Stool carrier rates of Escherichia coli serogroups 4, 6, and 75 were determined on admission and discharge for 190 patients. Persons who were in the hospital 3 weeks or longer had an intestinal carrier rate of 46% compared to a rate of 28% in individuals who had no recent hospital contact. Treatment with broad spectrum antibiotics increased the susceptibility for acquisition of certain specific serologic groups. This was apparently not related to replacement of sensitive E. coli by drug-resistant forms. Studies were made to determine the environmental source for colonization of hospitalized patients and the risk of urinary infection in stool carriers of these strains. A survey of inanimate objects of medical and urological wards demonstrated infrequent isolation of 04, 06, and 075, indicating that extraintestinal foci were an unlikely source for hospital-acquired E. coli. Hemagglutination titers with determination of group-specific O antibody failed to demonstrate any deficiency in hospitalized patients who became colonized with certain coliforms. Similarly, no significant deficit in group-specific serum antibody was found in patients who were community carriers of E. coli 04, 06, or 075. Despite a high rate of acquisition of E. coli serogroups 4, 6, and 75 in the stools of hospitalized patients, only those patients undergoing urinary tract manipulation developed bacteriuria.
Richard H. Winterbauer, Marvin Turck, Robert G. Petersdorf
Title and authors | Publication | Year |
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Encyclopedia of Environmental Microbiology
KD Mena |
Encyclopedia of Environmental Microbiology | 2003 |
A potassium-induced mitochondrial protein related to aldosterone biosynthesis
C Meuli, J Muller |
American journal of physiology. Endocrinology and metabolism | 1983 |
COLONIZATION AND BRONCHOPULMONARY INFECTION
J Higuchi, W Johanson |
Clinics in Chest Medicine | 1982 |
Symposium on Host-Parasite Interactions: Umeå, Sweden, June 6–8, 1979
SE Holm, B Björkstén, L Gothefors, M Sande |
Scandinavian Journal of Infectious Diseases | 1980 |
Infection in the severely traumatized patient
SC Schimpff, RM Miller, S Polkavetz, RB Hornick |
Annals of Surgery | 1974 |
Colicins ofEscherichia coli strains causing urinary tract infections, sensitivity of these strains towards colicins, and their O-serotypes
V Horák, A Lanc |
Folia Microbiologica | 1973 |
Biotyping of Enterobacteriaceae as a test for the evaluation of isolation systems
D der Waaij, TM Speltie, JM Vossen |
Journal of Hygiene | 1972 |
A Klebsiella Outbreak in a Pediatric Nursery: Emergency Action and Preventive Surveillance
MZ Kayyali, DP Nicholson, IM Smith |
Clinical Pediatrics | 1972 |
Hospital-Acquired Infections
LM Sherwood, EE Parris, LM Sherwood, EE Parris, DS Feingold |
New England Journal of Medicine | 1970 |
Terminal bronchopneumonia. A bacteriological and histological study of 111 necropsies
EI Tanner, JD Gray, PV Rebello, DR Gamble |
Journal of Hygiene | 1969 |
Escherichia coli epidemiology, 1960-1968
RG Petersdorf, M Turck |
Transactions of the American Clinical and Climatological Association | 1969 |
Bacteriophage typing as an epidemiological tool for urinary Escherichia coli
JT Parisi, JC Russell, RJ Merlo |
Applied microbiology | 1969 |
Changing faecal population of Escherichia coli in hospital medical patients
EM Cooke, S Ewins, RA Shooter |
British medical journal | 1969 |
Changing Pharyngeal Bacterial Flora of Hospitalized Patients: Emergence of Gram-Negative Bacilli
WG Johanson, AK Pierce, JP Sanford |
New England Journal of Medicine | 1969 |
Bacteriophage Typing as an Epidemiological Tool for Urinary Escherichia coli
JT Parisi, JC Russell, RJ Merlo |
Applied microbiology | 1969 |
Terminal bronchopneumonia. A bacteriological and histological study of 111 necropsies.
Tanner EI, Gray JD, Rebello PV, Gamble DR |
The Journal of hygiene | 1969 |
Clinical Studies on the Antibody Response to E. Coli O-Antigens in Infants and Children with Urinary Tract Infection, Using a Passive Haemagglutination Technique
HJ Andersen |
Acta Paediatrica | 1968 |
ESCHERICHIA COLI SEROTYPES IN URINARY-TRACT INFECTION IN A MEDICAL WARD
AG Spencer, D Mulcahy, RA Shooter, FW O'Grady, KA Bettleheim, J Taylor |
The Lancet | 1968 |
Serologic Responses to Heterologous Escherichia Serogroups in Women with Pyelonephritis
MJ Carter, NJ Ehrenkranz, J Burns, JC Cassady |
New England Journal of Medicine | 1968 |