microbiology Case-Control Studies Diarrhea / microbiology*, parasitology*, virology Eukaryota / classification, isolation & purification Feces / microbiology*, parasitology*, virology Female Humans Male Middle Aged Prospective Studies Protozoan Infections / epidemiology, parasitology Sweden / epidemiology Virus Diseases / epidemiology, virology Viruses / classification, isolation & purification |
| Comments/Corrections | |
Comment In:
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Clin Infect Dis. 2002 Dec 1;35(11):1452-3
[PMID:
12439820
]
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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