Bonkoungou Isidore Juste Ouindgueta, Somda Namwin Siourimè, Traoré Oumar, Zoma Barthelemy Sibiri, Garba Zakaria, Drabo Koine Maxime, Barro Nicolas
Département de Biochimie-Microbiologie. UFR- Sciences de la vie et de la terre. Université Joseph Ki-Zerbo, 03 BP 7021 Ouagadougou 03, Burkina Faso.
Département Technologie Alimentaire (DTA) / IRSAT / CNRST, Burkina Faso, 03 BP 7047 Ouagadougou 03.
Afr J Infect Dis. 2020 Dec 14;15(1):53-58. doi: 10.21010/ajid.v15i1.7. eCollection 2021.
The presence of diarrheagenic (DEC) in drinking water, is a grave public health problem. This study was aimed at characterization of diarrheagenic isolated from drinking water and faecal samples from diarrheic patients in Ouagadougou, Burkina Faso.
A total of 242 water samples consisting of 182 potable sachets and 60 from boreholes were collected in the period between October 2018 and April 2019 in the city of Ouagadougou. Faecal samples were also collected from 201 diarrheic patients visiting National Public Health Laboratory for a biological diagnosis by coproculture. The presence of virulence genes associated with DEC was determined by 16-plex polymerase chain reaction from bacteria culture.
From drinking water, we found 17% (42/242) isolates in which 1% (2/242) DEC were detected. Among analyzed samples (182 sachet water versus 60 borehole water), the two DEC (01 ETEC and 01 EPEC) were detected in sachet water. DEC were detected in 20% (40/201) of patients. Enteroaggregative (EAEC) were mostly detected in 10% followed by Enteropathogenic (EPEC) in 4%, Enteroinvasive (EIEC) in 2%, and Shiga toxin-producing (STEC) 0.5%. However, Enterotoxigenic (ETEC) was not detected alone, but in co-infections with EAEC.
The present study documented the prevalence of pathovars associated in patients with diarrhea, and shows that drinking water might be a source of DEC transmission in human.
饮用水中存在致泻性大肠埃希菌(DEC)是一个严重的公共卫生问题。本研究旨在对从布基纳法索瓦加杜古的饮用水和腹泻患者粪便样本中分离出的致泻性大肠埃希菌进行特征分析。
2018年10月至2019年4月期间,在瓦加杜古市共采集了242份水样,其中包括182袋饮用水和60份井水。还从201名到国家公共卫生实验室进行粪便培养生物诊断的腹泻患者中采集了粪便样本。通过对细菌培养物进行16重聚合酶链反应来确定与DEC相关的毒力基因的存在。
在饮用水中,我们发现17%(42/242)的分离株,其中检测到1%(2/242)的DEC。在分析的样本中(182袋饮用水与60份井水),在袋饮用水中检测到两种DEC(01产肠毒素大肠埃希菌和01肠致病性大肠埃希菌)。在20%(40/201)的患者中检测到DEC。主要检测到10%的集聚性大肠埃希菌(EAEC),其次是4%的肠致病性大肠埃希菌(EPEC)、2%的侵袭性大肠埃希菌(EIEC)和0.5%的产志贺毒素大肠埃希菌(STEC)。然而,产肠毒素大肠埃希菌(ETEC)并非单独检测到,而是在与EAEC的混合感染中检测到。
本研究记录了腹泻患者中相关致病型的流行情况,并表明饮用水可能是人类DEC传播的一个来源。