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Prevalence of Enteric Pathogens among International Travelers with Diarrhea Acquired in Kenya (Mombasa), India (Goa), or Jamaica (Montego Bay)

Jiang, Zhi-Dong ; Lowe, Brett ; Verenkar, M. P. ; Ashley, David ; Steffen, Robert ; Tornieporth, Nadia ; von Sonnenburg, Frank ; Waiyaki, Peter ; DuPont, Herbert L.

In: The Journal of Infectious Diseases, 2002, vol. 185, no. 4, p. 497-502

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    Titre
    • Prevalence of Enteric Pathogens among International Travelers with Diarrhea Acquired in Kenya (Mombasa), India (Goa), or Jamaica (Montego Bay)
    Auteur
    • Jiang, Zhi-Dong. Center for Infectious Diseases, University of Texas—Houston School of Public Health, Houston
    • Lowe, Brett. Kenya Medical Research Institute, Center for Geographic Medicine Research, Coast, Kilifi
    • Verenkar, M. P.. Goa Medical College, Bambolin, India
    • Ashley, David. Western Area Health Administration, Ministry of Health of Jamaica, Kingston, Jamaica
    • Steffen, Robert. University of Zurich Travel Clinic, Zurich, Switzerland
    • Tornieporth, Nadia. GlaxoSmithKline Biologicals, Rixensart, Belgium
    • von Sonnenburg, Frank. Department of Infectious Diseases and Tropical Medicine, University of Munich, Munich, Germany
    • Waiyaki, Peter. Kenya Medical Research Institute, Nairobi, Kenya
    • DuPont, Herbert L.. Center for Infectious Diseases, University of Texas—Houston School of Public Health, Houston
    Type de document
    • Postprint
    Langue
    • Anglais
    Publié dans
    • The Journal of Infectious Diseases, 2002, vol. 185, no. 4, p. 497-502. The University of Chicago Press
    Autre version électronique
    Classification
    • Santé
    Identifiant OAI-PMH
    • oai:doc.rero.ch:300586
    Summary
    Stools from tourists from Europe and North America who acquired diarrhea in Mombasa (Kenya), Goa (India), or Montego Bay (Jamaica) were examined for enteric pathogens. Enterotoxigenic Escherichia coli (ETEC) was the most common pathogen (25%) identified in the 3 locations. Isolation of Shigella species was more frequent in Goa and Mombasa than in Montego Bay (10%, 9%, and 0.3%, respectively; P < .005). Viruses (rotaviruses and enteric adenoviruses) were found in 9% of travelers to the 3 areas. Of 275 ETEC isolates in this study, 158 (57%) produced a defined colonization factor antigen (CFA). Coli surface 6 (CS6) was the most frequent and was found in 41%-52% of CFA/CS-positive ETEC isolates. The frequency of resistance among bacterial enteropathogens to traditional antimicrobial agents was particularly high throughout the study period in all 3 regions. Quinolones were active against the bacterial enteropathogens in the 3 sites