Suppr超能文献

墨西哥农村儿童队列中腹泻病的前瞻性研究:生命最初两年的发病率及分离出的病原体

Prospective study of diarrhoeal disease in a cohort of rural Mexican children: incidence and isolated pathogens during the first two years of life.

作者信息

Cravioto A, Reyes R E, Ortega R, Fernández G, Hernández R, López D

机构信息

Programme for Research in New Immunizing Agents, Instituto Nacional de Ciencias y Tecnología-DIF, Tlalpan, D.F., México.

出版信息

Epidemiol Infect. 1988 Aug;101(1):123-34. doi: 10.1017/s0950268800029289.

Abstract

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.

摘要

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。

相似文献

引用本文的文献

1
Genomic epidemiology of enteropathogenic Escherichia coli in southwestern Nigeria.
PLoS Negl Trop Dis. 2025 Aug 22;19(8):e0013442. doi: 10.1371/journal.pntd.0013442. eCollection 2025 Aug.
2
Pathophysiology of Enteropathogenic -induced Diarrhea.
Newborn (Clarksville). 2023 Jan-Mar;2(1):102-113. doi: 10.5005/jp-journals-11002-0056. Epub 2023 Apr 6.
4
Preclinical optimization of an enterotoxigenic adjuvanted subunit vaccine using response surface design of experiments.
NPJ Vaccines. 2020 Sep 11;5:83. doi: 10.1038/s41541-020-00228-w. eCollection 2020.
5
Oral delivery of Hyperimmune bovine serum antibodies against CS6-expressing enterotoxigenic as a prophylactic against diarrhea.
Gut Microbes. 2020 Nov 9;12(1):1732852. doi: 10.1080/19490976.2020.1732852. Epub 2020 Mar 13.
6
Shiga toxin producing -associated diarrhea and hemolytic uremic syndrome in young children in Romania.
Gut Pathog. 2019 Sep 25;11:46. doi: 10.1186/s13099-019-0327-4. eCollection 2019.
8
Escherichia coli Heat-Stable Enterotoxin Mediates Na+/H+ Exchanger 4 Inhibition Involving cAMP in T84 Human Intestinal Epithelial Cells.
PLoS One. 2015 Dec 29;10(12):e0146042. doi: 10.1371/journal.pone.0146042. eCollection 2015.
9
Bacterial Factors Associated with Lethal Outcome of Enteropathogenic Escherichia coli Infection: Genomic Case-Control Studies.
PLoS Negl Trop Dis. 2015 May 15;9(5):e0003791. doi: 10.1371/journal.pntd.0003791. eCollection 2015 May.
10
Diarrheagenic Escherichia coli carrying supplementary virulence genes are an important cause of moderate to severe diarrhoeal disease in Mexico.
PLoS Negl Trop Dis. 2015 Mar 4;9(3):e0003510. doi: 10.1371/journal.pntd.0003510. eCollection 2015 Mar.

本文引用的文献

3
Protection against cholera in breast-fed children by antibodies in breast milk.
N Engl J Med. 1983 Jun 9;308(23):1389-92. doi: 10.1056/NEJM198306093082304.
4
New knowledge on pathogenesis of bacterial enteric infections as applied to vaccine development.
Microbiol Rev. 1983 Dec;47(4):510-50. doi: 10.1128/mr.47.4.510-550.1983.
7
Distinctive patterns of adherence of enteropathogenic Escherichia coli to HeLa cells.
Infect Immun. 1984 Aug;45(2):534-6. doi: 10.1128/iai.45.2.534-536.1984.
9
Host-specific fimbrial adhesins of noninvasive enterotoxigenic Escherichia coli strains.
Microbiol Rev. 1982 Jun;46(2):129-61. doi: 10.1128/mr.46.2.129-161.1982.

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍。

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

文档翻译

学术文献翻译模型,支持多种主流文档格式。

立即体验