First report of Escherichia coli O157 among Iraqi children

Article


Shebib, Z. A., Abdul Ghani, Z. G. and Mahdi, L. Kh.. 2003. "First report of Escherichia coli O157 among Iraqi children." Eastern Mediterranean Health Journal. 9 (1-2), pp. 159-166.
Article Title

First report of Escherichia coli O157 among Iraqi children

ERA Journal ID200394
Article CategoryArticle
AuthorsShebib, Z. A., Abdul Ghani, Z. G. and Mahdi, L. Kh.
Journal TitleEastern Mediterranean Health Journal
Journal Citation9 (1-2), pp. 159-166
Number of Pages8
Year2003
Place of PublicationEgypt
ISSN1020-3397
1687-1634
Web Address (URL)https://www.emro.who.int/emhj-list/emhj-volume-9-2003/vol9-issue12.html
Abstract

We determined the prevalence of enterohaemorrhagic Escherichia coli, especially E. coliO157, and other enteropathogens among 200 children with bloody diarrhoea and 100 age-matched controls at two Baghdad hospitals. Bacterial and parasitic agents were found in 39.5% and 28.5% of cases, respectively; no pathogen was detected in 32%. E. coliO157 was identified in 11.5% and more than one pathogen was found in 15.5% of cases. The most common pathogens were enteropathogenic E. coli (EPEC) (5%); E. coli other than E. coliO157 or EPEC (15%); Entamoeba histolytica (25%) and Giardia lamblia (3.5%). All isolates of E. coliO157:H7 were sensitive to cephalexin, ciprofloxacin, gentamicin and nalidixic acid and resistant to erythromycin, polymyxin B and vancomycin. Resistance to 6 or more antimicrobial agents was common (50% of isolates).

KeywordsAbdominal Pain; Case-Control Studies; Child; Child, Preschool; Diarrhea; Drug Resistance, Bacterial; Escherichia coli Infections; Escherichia coli O157; Feces; Female; Fever; Hospitals, Pediatric; Hospitals, Teaching; Humans; Incidence; Infant; Intestinal Diseases, Parasitic; Iraq; Male; Microbial Sensitivity Tests; Population Surveillance; Prevalence; Serotyping; Vomiting
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Byline AffiliationsAl-Nahrain University, Iraq
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