Importance of salmonellae and Campylobacter jejuni in the etiology of diarrheal disease among children less than 5 years of age in a community in Bangkok, Thailand.
The etiology of diarrhea in children less than 5 years of age in a low-income housing project in Bangkok, Thailand, was determined over 1 year. Nontyphoidal salmonellae (13%), Campylobacter jejuni (12%), rotavirus (12%), enterotoxigenic Escherichia coli (7%), shigellae (6%), E. coli that hybridized with the enteropathogenic E. coli adherence factor probe (3%), and enteroinvasive E. coli (1%) were identified in 345 episodes of diarrhea in children less than 5 years of age. Salmonellae were identified in 17% and C. jejuni was identified in 15% of 54 children less than 6 months of age with diarrhea. Shigellae, enteroinvasive E. coli, enteropathogenic E. coli adherence factor, and enterotoxigenic E. coli were not isolated from children less than 6 months of age. Since salmonellae and C. jejuni were the most common bacterial pathogens identified in children less than 6 months of age, efforts to prevent transmission of salmonellae and campylobacter to young children should be a public health priority in Bangkok.
Varavithya
W
W
Faculty of Medicine, Ramathibodi Hospital, Bangkok, Thailand.
Vathanophas
K
K
Bodhidatta
L
L
Punyaratabandhu
P
P
Sangchai
R
R
Athipanyakom
S
S
Wasi
C
C
Echeverria
P
P
D002169:Campylobacter Infections / Q000453:epidemiology / Q000209:etiology*; D016123:Campylobacter jejuni / Q000472:pathogenicity; D002675:Child, Preschool; D003967:Diarrhea / Q000453:epidemiology / Q000209:etiology*; D004405:Dysentery, Bacillary / Q000453:epidemiology / Q000209:etiology; D004927:Escherichia coli Infections / Q000453:epidemiology / Q000209:etiology; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D012400:Rotavirus Infections / Q000453:epidemiology / Q000209:etiology; D012480:Salmonella Infections / Q000453:epidemiology / Q000209:etiology*; D012621:Seasons; D013785:Thailand / Q000453:epidemiology