Hostname: page-component-78c5997874-4rdpn Total loading time: 0 Render date: 2024-11-02T19:10:57.978Z Has data issue: false hasContentIssue false

High prevalence of campylobacter excretors among Liberian children related to environmental conditions

Published online by Cambridge University Press:  19 October 2009

Kåre Mølbak
Affiliation:
Malaria Research Laboratory, Statens Seruminstitut, Amager Boulevard 80, 2300 Copenhagen 8, Denmark
Niels Højlyng
Affiliation:
Malaria Research Laboratory, Statens Seruminstitut, Amager Boulevard 80, 2300 Copenhagen 8, Denmark
Knud Gaarslev
Affiliation:
Department of Diagnostic Bacteriology, Statens Seruminstitut, Amager Boulevard 80, 2300 Copenhagen S, Denmark
Rights & Permissions [Opens in a new window]

Summary

Core share and HTML view are not available for this content. However, as you have access to this content, a full PDF is available via the ‘Save PDF’ action button.

Campylobacter was the bacterial pathogen most prevalent in 850 children, aged 6–59 months, examined in a house-to-house diarrhoea survey in two Liberian communities. 44·9% of the children from an urban slum and 28·4% from a rural area were excretors. Since the prevalence of diarrhoea was very high and consequently many convalescent carriers were found, it was not possible to evaluate the pathogenic role of campylobacter.

The excretor rate increased with ago and was significantly correlated to the uso of supplementary feeding, inversely correlated to the quality of the water supply, and also associated with helminthic infestation. Results from re-examination of 172 children suggested a high intensity of transmission.

The findings all indicate the existence of a heavy environmental contamination with campylobacter, probably of both human and animal faecal origin.

Type
Research Article
Copyright
Copyright © Cambridge University Press 1988

References

REFERENCES

Allen, A. V. H. & Ridley, D. S. (1970). Further observations on the formol-ether concentration technique for faecal parasites. Journal of Clinical Pathology 23, 545646.CrossRefGoogle ScholarPubMed
Armitage, P. (1971). Statistical Methods in Medical Research, pp. 363365. Oxford: Blackwell Scientific Publications.Google Scholar
Berry, R.J., Gracey, M. & Bamford, V. W. (1981). Campylobacter jejuni carriers in Australian aboriginal communities. Medical Journal of Australia 68, 381.Google Scholar
Billingham, J. D. (1981). Campylobacter enteritis in The Gambia. Transactions of the Royal Society of Tropical Medicine and Hygiene 75, 641644.CrossRefGoogle ScholarPubMed
Blaser, M. J., Glass, R. I., Huq, M. I., Stoll, B., Kibriya, G. M. & Alim, A. R. M. A. (1980). Isolation of Campylobacler fetus subsp. jejuni from Bangladeshi Children. Journal of Clinical Microbiology 12, 744747.CrossRefGoogle ScholarPubMed
Blaser, M. J., LaForce, M., Wilson, N. A. & Wang, W. L. L. (1980). Reservoirs for Human Campylobacteriosis. Journal of Infectious Diseases 141, 665669.CrossRefGoogle ScholarPubMed
Blaser, M.J. & Reller, L. B. (1981). Campylobacter enteritis. New England Journal of Medicine 305, 14441452.CrossRefGoogle ScholarPubMed
Bokkenhheuser, V. D., Richardson, N. J., Bryner, J. H., Roux, D. J., Schytte, A. V., Koornhof, H.J., Freiman, I. & Hartman, E. (1970). Detection of enteric campylobacteriosis in children. Journal of Clinical Microbiology 9, 227232.CrossRefGoogle Scholar
Dean, A. G., Ching, Y.-C., Williams, R. G. & Harden, L. B. (1972). Test for Escherichia coli enterotoxin using infant mice: application in a study of diarrhoea in children in Honolulu. Journal of Infectious Diseases 125, 407411.CrossRefGoogle Scholar
De Mol, P. & Bosmans, E. (1978). Campylobacter enteritis in Central Africa. Lancet i, 604.CrossRefGoogle Scholar
De Mol, P., Brasseur, D., Hemelhof, W., Kalala, T., Butzler, J. P. & Vis, H. L. (1983). Enteropathogcnic agents in children with diarrhoea in rural Zaire. Lancet i, 510518.Google Scholar
Donta, S.T., Moon, H. W. & Whipp, S.C. (1974). Detection of heat-labile Escherichia coli entcrotoxin with the use of adrenal cells in tissue culture. Science 183, 334336.CrossRefGoogle ScholarPubMed
Figueroa, G., Troncoso, M., Araya, M., Espinoza, J. & Brunser, O. (1983). Enteropathogen carriage by healthy individuals living in an area with poor sanitation. Journal of Hygiene 91, 499507.CrossRefGoogle Scholar
Georges, M. C., Wachsmuth, I. K., Meunier, D. M. V., Nebout, N., Didier, F., Siopathis, M. R. & Georges, A. J. (1984). Parasitic, bacterial, and viral enteric pathogens associated with diarrhea in the Central African Republic. Journal of Clinical Microbiology 19, 571575.CrossRefGoogle ScholarPubMed
Glass, R. I., Stoll, B. J., Huq, M. I., Struelens, M. J., Blaser, M. & Kibriya, A. K. M. G. (1983). Epidemiologic and clinical features of endemic Campylobader jejuni infection in Bangladesh. Journal of Infectious Diseases 148, 292296.CrossRefGoogle ScholarPubMed
Guerrant, R. L., Kirchhoff, L. V., Shields, D. S., Nations, M. K., Leslie, J., De Sousa, M. A., Araujo, J. G., Correia, L. L., Sauer, K. T., McClelland, K. E., Trowbridge, F. L. & Hughes, J. M. (1983). Prospective study of diarrheal illnesses in northeastern Brazil: patterns of disease, nutritional impact, etiologies, and risk factors. Journal of Infectious Diseases 148, 986997.CrossRefGoogle ScholarPubMed
Henriksen, S. Aa. & Pohlenz, J. F. L. (1981). Staining of Cryptosporidia by a modified Ziehl-Neelsen technique. Acta Veterinaria Scandinavia 22, 594596.CrossRefGoogle ScholarPubMed
Hopkins, R. S., Olmsted, R. & Istre, G. R. (1984). Endemic Campylobacter jejuni infection in Colorado: identified risk factors. American Journal of Public Health 74, 249250.CrossRefGoogle ScholarPubMed
Højlyng, N., Mølbak, K., Hanson, A. P. & Jepsen, S. (1985). Etiology of diarrhoea in Liberian children. Report. Copenhagen, Denmark: Statens Seruminstitut.Google Scholar
Højlyng, N., Mølbak, K. & Jepsen, S. (1986). Cryptosporidium spp., a frequent cause of diarrhea in Liberian children. Journal of Clinical Microbiology 23, 11091113.CrossRefGoogle ScholarPubMed
Kaldor, J., Pritchard, H., Serpell, A. & Metcalf, W. (1983). Serum antibodies in Campylobacter enteritis. Journal of Clinical Microbiology 18, 14.CrossRefGoogle ScholarPubMed
Karmali, M. A. & Fleming, P. C. (1979). Campylobacter enteritis in children. Journal of Pediatrics 94, 527533.CrossRefGoogle ScholarPubMed
Kleinbaum, D. G., Kupper, L. L. & Morgenstern, H. (1982). Epidemiological Research, pp. 331333. Belmont CA: Lifetime Learning Publications.Google Scholar
Lloyds-Evans, N., Drasar, B. S. & Tomkins, A. M. (1983). A comparison of the prevalence of Campylobader, Shigellae and Salmonellae in faeces of malnourished and well nourished children in The Gambia and Northern Nigeria. Transactions of the Royal Society of Tropical Medicine and Hygiene 77, 245247.CrossRefGoogle Scholar
Low, D. C., Lawande, R. V. & Hall, C. (1981). Campylobacter enteritis in Northern Nigeria. Transactions of the Royal Society of Tropical Medicine and Hygiene 75, 757.CrossRefGoogle ScholarPubMed
Melamed, I., Bujanover, Y., Spirer, Z., Schwartz, D. & Conforty, N. (1985). Polymicrobial infection in Campylobacter enteritis. British Medical Journal 291, 633634.CrossRefGoogle ScholarPubMed
Mentzing, L. O. (1981). Waterborne outbreaks of Campylobacter enteritis in central Sweden. Lancet ii, 352354.CrossRefGoogle Scholar
Olarte, J. & Perez, G. I. (1983). Campylobacter jejuni in children with diarrhea in Mexico City. Pediatric Infectious Disease 2, 1820.CrossRefGoogle ScholarPubMed
Palmer, S. R., Gully, P. R., White, J. M., Pearson, A. D., Suckling, W. G., Jones, D. M., Rawes, J. C. L. & Penner, J. L. (1983). Water-borne outbreak of Campylobacter gastroenteritis. Lancet i, 287290.CrossRefGoogle Scholar
Penner, J. L. & Hennessy, J. N. (1980). Passive hemagglutination technique for serotyping Campylobacter fetus subsp. jejuni on the basis of solublo heat-stable antigens. Journal of Clinical Microbiology 12, 732737.CrossRefGoogle ScholarPubMed
Porter, I. A. & Reid, T. M. S. (1980). A milk-borne outbreak of Campylobader infection Journal of Hygiene 84, 415419.Google Scholar
Ricciardi, I. D. & Ferreira, M. C. S. (1980). The age distribution in children with Campylobacter enteritis. Transactions of the Royal Society of Tropical Medicine and Hygiene 74, 687.CrossRefGoogle ScholarPubMed
Ringertz, S., Rockhill, R. C., Ringertz, O. & Sutomo, A. (1980). Campylobader fetus subsp. jejuni as a cause of gastroenteritis in Jakarta, Indonesia. Journal of Clinical Microbiology 12, 538540.CrossRefGoogle ScholarPubMed
Rowland, S.G.J.G., Lloyd-Evans, N., Williams, K. & Rowland, M. G. M. (1985). The aetiology of diarrhoea studied in the community in young urban Gambian children. Journal of Diarrhoeal Diseases Research 3, 713.Google Scholar
Schneider, D., Parent, G. & Maire, B. (1984). Campylobacter fetus subspecies jejuni in Senegal. European Journal of Clinical Microbiology 3, 216217.CrossRefGoogle ScholarPubMed
Skirrow, M. B. (1977). Campylobader enteritis: a ‘new’ disease. British Medical Journal 2, 911.CrossRefGoogle ScholarPubMed
Snyder, J. D. & Merson, M. H. (1982). The magnitude of the global problem of acute diarrhoeal disease: a review of active surveillance data. Bulletin WHO 60, 605613.Google ScholarPubMed
Svedham, Å & Kaijser, B. (1980). Campylobacter fetus subspecies jejuni: a common cause of diarrhea in Sweden. Journal of Infectious diseases 142, 353359.CrossRefGoogle Scholar
Vogt, R. L., Sours, H. E., Barrett, T., Feldman, R. A., Dickinson, R. J. &Withereia, L. (1982). Campylobacter enteritis associated with contaminated water. Annals of Internal Medicine 96, 292296.CrossRefGoogle ScholarPubMed
Walsh, J. A. & Warren, K. S. (1979). Selective primary health care. An interim strategy for disease control in developing countries. New England Journal of Medicine 301, 967974.CrossRefGoogle ScholarPubMed