Infection with bacterial enteropathogens in Swedish travellers to South-East Asia--a prospective study

Epidemiol Infect. 1990 Oct;105(2):325-33. doi: 10.1017/s0950268800047920.

Abstract

Infection with potential bacterial enteropathogens was studied prospectively in 94 Swedish travellers. Three faecal samples were collected, regardless of diarrhoeal symptoms, after each of three 1-week stays in Singapore, Hong Kong and Japan. The specimens were analyzed for salmonella, shigella, yersinia, campylobacter and different enterotoxin-producing bacteria. A potential enteropathogen was identified in 30% (28/94) of the participants, i.e. in 26% of the healthy and in 39% of the travellers with diarrhoea. The most common isolates were enterotoxigenic bacteria of different species (14%), salmonella (11%) and campylobacter (7%). By performing enterotoxin-tests on six different colonies from the primary culture of each specimen enterotoxigenic Escherichia coli (ETEC) as well as enterotoxin-producing Klebsiella sp., Citrobacter sp. and Morganella morganii were identified. The latter strains were as prevalent as ETEC. In the 33 participants with diarrhoea enterotoxigenic bacteria (18%) and campylobacter (18%) were the most common isolates. Campylobacter-infected travellers developed symptomatic disease (6/7) significantly (P less than 0.02) more often than those infected with salmonella (3/10) or enterotoxigenic bacteria (6/13; 2 ETEC, 4 other species).

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Asia, Southeastern / epidemiology
  • Campylobacter Infections / epidemiology*
  • Diarrhea / epidemiology*
  • Dysentery, Bacillary / epidemiology
  • Enterobacteriaceae Infections / epidemiology*
  • Enterotoxins / biosynthesis
  • Feces / microbiology
  • Female
  • Humans
  • Male
  • Prospective Studies
  • Salmonella Infections / epidemiology
  • Sweden / ethnology
  • Travel
  • Yersinia Infections / epidemiology

Substances

  • Enterotoxins