Bacteriological Study of Traveller's Diarrhoea (3) Isolation of Enteropathogenic Bacteria from Patients with Traveller's Diarrhoea at Osaka Airport Quarantine Station During 1980-1983

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  • 海外旅行者下痢症の細菌学的研究 (3) 1980-1983年大阪空港における下痢原因菌検索成績
  • カイガイ リョコウシャ ゲリショウ ノ サイキンガクテキ ケンキュウ 3 19

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Abstract

During 1980-1983, 5, 694, 435 overseas travellers were quarantined at Osaka Airportand 15, 232 travellers reported that they were (or had been) suffering from diarrhoea. Bacteriological examination of stools from 4, 843 persons revealed the following results.<BR>1) Various enteropathogenic bacteria were isolated from 47.7% of the cases examined. The species of bacteria isolated, the number of cases and the rate of isolation (in parentheses) were as follows: enterotoxigenic Escherichia coli, 1, 079 cases (22.3%); Salmonella, 712 cases (14.7%); Vibrio parahaemolyticus, 572 cases (11.8%); Shigella, 221 cases (4.6%); Vibrio cholerae non-O1, 120 cases (2.5%); Vibrio fluvialis, 41 cases; Campylobacter jejuni, 18 cases; Vibrio mimicus, 7 cases; enteroinvasive E. coli, 6 cases; Vibrio cholerae O1, 5 cases; enteropathogenic E. coli, 2 cases and Salmonella typhi, 1 case.<BR>2) There were no apparent seasonal variations in the rate of isolation of these pathogens.<BR>3) The suspected regions for infection with these pathogens were as follows:<BR>a) Enterotoxigenic E. coli, overall Asia, especially South-East Asia (51.7%).<BR>b) V. parahaemolyticus, mainly South-East Asia (76.7%).<BR>c) Shigella, South-West Asia (52.9%), especially India (37.6%).<BR>d) V. cholerae non-O1 and V. fluvialis, South-East Asia (62.5% and 73.2%, respectively).<BR>4) Several pathogens were isolated simultaneously from the same patient in 423 cases.<BR>5) Several serovars of Salmonella and Shigella strains were simultaneously detected from 124 and 11 cases, respectively.<BR>6) The serovars and antibiotic-sensitivities of the isolated strains were examined.<BR>7) The classification of patients with enterotoxigenic E. coli strains by enterotoxin type were also examined.

Journal

  • Kansenshogaku Zasshi

    Kansenshogaku Zasshi 62 (2), 108-122, 1988

    The Japanese Association for Infectious Diseases

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