Enteric pathogens associated with childhood diarrhea in Tripoli-Libya

Autor: Ezzedin Franka, Hind I. Shaheen, Omar Abusnena, John D. Klena, Abdalwahed A. Abobker, Khalifa Sifaw Ghenghesh, Zaineb Krema, Amal Rahouma, Hanan El Mohammady, Khalid Treesh, Abdulhafid Abudher
Rok vydání: 2011
Předmět:
Zdroj: The American journal of tropical medicine and hygiene. 84(6)
ISSN: 1476-1645
Popis: Stool samples from children < 5 years of age with diarrhea (N = 239) were examined for enteric pathogens using a combination of culture, enzyme-immunoassay, and polymerase chain reaction methods. Pathogens were detected in 122 (51%) stool samples; single pathogens were detected in 37.2% and co-pathogens in 13.8% of samples. Norovirus, rotavirus, and diarrheagenic Escherichia coli (DEC) were the most frequently detected pathogens (15.5%, 13.4%, and 11.2%, respectively); Salmonella, adenovirus, and Aeromonas were detected less frequently (7.9%, 7.1%, and 4.2%). The most commonly detected DEC was enteroaggregative E. coli (5.4%). Resistance to ≥ 3 antimicrobials was observed in 60% (18/30) of the bacterial pathogens. Salmonella resistance to ciprofloxacin (63.1%) has become a concern. Enteric viral pathogens were the most significant causative agents of childhood diarrhea in Tripoli. Bacterial pathogens were also important contributors to pediatric diarrhea. The emergence of ciprofloxacin-resistant Salmonella represents a serious health problem that must be addressed by Libyan health authorities.
Databáze: OpenAIRE