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A two-year survey of the incidence of heat-labile enterotoxin-producing Escherichia coli and other enteric pathogens in travellers returning to the Sheffield area

Published online by Cambridge University Press:  15 May 2009

P. A. Chapman  and
Deborah L. Mitchelmore
P. A. Chapman
Affiliation:
Public Health Laboratory, Northern General Hospital, Herries Road, Sheffield S5 7AU.
Deborah L. Mitchelmore
Affiliation:
National Collection of Type Cultures, Central Public Health Laboratory, 61 Colindale Avenue, London NW9 5HT.
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A case-controlled study of the incidence of heat-labile enterotoxin-producing Escherichia coli (LT+ETEC) and other enteric pathogens in travellers returning to the Sheffield area was conducted from May 1984 to April 1986. LT+ETEC were found in 35 (5.8%) of 600 travellers to developed countries (mainly popular Mediterranean holiday resorts), 36 (11.3%) of 320 travellers to less-developed countries, and 11 (0.9%) of 1282 control patients whose illness was not associated with recent travel abroad. A seasonal peak of LT+ETEC infection was observed only in travellers to developed countries, with infections being significantly commoner in August to October. There was no significant deviation from expected age/sex distribution of LT+ETEC infection. Strains of LT+ETEC from travellers produced more toxin than strains from control patients, strains from travellers to less-developed countries producing most of all.

Type
Research Article
Information
Epidemiology & Infection , Volume 101 , Issue 2 , October 1988 , pp. 239 - 247
Copyright
Copyright © Cambridge University Press 1988

References

Abe, H., Ichiki, S., Hashimoto, S., Nakano, H., Sato, K., Kanda, T., Yanai, Y., Tsukamoto, T., Kinoshita, Y., Arita, M., Honda, T., Takeda, Y. & Miwotani, T. (1984). Isolation and characterisation of enterotoxigenic Escherichia coli from patients with travellers' diarrhoea in Osaka. Journal of Diarrhoeal Diseases Research 2, 83–87.Google ScholarPubMed
Back, E., Blomberg, T. & Wadstrom, T. (1977). Enterotoxigenic Escherichia coli in Sweden. Infection 5, 2–5.CrossRefGoogle Scholar
Bolton, F. J. & Robertson, L. (1982). A selective medium for isolating Campylobacter jejuni/coli. Journal of Clinical Patholgoy 35, 462–467.CrossRefGoogle ScholarPubMed
Brunton, J., Hinde, D., Langston, C., Gross, R. J., Rowe, B. & Gurwith, M. (1980).Enterotoxigenic Escherichia coli in central Canada. Journal of Clinical Microbiology 11. 343–348.CrossRefGoogle ScholarPubMed
Business Statistics Office (1985). Business monitor annual statistics. Overseas travel and tourism. London: Her Majestys Stationary Office.Google Scholar
Chapman, P. A. (1987). Vibrio alginolyticus and diarrhoeal disease. Journal of Diarrhoeal Diseases Research 5, 40.Google ScholarPubMed
Chapman, P. A. & Swift, D. L. (1984). A simplified method for detecting the heat–labile enterotoxin of Escherichia coli. Journal of Medical Microbiology 18, 399–403.CrossRefGoogle ScholarPubMed
Communicable Diseases Surveillance Centre (1986). Foodborne disease surveillance in England and Wales 1984. British Medical Journal 293, 1424–1427.CrossRefGoogle Scholar
Craun, G. F. (1986). Recent statistics of waterborne disease (1981–1983). In Waterborne Diseases in the United States (Ed. G., F. Craun), pp. 161–170. Boca Raton, U.S.A: CRC Press.Google Scholar
Echeverria, P., Blacklow, R. R. & Smith, D. H. (1975). Role of heat–labile toxigenic Escherichia coli and reovirus–like agent in diarrhoea in Boston children. Lancet ii, 1113–1116.CrossRefGoogle Scholar
Ericsson, C. D. & DuPont, H. L. (1985). Travellers' diarrhoea: recent developments. Current Clinical Topics in Infectious Diseases 6, 66–84.Google Scholar
Furniss, A. L., Lee, J. V. & Donovan, T. J. (1978). The Vibrios: Public Health Laboratory Service Monograph Series No. 11. London: Public Health Laboratory Service.Google Scholar
Garcia, L. S., Brewer, T. C., Bruckner, D. A. & Shimizu, R. Y. (1983). Acid fast staining of Cryptosporidium from human faecal specimens. Clinical Microbiology Newsletter 5, 60–61.CrossRefGoogle Scholar
Gordon, J. E., Chitkara, I. D. & Wyon, J. B. (1963). Weanling diarrhoea. American Journal of Medical Science 245, 129–161.CrossRefGoogle Scholar
Gracey, M., Burke, V., Robinson, J., Masters, P. L., Stewart, J. & Pearman, J. (1984). Aeronomas spp in travellers' diarrhoea. British Medical Journal 289, 658.CrossRefGoogle Scholar
Gross, R. J. (1983). Escherichia coli diarrhoea. Journal of Infection 7, 177–192.CrossRefGoogle ScholarPubMed
Gross, R. J., Scotland, S. M. & Rowe, B. (1979). Enterotoxigenic Escherichia coli causing diarrhoea in travellers returning to the United Kingdom. British Medical Journal 278, 1463.CrossRefGoogle Scholar
Guerrant, R. L. (1985). Microbial toxins and diarrhoeal disease: introduction and overview. In Microbial Toxins and Diarrhoeal Disease, Ciba Foundation Symposium No. 112 (ed. Evered, D.Whelan, J.), pp. 1–27. London: Pitman Medical.CrossRefGoogle Scholar
Annual Abstract of Statistics. London: Her Majesty's Stationary office.Google Scholar
Jokipii, L., Pohjola, S. & Jokipii, A. M. M. (1983). Cryptosporidium: a frequent finding in patients with gastrointestinal symptoms. Lancet II, 358–361.CrossRefGoogle Scholar
Jokipii, L., Pohjola, S. & Jokipii, A. M. M. (1985). Cryptosporidiosis associated with travelling and giardiasis. Gastroenterology 89, 838–842.CrossRefGoogle ScholarPubMed
Keusch, G. T. & Scrimshaw, N. S. (1986). Selective primary health care: strategies for control of disease in the developing world. XXIII. Control of infection to reduce the prevalence of infantile and childhood malnutrition. Reviews of Infectious Diseases 8, 273–287.CrossRefGoogle ScholarPubMed
Khan, M. U. & Greenough, W. B. (1985). Epidemiology of bacterial diarrhoeal diseases in Bangladesh. In Bacterial Diarrhoeal Diseases (Ed. Y., Takeda, T., Miwatani), pp. 37–52. KTK Scientific, Tokoyo and Martinus Nijhoff, Boston.CrossRefGoogle Scholar
Kudoh, Y. & Sakai, S. (1985). Current status of bacterial diarrhoeal diseases in Japan. In Bacterial Diarrhoeal Diseases (Eds. Takeda, Y., Miwatani, T.), pp. 83–93. Tokyo: KTK Scientific Boston: Martinus Nijhoff.CrossRefGoogle Scholar
Ma, P., Kaufman, D. L., Helmick, C. G., D'Souza, A. J. & Navin, T. R. (1985). Cryptosporidiosis in tourists returning from the Caribbean. New England Journal of Medicine 312, 647–648.Google ScholarPubMed
Nalin, D. R., Mclaughilin, J. C., Rahaman, M., Yunus, M. & Curlin, G. (1975). Enterotoxigenic Escherichia coli and idiopathic diarrhoea in Bangladesh. Lancet ii, 1116–1119.CrossRefGoogle Scholar
Report (1985). Consensus conference on travellers' diarrhoea held by the National Institutes for Health, U.S.A. Journal of the American Medical Association 253, 2700–2704.Google Scholar
Rogol, M., Sechter, I., Grinberg, L. & Gerichter, C. B. (1979). Pril–xylose–ampicillin agar, a new selective medium for the isolation of Aeromonas hydrophila. Journal of Medical Microbiology 12, 229–231.CrossRefGoogle Scholar
Rowe, B. (1979). The role of Escherichia coli in gastroenteritis. Clinics in Gastroenterology 8, 625–644.CrossRefGoogle ScholarPubMed
Rowe, B. & Gross, R. J. (1984). Salmonellosis, campylobacter enteritis and shigella dysentery. In Microbes and Infections of the Gut (Ed. Goodwin, C.S.), pp. 47–78. London: Blackwell Scientific Publications.Google Scholar
Sack, D. A., Kaminsky, D. C., Sack, R. B., Wamola, I. A., Orskov, F., Orskov, I., Slack, R. C. B., Arthur, R. R. & Kapikian, A. Z. (1977). Enterotoxigenic Escherichia coli diarrhoea of travellers: a prospective study of American peace corps volunteers. Johns Hopkins Medical Journal 141, 63–70.Google ScholarPubMed
Sack, R. B. (1978). The epidemiology of diarrhoea due to enterotoxingenic Escherichia coli. Journal of Infectious Diseases 137, 639–640.CrossRefGoogle Scholar
Sack, R. B., Gorbach, S. L., Banwell, J. G., Jacobs, B., Chatterje, B. D. & Mitra, R. C. (1971). Enterotoxigenic Escherichia coli isolated from patients with severe cholera–like disease. Journal of Infectious Diseases 123, 378–385.CrossRefGoogle ScholarPubMed
Skirrow, M. B. (1977). Campylobacter enteritis: a new disease. British Medical Journal 275, 9–11.CrossRefGoogle Scholar
Soave, R. & Ma, P. (1985). Cryptosporidiosis: travellers' diarrhoea in two families. Archives of Internal Medicine 145, 70–72.CrossRefGoogle ScholarPubMed
Steele, J. H. (1983). World epidemiology of salmonellosis. International Journal of Zoonoses 10, 45–52.Google ScholarPubMed
World Tourism Organisation (1985). Tourism Compendium. Graficas FCC, SL, Madrid.Google Scholar