Bacteria Associated with Diarrhoea in Children in Khartoum State, Sudan 2006
Abstract
This study was carried out to identify enterobacteria in children suffering from diarrhoea in Khartoum State (Khartoum and Khartoum North) . Samples of diarrhoeal stool were collected during the period from May to June 2006 from 60 children aged between 4 months to 5 years suffering from diarrhoea .
Isolated bacteria were identified on the basis of their cultural and biochemical characteristics and included the following species : Escherichia coli and Salmonella typhi from 5 specimens , S. paratyphi from 5 specimens , S. typhimurium from 4 specimens , Shigella dysenteriae from one specimen , Sh. Flexneri from 2 specimens, Sh.boydii from one specimen , Proteus vulgaris from 2 specimens , Klebsiella pneumoniae from 4 specimens , K. rhinoschermatis from 2 specimens and Pseudomonas aeruginosa from 6 specimens .
The susceptibility of isolated bacteria to some antibiotics using the multi disk method was variable.
References
Bernard, D., Davis,M.D., Renato,M.D., Hermann,N., Eisen,M.D.and Harold,s. (1980). Microbiology including immunology and molecular genetics, 3 edition. Harper and Row, Publisher. New York., 659-660.
Binder HJ. (2006). Causes of chronic diarrhea. N Engl J Med. 2006 Jul 20;355(3):236-9.
Blank, T. E., Zhong, H., Bell, A. L., Whittam, T. S and Donnenberg, M. S. (2000). Molecular Variation among Type IV Pilin (bfpA) Genes from Diverse Enteropathogenic Escherichia coli Strains. Infect. Immun. 68: 7028-7038
Cohen ,M.B (1991). Etiology and mechanisms of acute infectious diarrhea in infants in the United States. Journal of Pediatrics 118 (4, Part2): S34-S39.
Cowan,S.T., and Steel,K.J.,(1975).Manual for the Identification of Medical Bacteria. Cambridge University Press. Cambridge.
Engel, J.D and Schaeffer ,A.J (1998). Evaluation of and antimicrobial therapy for recurrent urinary tract infections in women . J. Urol Clin North Am ., 25(4): 685-701.
Erwa,H.H.(1969). Bacterial disease in Sudanese children .J. Trop.Med. Hyg, 72-261.
Fine, K.D and Schiller, L.R (1999). AGA technical review on the evaluation and management of chronic diarrhea. J. of Gastroenterology .,116: p.1464
Fisman , D.N and Kaye, K.M, (2000 ). Once-daily dosing of aminoglycoside antibiotics. J. Infect Dis Clin North Am ., 14(2): 475-87.
Fitzgerald JF. (1989). Management of acute diarrhoea. Pediatric Infectious Disease Journal 8 (8): 564-9.
Gibbons, T and Fuchs, G.J (2007). Chronic enteropathy: clinical aspects. Nestle Nutr Workshop Ser Pediatr Program. 2007;59:89-101; discussion 102-4.
Guerrant , R.L.,Van Gilder, T and Steiner T.S.(2001). Practice guidelines for the management of infectious diarrhea .J. Clin Infect Dis 32: 331
Huilan , S ., Zhen , L.G ., Mathan , M M ., Mathew , M.M ., Olarte ,J and Espejo , R. (1991) . Etiology of acute diarrhoea among children in developing countries: a multicentre study in developing countries. Bulletin of the World Health Organization ., 69(5):549-55.
Huskins,W.C., Griffiths, J.K., Faruque, A.S and Bennish, M.L.(1994).
Shigllosis in neonates and young infants ., J- Paediatr ., 125(1) : 14-22
Kidd, A.H., Esrey, S.A.and Ujfalusi, M.J.(1989). Shedding of coronavirus-like particles by children in Lesotho. J Med Virol ,27: 164-9.
Laney DW, and MB Cohen. (1993). Approach to the pediatric patient with diarrhea. Gastroenterology Clinics of North America 22 (3): 499-516.
Motarjemi ,Y ., Kafersstein, F .,Moy, G and Quevedo,F. (1993). Contaminated weaning food : a major risk factor for diarrhoea and associated malnutrition .J. Bull- World – Org ., 71(1) : 79-92.
Pickering , L., and M.M ,Levine.( 1991). Management of acute diarrheal disease: Discussion VII. Journal of Pediatrics 118 (4, Part 2): S137-S138.
Robin-Brown , R.M., Yam, W.C., O Gorman, L.E and Bettelheim, K.A . (19993) . Examination of archetypal strains of enteropathogenic Escherichia coli for properties associated with bacterial virulence .J- Med- Microbiol., 38(3): 222-6
Ruuska T, Vesikari T.(1991). A Prospective Study of Acute Diarrhoea in Finnish Children from birth to 2 ½ Years of Age. J. Acta Pædiatr Scand., 80:500-507.
Sander , J . (1993) . Pathogenesis of salmonella infections in humans ., DTW-Dtsch – Tierarztl- Wochenschr., 100(7): 283-5
Talley, N.J., Weaver, A.L .and Zinsmeister, A.R. (1994). Self-reported diarrhea: what does it mean? Am. J. Gastroenterol., 89: 1160,
Thielman, N.M.and Guerrant, R.L (2004). Clinical practice. Acute infectious diarrhea., N Engl .J. Med, 350: 38.
Vazquez-Torres , A and Fang ,F.C (2000) . Cellular routes of invasion by enteropathogens. J. of Curr Opin Microbiol ., 3: 54
Walker-Smith , J.A (1993). Diarrhoeal disease: current concepts and future challenges., Malnutrition and infection. Transactions of the Royal Society of Tropical Medicine ., 87 (3): 13-5.