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DOI | 10.1016/j.diagmicrobio.2009.10.002 |
The epidemiology of travelers’ diarrhea in Incirlik, Turkey: a region with a predominance of heat-stabile toxin producing enterotoxigenic Escherichia coli | |
Porter, Chad K.1; Riddle, Mark S.; Tribble, David R.2; Putnam, Shannon D.3; Rockabrand, David M.; Frenck, Robert W.4; Rozmajzl, Patrick4; Kilbane, Edward4; Fox, Ann; Ruck, Richard; Lim, Matthew; Johnston, James4; Murphy, Emmett5; Sanders, John W.4 | |
通讯作者 | Porter, Chad K. |
来源期刊 | DIAGNOSTIC MICROBIOLOGY AND INFECTIOUS DISEASE |
ISSN | 0732-8893 |
出版年 | 2010 |
卷号 | 66期号:3页码:241-247 |
英文摘要 | This study evaluated travelers’ diarrhea among US military personnel on short-term deployment to Incirlik Air Base, Turkey, from June through September 2002. Upon reporting for care for travelers’ diarrhea, subjects were enrolled into the study and completed a series of questionnaires and provided stool specimens for pathogen identification and antimicrobial susceptibility testing. Fifty-three percent of the 202 participating subjects had a pathogen isolated from their stool. Enterotoxigenic Escherichia colt (ETEC) was the predominant pathogen (41%), followed by Campylobacter spp. (12%). The most common ETEC phenotype recovered was stable toxin (ST) CS6 (47% of all ETEC). Most (91.1%) of the cases presented with water diarrhea regardless of isolated pathogen. However, there were some differences in nongastrointestinal symptoms among subjects with Campylobacter spp. All illnesses were well managed with antibiotics with or without loperamide with a median time to the last unformed stool of 9 h (interquartile range, 1-32 h). We found no food or environmental factors associated with a differential risk of infection with a specific pathogen. Travelers’ diarrhea among a US military population in and around Incirlik, Turkey, can commonly be attributed to ETEC and Campylobacter spp. The high proportion of ST-only-producing CS6 ETEC in this region highlights the pathogen’s worldwide diversity. Future studies of travelers’ diarrhea in this population should adapt more novel microbiologic techniques such as polymerase chain reaction and enhanced culture methods to increase the likelihood of identifying pathogenic E. coli. Published by Elsevier Inc. |
英文关键词 | Enteric disease Travelers’ diarrhea |
类型 | Article |
语种 | 英语 |
国家 | USA ; Indonesia ; Egypt |
收录类别 | SCI-E |
WOS记录号 | WOS:000277577000002 |
WOS关键词 | STATES MILITARY PERSONNEL ; OPERATIONS IRAQI FREEDOM ; RESISTANT CAMPYLOBACTER INFECTION ; UNITED-STATES ; ENDURING FREEDOM ; COLONIZATION FACTORS ; US MILITARY ; IMMUNOSORBENT-ASSAY ; YOUNG-CHILDREN ; DESERT-SHIELD |
WOS类目 | Infectious Diseases ; Microbiology |
WOS研究方向 | Infectious Diseases ; Microbiology |
资源类型 | 期刊论文 |
条目标识符 | http://119.78.100.177/qdio/handle/2XILL650/163816 |
作者单位 | 1.USN, Infect Dis Directorate, Enter Dis Dept, Med Res Ctr, Silver Spring, MD 20910 USA; 2.Uniformed Serv Univ Hlth Sci, Bethesda, MD 20814 USA; 3.Naval Med Res Unit 2, Jakarta, Indonesia; 4.Naval Med Res Unit 3, Cairo, Egypt; 5.Natl Med Ctr, San Diego, CA USA |
推荐引用方式 GB/T 7714 | Porter, Chad K.,Riddle, Mark S.,Tribble, David R.,等. The epidemiology of travelers’ diarrhea in Incirlik, Turkey: a region with a predominance of heat-stabile toxin producing enterotoxigenic Escherichia coli[J],2010,66(3):241-247. |
APA | Porter, Chad K..,Riddle, Mark S..,Tribble, David R..,Putnam, Shannon D..,Rockabrand, David M..,...&Sanders, John W..(2010).The epidemiology of travelers’ diarrhea in Incirlik, Turkey: a region with a predominance of heat-stabile toxin producing enterotoxigenic Escherichia coli.DIAGNOSTIC MICROBIOLOGY AND INFECTIOUS DISEASE,66(3),241-247. |
MLA | Porter, Chad K.,et al."The epidemiology of travelers’ diarrhea in Incirlik, Turkey: a region with a predominance of heat-stabile toxin producing enterotoxigenic Escherichia coli".DIAGNOSTIC MICROBIOLOGY AND INFECTIOUS DISEASE 66.3(2010):241-247. |
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