Sang W K, Oundo J O, Mwituria J K, Waiyaki P G, Yoh M, Iida T, Honda T
Kenya Medical Research Institute, Nairobi, Kenya.
Emerg Infect Dis. 1997 Jul-Sep;3(3):373-4. doi: 10.3201/eid0303.970317.
To study the association of multidrug-resistant enteroaggregative Escherichia coli with persistent diarrhea in Kenyan children, stool specimens were obtained from 862 outpatients under 5 years of age from July 1991 to June 1993. E. coli O44 was identified as the sole bacterial pathogen in four patients experiencing at least 14 days of fever, vomiting, and diarrhea. Disk diffusion testing showed E. coli O44 resistance to tetracycline, ampicillin, erythromycin, trimethoprim-sulphamethoxazole, and amoxicillin/clavulanate and sensitivity to chloramphenicol, nalidixic acid, azithromycin, and cefuroxime. Further studies are needed to clarify the epidemiology, clinical spectrum, and pathogenesis of enteroaggregative E. coli infection.
为研究多重耐药性肠聚集性大肠杆菌与肯尼亚儿童持续性腹泻之间的关联,于1991年7月至1993年6月从862名5岁以下门诊患儿中采集了粪便标本。在4名经历至少14天发热、呕吐和腹泻的患儿中,大肠杆菌O44被鉴定为唯一的细菌病原体。纸片扩散试验显示大肠杆菌O44对四环素、氨苄西林、红霉素、甲氧苄啶 - 磺胺甲恶唑和阿莫西林/克拉维酸耐药,对氯霉素、萘啶酸、阿奇霉素和头孢呋辛敏感。需要进一步研究以阐明肠聚集性大肠杆菌感染的流行病学、临床谱和发病机制。