Enteropathogens in acute diarrhea: a general practice-based study in a Nordic country
The epidemiology of infectious diarrhea influences the microbiological investigation of the disease, and is best elucidated through prospective studies. We undertook such a study in a Nordic country. Patients of all age groups who had acute diarrhea were recruited prospectively from general practice...
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| Published in: | European journal of clinical microbiology & infectious diseases Vol. 31; no. 7; pp. 1501 - 1509 |
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| Main Authors: | , , , , |
| Format: | Journal Article |
| Language: | English |
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Springer-Verlag
01-07-2012
Springer Springer Nature B.V |
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| Abstract | The epidemiology of infectious diarrhea influences the microbiological investigation of the disease, and is best elucidated through prospective studies. We undertook such a study in a Nordic country. Patients of all age groups who had acute diarrhea were recruited prospectively from general practice clinics in Iceland. They completed a questionnaire and provided stool samples for the detection of pathogenic viruses, bacteria, and parasites. Of the 464 recruited patients, 211 (45%) had 224 infections. The most common pathogens were calici- and rotaviruses (23% and 18% of 224 infections, respectively),
Campylobacter jejuni
(17%),
Cryptosporidium
species (12%), and
Salmonella
serotypes (10%). Other agents found were
Giardia lamblia
, astro- and adenoviruses, and
Yersinia enterocolitica
. Viral pathogens were associated with vomiting, illness for ≤7 days, and younger age groups, while bacterial pathogens were associated with fever, rectal pain, and local or foreign travel, and parasitic pathogens with illness for >7 days. Detection rates for viral infections in the elderly and for
Cryptosporidium
species were higher than expected. Our study indicates the existence of regional differences in pathogen prevalence that should be taken into account when implementing guidelines for stool testing in patients with acute diarrheal disease. |
|---|---|
| AbstractList | The epidemiology of infectious diarrhea influences the microbiological investigation of the disease, and is best elucidated through prospective studies. We undertook such a study in a Nordic country. Patients of all age groups who had acute diarrhea were recruited prospectively from general practice clinics in Iceland. They completed a questionnaire and provided stool samples for the detection of pathogenic viruses, bacteria, and parasites. Of the 464 recruited patients, 211 (45%) had 224 infections. The most common pathogens were calici- and rotaviruses (23% and 18% of 224 infections, respectively), Campylobacter jejuni (17%), Cryptosporidium species (12%), and Salmonella serotypes (10%). Other agents found were Giardia lamblia, astro- and adenoviruses, and Yersinia enterocolitica. Viral pathogens were associated with vomiting, illness for ≤7 days, and younger age groups, while bacterial pathogens were associated with fever, rectal pain, and local or foreign travel, and parasitic pathogens with illness for >7 days. Detection rates for viral infections in the elderly and for Cryptosporidium species were higher than expected. Our study indicates the existence of regional differences in pathogen prevalence that should be taken into account when implementing guidelines for stool testing in patients with acute diarrheal disease.[PUBLICATION ABSTRACT] The epidemiology of infectious diarrhea influences the microbiological investigation of the disease, and is best elucidated through prospective studies. We undertook such a study in a Nordic country. Patients of all age groups who had acute diarrhea were recruited prospectively from general practice clinics in Iceland. They completed a questionnaire and provided stool samples for the detection of pathogenic viruses, bacteria, and parasites. Of the 464 recruited patients, 211 (45%) had 224 infections. The most common pathogens were calici- and rotaviruses (23% and 18% of 224 infections, respectively), Campylobacter jejuni (17%), Cryptosporidium species (12%), and Salmonella serotypes (10%). Other agents found were Giardia lamblia, astro- and adenoviruses, and Yersinia enterocolitica. Viral pathogens were associated with vomiting, illness for ≤7 days, and younger age groups, while bacterial pathogens were associated with fever, rectal pain, and local or foreign travel, and parasitic pathogens with illness for >7 days. Detection rates for viral infections in the elderly and for Cryptosporidium species were higher than expected. Our study indicates the existence of regional differences in pathogen prevalence that should be taken into account when implementing guidelines for stool testing in patients with acute diarrheal disease. The epidemiology of infectious diarrhea influences the microbiological investigation of the disease, and is best elucidated through prospective studies. We undertook such a study in a Nordic country. Patients of all age groups who had acute diarrhea were recruited prospectively from general practice clinics in Iceland. They completed a questionnaire and provided stool samples for the detection of pathogenic viruses, bacteria, and parasites. Of the 464 recruited patients, 211 (45%) had 224 infections. The most common pathogens were calici- and rotaviruses (23% and 18% of 224 infections, respectively), Campylobacter jejuni (17%), Cryptosporidium species (12%), and Salmonella serotypes (10%). Other agents found were Giardia lamblia , astro- and adenoviruses, and Yersinia enterocolitica . Viral pathogens were associated with vomiting, illness for ≤7 days, and younger age groups, while bacterial pathogens were associated with fever, rectal pain, and local or foreign travel, and parasitic pathogens with illness for >7 days. Detection rates for viral infections in the elderly and for Cryptosporidium species were higher than expected. Our study indicates the existence of regional differences in pathogen prevalence that should be taken into account when implementing guidelines for stool testing in patients with acute diarrheal disease. |
| Author | Hilmarsdóttir, I. Harðardóttir, H. Baldvinsdóttir, G. E. Briem, H. Sigurðsson, S. I. |
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| CitedBy_id | crossref_primary_10_1016_S0716_8640_14_70063_X crossref_primary_10_1093_fampra_cmab080 crossref_primary_10_1099_jmm_0_000018 crossref_primary_10_1155_2021_1499869 crossref_primary_10_1186_s13099_018_0264_7 crossref_primary_10_1016_j_ijid_2014_08_006 crossref_primary_10_1017_S095026881400243X crossref_primary_10_1016_j_diagmicrobio_2013_11_021 crossref_primary_10_1016_j_jmii_2017_05_003 crossref_primary_10_1093_fampra_cmy133 crossref_primary_10_1016_j_vaccine_2021_06_073 crossref_primary_10_1016_j_bjp_2014_08_001 crossref_primary_10_3389_fmicb_2018_00164 crossref_primary_10_7883_yoken_67_264 crossref_primary_10_1016_j_jpeds_2021_06_048 |
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| Keywords | Acute Diarrhea Diarrheal Disease Yersinia Enterocolitica Stool Test Stool Specimen Infection Microbiology Acute Diarrhea Digestive diseases Intestinal disease General practice |
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| SubjectTerms | Adolescent Adult Age groups Aged Aged, 80 and over Animals Bacteria - classification Bacteria - isolation & purification Biological and medical sciences Biomedical and Life Sciences Biomedicine Campylobacter Child Child, Preschool Cryptosporidium Diarrhea Diarrhea - epidemiology Diarrhea - etiology Diarrhea - microbiology Diarrhea - parasitology Epidemics Epidemiology Family physicians Feces - microbiology Feces - parasitology Feces - virology Female Gastroenterology. Liver. Pancreas. Abdomen General Practice Health care Humans Iceland - epidemiology Illnesses Infant Infant, Newborn Infections Infectious diseases Internal Medicine Laboratories Male Medical Microbiology Medical sciences Middle Aged Other diseases. Semiology Parasites Parasites - classification Parasites - isolation & purification Pathogens Prospective Studies Protozoa Questionnaires Rotavirus Salmonella Stomach. Duodenum. Small intestine. Colon. Rectum. Anus Surveys and Questionnaires Viral infections Virology Viruses Viruses - classification Viruses - isolation & purification Young Adult |
| Title | Enteropathogens in acute diarrhea: a general practice-based study in a Nordic country |
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