Arid
DOI10.1016/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
ISSN0732-8893
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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