title: Campylobacter diarrhea in Alexandria, Egypt.
abstract: The role of Campylobacter as a cause of bacterial diarrhea in young children in Alexandria, Egypt was investigated. Stools or rectal swabs were collected from 880 children (mean age 9.8 months) presenting to a hospital with the primary complaint of diarrhea and from 1,079 well children (mean age 8.8 months) attending a vaccination clinic. Isolation of Campylobacter was significantly (p<0.0002) more frequent from cases (17.2%) than from controls (6.4%). Campylobacter was isolated from children presenting with diarrhea more frequently than Salmonella (3% isolation rate), Shigella (2% isolation rate), or other bacterial pathogens (1% isolatoin rate). Isolation of Campylobacter was significantly more frequent during the rainy season (p<0.0012). These results implicate Campylobacter as a major bacterial cause of diarrhea for which young children are brought for medical attention in Alexandria, Egypt.
authors.affiliation: Enterics Program, Naval Medical Research Institute, Bethesda MD, USA.
authors.forename: G
authors.initials: G
authors.lastname: Pazzaglia
authors.forename: A L
authors.initials: AL
authors.lastname: Bourgeois
authors.forename: A S
authors.initials: AS
authors.lastname: Mourad
authors.forename: T
authors.initials: T
authors.lastname: Gaafar
authors.forename: A S
authors.initials: AS
authors.lastname: Diab
authors.forename: A
authors.initials: A
authors.lastname: Hebert
authors.forename: A
authors.initials: A
authors.lastname: Churilla
authors.forename: J R
authors.initials: JR
authors.lastname: Murphy
mesh_terms: D000554:Ambulatory Care Facilities; D000818:Animals; D002169:Campylobacter Infections / Q000453:epidemiology / Q000382:microbiology; D016022:Case-Control Studies; D015984:Causality; D002648:Child; D002669:Child Welfare / Q000706:statistics & numerical data; D002675:Child, Preschool; D003967:Diarrhea / Q000453:epidemiology / Q000382:microbiology; D004405:Dysentery, Bacillary / Q000453:epidemiology; D004534:Egypt / Q000453:epidemiology; D005243:Feces / Q000382:microbiology; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D011159:Population Surveillance; D011200:Poultry / Q000382:microbiology; D012480:Salmonella Infections / Q000453:epidemiology; D012621:Seasons; D014504:Urban Health / Q000706:statistics & numerical data*; D014611:Vaccination