title: Prevalence of enteric pathogens among international travelers with diarrhea acquired in Kenya (Mombasa), India (Goa), or Jamaica (Montego Bay).
abstract: Stools from tourists from Europe and North America who acquired diarrhea in Mombasa (Kenya), Goa (India), or Montego Bay (Jamaica) were examined for enteric pathogens. Enterotoxigenic Escherichia coli (ETEC) was the most common pathogen (25%) identified in the 3 locations. Isolation of Shigella species was more frequent in Goa and Mombasa than in Montego Bay (10%, 9%, and 0.3%, respectively; P <.005). Viruses (rotaviruses and enteric adenoviruses) were found in 9% of travelers to the 3 areas. Of 275 ETEC isolates in this study, 158 (57%) produced a defined colonization factor antigen (CFA). Coli surface 6 (CS6) was the most frequent and was found in 41%-52% of CFA/CS-positive ETEC isolates. The frequency of resistance among bacterial enteropathogens to traditional antimicrobial agents was particularly high throughout the study period in all 3 regions. Quinolones were active against the bacterial enteropathogens in the 3 sites.
authors.affiliation: Center for Infectious Diseases, University of Texas--Houston School of Public Health, Houston, TX 77030, USA. zjiang@sph.uth.tmc.edu
authors.forename: Zhi-Dong
authors.initials: ZD
authors.lastname: Jiang
authors.forename: Brett
authors.initials: B
authors.lastname: Lowe
authors.forename: M P
authors.initials: MP
authors.lastname: Verenkar
authors.forename: David
authors.initials: D
authors.lastname: Ashley
authors.forename: Robert
authors.initials: R
authors.lastname: Steffen
authors.forename: Nadia
authors.initials: N
authors.lastname: Tornieporth
authors.forename: Frank
authors.initials: F
authors.lastname: von Sonnenburg
authors.forename: Peter
authors.initials: P
authors.lastname: Waiyaki
authors.forename: Herbert L
authors.initials: HL
authors.lastname: DuPont
mesh_terms: D001419:Bacteria / Q000187:drug effects / Q000302:isolation & purification*; D003967:Diarrhea / Q000382:microbiology* / Q000517:prevention & control; D024881:Drug Resistance, Bacterial; D004926:Escherichia coli / Q000302:isolation & purification; D006801:Humans; D007194:India; D007422:Intestines / Q000382:microbiology*; D007563:Jamaica; D007630:Kenya; D015995:Prevalence; D012760:Shigella / Q000302:isolation & purification; D014195:Travel