title: [Enterotoxigenic Escherichia coli: description of a nosocomial diarrhea outbreak].
abstract: A nosocomial diarrhea outbreak caused by Escherichia coli 0153: H45, which produces a thermostable enterotoxin, in five neonates admitted to the neonatology ward of the pediatric service of the Valencia University Hospital is described. The outbreak was discovered during a prospective study lasting eight months and aimed at evaluating the importance of Escherichia coli with enterotoxic capacity in acute infant diarrhea within our environment. The study involved conventional enterotoxigenicity tests applied both in vivo and in vitro. One of the patients, admitted with acute diarrhea was the source of the outbreak, with a possible person to person transmission. The diarrhea was slight to moderate. Emphasis is placed on the importance of this type of diarrhea in developed countries, and the problem is analyzed by reviewing its situation to the present.
authors.affiliation: Departamento de Pediatría, Hospital Clínico Universitario, Facultad de Medicina, Valencia.
authors.forename: A
authors.initials: A
authors.lastname: Escribano Montaner
authors.forename: J
authors.initials: J
authors.lastname: Concepción Gimeno
authors.forename: J
authors.initials: J
authors.lastname: García de Lomas Barrionuevo
authors.forename: J
authors.initials: J
authors.lastname: Colomer Sala
mesh_terms: D001427:Bacterial Toxins / Q000032:analysis; D003428:Cross Infection / Q000453:epidemiology / Q000209:etiology* / Q000382:microbiology; D003968:Diarrhea, Infantile / Q000453:epidemiology / Q000209:etiology* / Q000382:microbiology; D004196:Disease Outbreaks; D004768:Enterotoxins / Q000032:analysis; D004926:Escherichia coli / Q000145:classification / Q000302:isolation & purification; D004927:Escherichia coli Infections / Q000453:epidemiology* / Q000382:microbiology; D029968:Escherichia coli Proteins; D006801:Humans; D007231:Infant, Newborn; D013030:Spain
chemical_list: D001427:Bacterial Toxins; D004768:Enterotoxins; D029968:Escherichia coli Proteins; C034151:heat stable toxin (E coli); C027538:heat-labile enterotoxin, E coli
vernacular_title: Escherichia coli enterotoxigénico: descripción de un brote diarreico nosocomial.