1887

Abstract

Summary

During a 15-year period, 146 strains of spp. were isolated from 32810 faecal specimens from 13820 hospitalised patients up to 13 years of age. These isolates constituted 4% of all the pathogenic bacterial strains cultured. For the years 1978–1988, the files of children with gastro-enteritis revealed 81 whose faeces yielded spp. Most of them (94%) were < 3 years of age, 78% < 1 year old. The peak incidence was at 2–6 months, involving severe morbidity including dehydration and vomiting with acidaemia and azotaemia; the mean duration of illness and length of hospitalisation at this age were longer than at other ages. Bloody diarrhoea was found in 7% of the children. Almost all the strains of were resistant to ampicillin. We conclude that spp. are of aetiological significance in gastro-enteritis in small children; culture for this pathogen should be routine in the bacteriological examination of faeces.

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1992-11-01
2024-03-28
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References

  1. Buchanan R. L., Palumbo S. A. Aeromonas hydrophila and Aeromonas sobriae as potential food poisoning species; a review. J Food Safety 1985; 7:15–29
    [Google Scholar]
  2. Nazer H., Price E. H., Hunt G. H. Walker-Smith J. A. Clinical associations of Aeromonas spp. in fecal specimens from children. Clin Pediatr 1986; 25:516–519
    [Google Scholar]
  3. Holmberg S. D., Farmer J. J. Aeromonas hydrophila and Plesio-monas shigelloides as causes of intestinal infections. Rev Infect Dis 1984; 6:633–639
    [Google Scholar]
  4. San Joaquin V. H., Pickett D. A. Aeromonas-associated gastro-enteritis in children. Pediatr Infect Dis J 1988; 7:53–57
    [Google Scholar]
  5. Schoch P. E., Cunha B. A. Aeromonas. Infect Control 1984; 5:542–544
    [Google Scholar]
  6. Washington J. A. Aeromonas hydrophila in clinical bacteriologic specimens. Ann Intern Med 1972; 76:611–614
    [Google Scholar]
  7. George W. L., Nakata M. M., Thompson J., White M. L. Aeromonas-related diarrhea in adults. Arch Intern Med 1985; 145:2207–2211
    [Google Scholar]
  8. Gracey M., Burke V., Robinson J. Aeromonas-associated gastroenteritis. Lancet 1982; 2:1304–1306
    [Google Scholar]
  9. Agger W. A., McCormick J. D., Gurwith M. J. Clinical and micro-biological features of Aeromonas hydrophila-associated diarrhea. J Clin Microbiol 1985; 21:909–913
    [Google Scholar]
  10. Golik A., Modai D., Gluskin I., Schechter I., Cohen N., Eschchar J. Aeromonas in adult diarrhea: an enteropathogen or an innocent bystander?. J Clin Gastroenterol 1990; 12:148–152
    [Google Scholar]
  11. Echeverria P., Blocklow N. R., Sanford I. B., Cakor G. G. Traveler’s diarrhea among American Peace Corps volunteers in rural Thailand. J Infect Dis 1981; 143:767–771
    [Google Scholar]
  12. Burke V., Gracey M., Robinson J., Peck D., Beaman J., Bundell C. The microbiology of childhood gastroenteritis: Aeromonas species and other Infective Agents. J Infect Dis 1983; 148:68–74
    [Google Scholar]
  13. Goodwin C. S., Harper W. E. S., Stewart J. K., Gracey M., Burke V., Robinson J. Enterotoxigenic Aeromonas hydrophila and diarrhea in adults. Med J Austr 1983; 1:25–26
    [Google Scholar]
  14. Holmberg S. D., Schell W. L., Fanning G. R. Aeromonas infections in the United States. Ann Intern Med 1986; 105:683–689
    [Google Scholar]
  15. Von Graevenitz A., Mensch A. H. The genus Aeromonas in human bacteriology; report of 30 cases and review of the literature. N Engl J Med 1968; 278:245–249
    [Google Scholar]
  16. Janda J. M., Reitano M., Bottone E. J. Biotyping of Aeromonas isolates as a correlate to delineating a species-associated disease spectrum. J Clin Microbiol 1984; 19:44–47
    [Google Scholar]
  17. Bauer A. W., Kirby W. M., Sherris J. C., Turck M. Antibiotic susceptibility testing by a standardized single disk method. Am J Clin Pathol 1966; 45:493–496
    [Google Scholar]
  18. Barry L. A., Thomsberry C. Susceptibility tests: diffusion test procedure. In Lenette H. E. (eds) Manual of clinical microbiology Washington, D.C.: American Society for Microbiology; 1985
    [Google Scholar]
  19. Schechter H., Schechter I. The Aeromonas group as interference in the standard coliform MPN test of fresh water. Isr J Med Sci 1974; 13:646–647
    [Google Scholar]
  20. Overman T. L., D’Amato R. F., Tomfohrde K. M. Incidence of “ oxidase-variable ” strains of Aeromonas hydrophila. J Clin Microbiol 1979; 9:244–247
    [Google Scholar]
  21. Millership S. E., Curnow S. R., Chattopadhyay B. Faecal carriage rate of Aeromonas hydrophila. J Clin Pathol 1983; 36:920–923
    [Google Scholar]
  22. Moyer N. P. Clinical significance of Aeromonas species isolated from patients with diarrhea. J Clin Microbiol 1987; 25:2044–2048
    [Google Scholar]
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