Burden of Aeromonas hydrophila –associated diarrhea among children younger than 2 years in rural Egyptian community

Authors

  • Adel M Mansour US Naval Medical Research Unit No. 3, Cairo, Egypt
  • Rania Abd Elkhalek US Naval Medical Research Unit No. 3, Cairo, Egypt
  • Hind I Shaheen US Naval Medical Research Unit No. 3, Cairo, Egypt
  • Hanan El Mohammady US Naval Medical Research Unit No. 3, Cairo, Egypt
  • Samir Refaey Ministry of Health, Cairo, Egypt
  • Khaled Hassan US Naval Medical Research Unit No. 3, Cairo, Egypt
  • Mark Riddle National Naval Medical Center, Silver Spring, Maryland, USA
  • John W Sanders US Naval Medical Research Center Detachment, Lima, Peru
  • Peter J Sebeny National Naval Medical Center, Silver Spring, Maryland, USA
  • Sylvia Y.N. Young Navy Environmental and Preventive Medicine Unit 6 Pearl Harbor, HI, USA
  • Robert Frenck Cincinnati Children’s Hospital Medical Center, Ohio, Cincinnati, USA

DOI:

https://doi.org/10.3855/jidc.2390

Keywords:

Aeromonas hydrophila, diarrhea, children

Abstract

Introduction: Between 2004 and 2007, a birth cohort of Egyptian children was analysed to evaluate the epidemiology of enteric diseases.

Methodology: A stool sample was collected from the study children every two weeks as well as whenever they experienced diarrhea. Samples were tested for routine bacterial pathogens as well as enteropathogenic viruses and parasites. A secondary goal of the study was to evaluate the burden of less commonly reported pathogens including Aeromonas hydrophila.

Results: Of the 348 study subjects, 79 had A. hydrophila isolated from their stool at some point during the study.  Thirty-six children had exclusively symptomatic (S) infections while 33 had exclusively asymptomatic (AS) infections. However, 10 children had both S and AS infections. Among symptomatic cases, A. hydrophila was the sole pathogen isolated 36% of the time. An important aspect of A. hydrophila associated diarrhea was the high level of resistance to cephalosporins.

Conclusion: Although relatively uncommon, A. hydrophila was found to be associated with diarrhea among children living in Egypt and was frequently multi-drug resistant.

Author Biography

Adel M Mansour, US Naval Medical Research Unit No. 3, Cairo, Egypt

Bacreiology and Parasitology Diseases Research program

Downloads

Published

2012-12-15

How to Cite

1.
Mansour AM, Abd Elkhalek R, Shaheen HI, El Mohammady H, Refaey S, Hassan K, Riddle M, Sanders JW, Sebeny PJ, Young SY, Frenck R (2012) Burden of Aeromonas hydrophila –associated diarrhea among children younger than 2 years in rural Egyptian community. J Infect Dev Ctries 6:842–846. doi: 10.3855/jidc.2390

Issue

Vol. 6 No. 12: December 2012

Section

Original Articles

License

Authors who publish with this journal agree to the following terms:

  1. Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
  2. Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
  3. Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access).
Crossref
Scopus
Google Scholar
Europe PMC