title: Enteroaggregative Escherichia coli associated with persistent diarrhea in a cohort of rural children in India.
abstract: A cohort of 452 rural children was followed longitudinally for 13 mo to ascertain the role of HEp-2 cell adherent Escherichia coli and other pathogens in causing acute (less than or equal to 14 d) and persistent (greater than 14 d) diarrhea. Aeromonas, Campylobacter jejuni, E. coli manifesting localized adherence to HEp-2 cells and enterotoxigenic E. coli were significantly associated with acute diarrhea. E. coli strains that exhibit aggregative adherence, so-called enteroaggregative E. coli, a newly-described category of diarrheagenic E. coli distinct from enterotoxigenic, enteroinvasive, enterohemorrhagic, and enteropathogenic E. coli, were found significantly more often in patients with persistent diarrhea (29.5%) than with acute diarrhea (12.8%) (P = .0052) or controls (9.9%) (P = .0006).
authors.affiliation: Department of Pediatrics, All India Institute of Medical Sciences, New Delhi.
authors.forename: M K
authors.initials: MK
authors.lastname: Bhan
authors.forename: P
authors.initials: P
authors.lastname: Raj
authors.forename: M M
authors.initials: MM
authors.lastname: Levine
authors.forename: J B
authors.initials: JB
authors.lastname: Kaper
authors.forename: N
authors.initials: N
authors.lastname: Bhandari
authors.forename: R
authors.initials: R
authors.lastname: Srivastava
authors.forename: R
authors.initials: R
authors.lastname: Kumar
authors.forename: S
authors.initials: S
authors.lastname: Sazawal
mesh_terms: D000208:Acute Disease; D001422:Bacterial Adhesion; D002460:Cell Line; D002675:Child, Preschool; D002908:Chronic Disease; D015331:Cohort Studies; D003967:Diarrhea / Q000382:microbiology*; D004926:Escherichia coli / Q000378:metabolism*; D004927:Escherichia coli Infections / Q000382:microbiology*; D006801:Humans; D007194:India; D007223:Infant; D008137:Longitudinal Studies; D011446:Prospective Studies; D012424:Rural Population