1. Characteristics of diarrheagenic Escherichia coli among patients with acute diarrhea in China, 2009‒2018.
- Author
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Zhou, Shi-Xia, Wang, Li-Ping, Liu, Meng-Yang, Zhang, Hai-Yang, Lu, Qing-Bin, Shi, Lu-Sha, Ren, Xiang, Wang, Yi-Fei, Lin, Sheng-Hong, Zhang, Cui-Hong, Geng, Meng-Jie, Zhang, Xiao-Ai, Zhu, Yu-Liang, Li, Zhong-Jie, Fang, Li-Qun, Liu, Wei, and Yang, Wei-Zhong
- Abstract
Objectives To investigate the epidemiological features of diarrheagenic Escherichia coli (DEC) in patients with acute diarrhea in China. Methods An active sentinel surveillance was performed in all-age patients with acute diarrhea in China, 2009‒2018. DEC was isolated and identified by serological assay and PCR from stool samples. Results DEC was determined in 6.68% (6,119/91,651) of the patients, with higher positive rates among females than among males (6.97% vs. 6.46%) and among 18‒59 years patients (7.88%) than among other age groups. Five pathotypes were identified, the most prevalent was enteroaggregative E. coli (EAEC), followed by enteropathogenic E. coli (EPEC), and enterotoxigenic E. coli (ETEC). Pediatric patients <5 years had higher positive rate of EAEC (2.07%), followed by EPEC (1.81%), and enterohemorrhagic E. coli (EHEC) (0.31%), while the 18‒59 years patients had higher infection of ETEC (2.36%). ETEC and EPEC were more frequently identified in urban than rural areas, with age and gender adjusted positive rate of 1.68% vs. 1.14% respectively, and 1.77% vs. 1.55%, while EIEC and EHEC were more frequently identified in rural areas. Conclusions These findings highlight the epidemiology features of DEC and underscores the need for conducting DEC surveillance. [ABSTRACT FROM AUTHOR]
- Published
- 2021
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