Cravioto A, Reyes R E, Ortega R, Fernández G, Hernández R, López D
Programme for Research in New Immunizing Agents, Instituto Nacional de Ciencias y Tecnología-DIF, Tlalpan, D.F., México.
Epidemiol Infect. 1988 Aug;101(1):123-34. doi: 10.1017/s0950268800029289.
Colonization of the intestine by putative pathogens was followed longitudinally in a cohort of 56 infants born during one calendar year in a rural Mexican village with faecal cultures taken every fortnight and every time a child had diarrhoea. The frequency of isolation of pathogens during episodes of diarrhoea was compared with that of matched controls from the same cohort. Incidence of diarrhoea during the first year of life was 98%, diminishing to 93% during the second year. The incidence curves for each year were not significantly different (P greater than 0.1). Isolation of enteropathogenic Escherichia coli, enterotoxigenic Escherichia coli producing heat-stable (ST) and/or heat-labile (LT) enterotoxins and rotaviruses was significantly higher in infants with diarrhoea during the first 2 years of life. In the case of shigella, although no significant differences were found by semester of life, 13 of 16 children in which these strains were found had diarrhoea. Isolation of Salmonella spp., Campylobacter spp. and protozoa were not significantly different in the two groups during the period studied. Strains showing localized adherence to HEp-2 cells or the presence of colonization factor antigens I or E8775 were found with significantly higher frequency in children with diarrhoea. Eighty-two percent of ST+ or LT+ ETEC strains isolated produced one of the three known colonization factors.
在墨西哥一个乡村,对一历年出生的56名婴儿进行了纵向研究,观察假定病原体在肠道的定植情况。每两周采集一次粪便培养物,每当儿童出现腹泻时也进行采集。将腹泻发作期间病原体的分离频率与同一队列中匹配的对照进行比较。一岁以内腹泻的发生率为98%,到第二年降至93%。每年的发生率曲线无显著差异(P大于0.1)。在生命的头两年,腹泻婴儿中肠致病性大肠杆菌、产热稳定(ST)和/或热不稳定(LT)肠毒素的产肠毒素性大肠杆菌以及轮状病毒的分离率显著更高。就志贺氏菌而言,尽管按生命学期未发现显著差异,但发现这些菌株的16名儿童中有13名患有腹泻。在所研究期间,两组中沙门氏菌属、弯曲杆菌属和原生动物的分离率无显著差异。在腹泻儿童中,显示对HEp-2细胞局部黏附或存在定植因子抗原I或E8775的菌株的发现频率显著更高。分离出的ST+或LT+产肠毒素性大肠杆菌菌株中有82%产生了三种已知定植因子中的一种。