Prevalence of Enteropathogens in Outpatients with Acute Diarrhea from Urban and Rural Areas, Southeast China, 2010-2014
Acute diarrhea is an important public health issue. Here, we focused on the differences of enteropathogens in acute diarrhea between urban and rural areas in southeast China. Laboratory- and sentinel-based surveillance of acute diarrhea (≥ 3 loose or liquid stools/24 hours) was conducted at 16 hospi...
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| Veröffentlicht in: | The American journal of tropical medicine and hygiene 2019-01, Vol.101 (2), p.310-318 |
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| creator | Chen, Chong Wang, Li-Ping Yu, Jian-Xing Chen, Xiao Wang, Ruo-Nan Yang, Xian-Zhi Zheng, Shu-Fa Yu, Fei Zhang, Zi-Ke Liu, Si-Jia Li, Zhong-Jie Chen, Yu |
| description | Acute diarrhea is an important public health issue. Here, we focused on the differences of enteropathogens in acute diarrhea between urban and rural areas in southeast China. Laboratory- and sentinel-based surveillance of acute diarrhea (≥ 3 loose or liquid stools/24 hours) was conducted at 16 hospitals. Fecal specimens were tested for bacterial (
sp.,
sp., diarrheagenic
,
, non-typhoidal
,
sp.,
sp., and
sp.) and viral (adenovirus, astrovirus,
,
, and
) pathogens. Descriptive statistics were used. Between January 1, 2010, and December 31, 2014, 4,548 outpatients with acute diarrhea were enrolled (urban,
= 3,220; rural,
= 1,328). Pathogens were identified in 2,074 (45.6%) patients. Norovirus (25.7%),
(10.2%), enteroaggregative
(EAEC) (8.8%), group A
(7.0%), and enterotoxigenic
(ETEC) (5.6%) were the most common pathogens. Enteropathogens were less common in urban than in rural areas (42.0% versus 54.4%,
< 0.001). In urban areas, EAEC and ETEC were more common in high-income than in middle-income regions. Interventions targeting the most common enteropathogens can substantially reduce the burden of acute diarrhea in southeast China. |
| doi_str_mv | 10.4269/ajtmh.19-0171 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_6685564</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2244140485</sourcerecordid><originalsourceid>FETCH-LOGICAL-c415t-39483bd88e4d9c6bceecb7b2bd6a936ce7bf4e2071e3dd606e4b1aea67a62afa3</originalsourceid><addsrcrecordid>eNpdkc1v1DAQxS0EokvhyBVZ4sKhKR7HcZIL0mopH1KlIqBna-JMmqwSe7GdVvz3uLRUwGVGo_np6T09xl6COFVSt29xn5bxFNpCQA2P2AZUrQvQqnrMNkIIWbS6rI_Ysxj3QkAjAZ6yoxIktPncsJsvga5xJmeJ-4GfuUTBHzCN_opc5JPjF2vK90QuRX4zpZFv7ZqIv58whJGQD8Ev_DJ06Di6nn9dA858GwjjCf_m15SZmPhunByecClAFHmo5-zJgHOkF_f7mF1-OPu--1ScX3z8vNueF1ZBlYqyVU3Z9U1Dqm-t7iyR7epOdr3GttSW6m5QJEUNVPa9FppUB0ioa9QSByyP2bs73cPaLdTbHCP7M4cwLRh-Go-T-ffjptFc-WujdVNVWmWBN_cCwf9YKSazTNHSPKMjv0YjpVKghGqqjL7-D937Nbgcz8hSQAulkpCp4o6ywccYaHgwA8LcVmp-V2qgNbeVZv7V3wke6D8dlr8AVp6eVA</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2301913421</pqid></control><display><type>article</type><title>Prevalence of Enteropathogens in Outpatients with Acute Diarrhea from Urban and Rural Areas, Southeast China, 2010-2014</title><source>MEDLINE</source><source>Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals</source><source>PubMed Central</source><source>Alma/SFX Local Collection</source><creator>Chen, Chong ; Wang, Li-Ping ; Yu, Jian-Xing ; Chen, Xiao ; Wang, Ruo-Nan ; Yang, Xian-Zhi ; Zheng, Shu-Fa ; Yu, Fei ; Zhang, Zi-Ke ; Liu, Si-Jia ; Li, Zhong-Jie ; Chen, Yu</creator><creatorcontrib>Chen, Chong ; Wang, Li-Ping ; Yu, Jian-Xing ; Chen, Xiao ; Wang, Ruo-Nan ; Yang, Xian-Zhi ; Zheng, Shu-Fa ; Yu, Fei ; Zhang, Zi-Ke ; Liu, Si-Jia ; Li, Zhong-Jie ; Chen, Yu</creatorcontrib><description>Acute diarrhea is an important public health issue. Here, we focused on the differences of enteropathogens in acute diarrhea between urban and rural areas in southeast China. Laboratory- and sentinel-based surveillance of acute diarrhea (≥ 3 loose or liquid stools/24 hours) was conducted at 16 hospitals. Fecal specimens were tested for bacterial (
sp.,
sp., diarrheagenic
,
, non-typhoidal
,
sp.,
sp., and
sp.) and viral (adenovirus, astrovirus,
,
, and
) pathogens. Descriptive statistics were used. Between January 1, 2010, and December 31, 2014, 4,548 outpatients with acute diarrhea were enrolled (urban,
= 3,220; rural,
= 1,328). Pathogens were identified in 2,074 (45.6%) patients. Norovirus (25.7%),
(10.2%), enteroaggregative
(EAEC) (8.8%), group A
(7.0%), and enterotoxigenic
(ETEC) (5.6%) were the most common pathogens. Enteropathogens were less common in urban than in rural areas (42.0% versus 54.4%,
< 0.001). In urban areas, EAEC and ETEC were more common in high-income than in middle-income regions. Interventions targeting the most common enteropathogens can substantially reduce the burden of acute diarrhea in southeast China.</description><identifier>ISSN: 0002-9637</identifier><identifier>EISSN: 1476-1645</identifier><identifier>DOI: 10.4269/ajtmh.19-0171</identifier><identifier>PMID: 31219001</identifier><language>eng</language><publisher>United States: Institute of Tropical Medicine</publisher><subject>Acute Disease ; Adolescent ; Adult ; Aged ; Bacterial Infections - epidemiology ; Child ; Child, Preschool ; China - epidemiology ; Diarrhea ; Diarrhea - epidemiology ; Diarrhea - microbiology ; Diarrhea - virology ; E coli ; Female ; Humans ; Male ; Middle Aged ; Outpatients - statistics & numerical data ; Pathogens ; Prevalence ; Rural areas ; Rural Population - statistics & numerical data ; Sentinel Surveillance ; Urban Population - statistics & numerical data ; Virus Diseases - epidemiology ; Viruses ; Young Adult</subject><ispartof>The American journal of tropical medicine and hygiene, 2019-01, Vol.101 (2), p.310-318</ispartof><rights>Copyright Institute of Tropical Medicine 2019</rights><rights>The American Society of Tropical Medicine and Hygiene 2019</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c415t-39483bd88e4d9c6bceecb7b2bd6a936ce7bf4e2071e3dd606e4b1aea67a62afa3</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6685564/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6685564/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,723,776,780,881,27903,27904,53769,53771</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31219001$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Chen, Chong</creatorcontrib><creatorcontrib>Wang, Li-Ping</creatorcontrib><creatorcontrib>Yu, Jian-Xing</creatorcontrib><creatorcontrib>Chen, Xiao</creatorcontrib><creatorcontrib>Wang, Ruo-Nan</creatorcontrib><creatorcontrib>Yang, Xian-Zhi</creatorcontrib><creatorcontrib>Zheng, Shu-Fa</creatorcontrib><creatorcontrib>Yu, Fei</creatorcontrib><creatorcontrib>Zhang, Zi-Ke</creatorcontrib><creatorcontrib>Liu, Si-Jia</creatorcontrib><creatorcontrib>Li, Zhong-Jie</creatorcontrib><creatorcontrib>Chen, Yu</creatorcontrib><title>Prevalence of Enteropathogens in Outpatients with Acute Diarrhea from Urban and Rural Areas, Southeast China, 2010-2014</title><title>The American journal of tropical medicine and hygiene</title><addtitle>Am J Trop Med Hyg</addtitle><description>Acute diarrhea is an important public health issue. Here, we focused on the differences of enteropathogens in acute diarrhea between urban and rural areas in southeast China. Laboratory- and sentinel-based surveillance of acute diarrhea (≥ 3 loose or liquid stools/24 hours) was conducted at 16 hospitals. Fecal specimens were tested for bacterial (
sp.,
sp., diarrheagenic
,
, non-typhoidal
,
sp.,
sp., and
sp.) and viral (adenovirus, astrovirus,
,
, and
) pathogens. Descriptive statistics were used. Between January 1, 2010, and December 31, 2014, 4,548 outpatients with acute diarrhea were enrolled (urban,
= 3,220; rural,
= 1,328). Pathogens were identified in 2,074 (45.6%) patients. Norovirus (25.7%),
(10.2%), enteroaggregative
(EAEC) (8.8%), group A
(7.0%), and enterotoxigenic
(ETEC) (5.6%) were the most common pathogens. Enteropathogens were less common in urban than in rural areas (42.0% versus 54.4%,
< 0.001). In urban areas, EAEC and ETEC were more common in high-income than in middle-income regions. Interventions targeting the most common enteropathogens can substantially reduce the burden of acute diarrhea in southeast China.</description><subject>Acute Disease</subject><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Bacterial Infections - epidemiology</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>China - epidemiology</subject><subject>Diarrhea</subject><subject>Diarrhea - epidemiology</subject><subject>Diarrhea - microbiology</subject><subject>Diarrhea - virology</subject><subject>E coli</subject><subject>Female</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Outpatients - statistics & numerical data</subject><subject>Pathogens</subject><subject>Prevalence</subject><subject>Rural areas</subject><subject>Rural Population - statistics & numerical data</subject><subject>Sentinel Surveillance</subject><subject>Urban Population - statistics & numerical data</subject><subject>Virus Diseases - epidemiology</subject><subject>Viruses</subject><subject>Young Adult</subject><issn>0002-9637</issn><issn>1476-1645</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpdkc1v1DAQxS0EokvhyBVZ4sKhKR7HcZIL0mopH1KlIqBna-JMmqwSe7GdVvz3uLRUwGVGo_np6T09xl6COFVSt29xn5bxFNpCQA2P2AZUrQvQqnrMNkIIWbS6rI_Ysxj3QkAjAZ6yoxIktPncsJsvga5xJmeJ-4GfuUTBHzCN_opc5JPjF2vK90QuRX4zpZFv7ZqIv58whJGQD8Ev_DJ06Di6nn9dA858GwjjCf_m15SZmPhunByecClAFHmo5-zJgHOkF_f7mF1-OPu--1ScX3z8vNueF1ZBlYqyVU3Z9U1Dqm-t7iyR7epOdr3GttSW6m5QJEUNVPa9FppUB0ioa9QSByyP2bs73cPaLdTbHCP7M4cwLRh-Go-T-ffjptFc-WujdVNVWmWBN_cCwf9YKSazTNHSPKMjv0YjpVKghGqqjL7-D937Nbgcz8hSQAulkpCp4o6ywccYaHgwA8LcVmp-V2qgNbeVZv7V3wke6D8dlr8AVp6eVA</recordid><startdate>20190101</startdate><enddate>20190101</enddate><creator>Chen, Chong</creator><creator>Wang, Li-Ping</creator><creator>Yu, Jian-Xing</creator><creator>Chen, Xiao</creator><creator>Wang, Ruo-Nan</creator><creator>Yang, Xian-Zhi</creator><creator>Zheng, Shu-Fa</creator><creator>Yu, Fei</creator><creator>Zhang, Zi-Ke</creator><creator>Liu, Si-Jia</creator><creator>Li, Zhong-Jie</creator><creator>Chen, Yu</creator><general>Institute of Tropical Medicine</general><general>The American Society of Tropical Medicine and Hygiene</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20190101</creationdate><title>Prevalence of Enteropathogens in Outpatients with Acute Diarrhea from Urban and Rural Areas, Southeast China, 2010-2014</title><author>Chen, Chong ; Wang, Li-Ping ; Yu, Jian-Xing ; Chen, Xiao ; Wang, Ruo-Nan ; Yang, Xian-Zhi ; Zheng, Shu-Fa ; Yu, Fei ; Zhang, Zi-Ke ; Liu, Si-Jia ; Li, Zhong-Jie ; Chen, Yu</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c415t-39483bd88e4d9c6bceecb7b2bd6a936ce7bf4e2071e3dd606e4b1aea67a62afa3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Acute Disease</topic><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Bacterial Infections - epidemiology</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>China - epidemiology</topic><topic>Diarrhea</topic><topic>Diarrhea - epidemiology</topic><topic>Diarrhea - microbiology</topic><topic>Diarrhea - virology</topic><topic>E coli</topic><topic>Female</topic><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Outpatients - statistics & numerical data</topic><topic>Pathogens</topic><topic>Prevalence</topic><topic>Rural areas</topic><topic>Rural Population - statistics & numerical data</topic><topic>Sentinel Surveillance</topic><topic>Urban Population - statistics & numerical data</topic><topic>Virus Diseases - epidemiology</topic><topic>Viruses</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Chen, Chong</creatorcontrib><creatorcontrib>Wang, Li-Ping</creatorcontrib><creatorcontrib>Yu, Jian-Xing</creatorcontrib><creatorcontrib>Chen, Xiao</creatorcontrib><creatorcontrib>Wang, Ruo-Nan</creatorcontrib><creatorcontrib>Yang, Xian-Zhi</creatorcontrib><creatorcontrib>Zheng, Shu-Fa</creatorcontrib><creatorcontrib>Yu, Fei</creatorcontrib><creatorcontrib>Zhang, Zi-Ke</creatorcontrib><creatorcontrib>Liu, Si-Jia</creatorcontrib><creatorcontrib>Li, Zhong-Jie</creatorcontrib><creatorcontrib>Chen, Yu</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>The American journal of tropical medicine and hygiene</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Chen, Chong</au><au>Wang, Li-Ping</au><au>Yu, Jian-Xing</au><au>Chen, Xiao</au><au>Wang, Ruo-Nan</au><au>Yang, Xian-Zhi</au><au>Zheng, Shu-Fa</au><au>Yu, Fei</au><au>Zhang, Zi-Ke</au><au>Liu, Si-Jia</au><au>Li, Zhong-Jie</au><au>Chen, Yu</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Prevalence of Enteropathogens in Outpatients with Acute Diarrhea from Urban and Rural Areas, Southeast China, 2010-2014</atitle><jtitle>The American journal of tropical medicine and hygiene</jtitle><addtitle>Am J Trop Med Hyg</addtitle><date>2019-01-01</date><risdate>2019</risdate><volume>101</volume><issue>2</issue><spage>310</spage><epage>318</epage><pages>310-318</pages><issn>0002-9637</issn><eissn>1476-1645</eissn><abstract>Acute diarrhea is an important public health issue. Here, we focused on the differences of enteropathogens in acute diarrhea between urban and rural areas in southeast China. Laboratory- and sentinel-based surveillance of acute diarrhea (≥ 3 loose or liquid stools/24 hours) was conducted at 16 hospitals. Fecal specimens were tested for bacterial (
sp.,
sp., diarrheagenic
,
, non-typhoidal
,
sp.,
sp., and
sp.) and viral (adenovirus, astrovirus,
,
, and
) pathogens. Descriptive statistics were used. Between January 1, 2010, and December 31, 2014, 4,548 outpatients with acute diarrhea were enrolled (urban,
= 3,220; rural,
= 1,328). Pathogens were identified in 2,074 (45.6%) patients. Norovirus (25.7%),
(10.2%), enteroaggregative
(EAEC) (8.8%), group A
(7.0%), and enterotoxigenic
(ETEC) (5.6%) were the most common pathogens. Enteropathogens were less common in urban than in rural areas (42.0% versus 54.4%,
< 0.001). In urban areas, EAEC and ETEC were more common in high-income than in middle-income regions. Interventions targeting the most common enteropathogens can substantially reduce the burden of acute diarrhea in southeast China.</abstract><cop>United States</cop><pub>Institute of Tropical Medicine</pub><pmid>31219001</pmid><doi>10.4269/ajtmh.19-0171</doi><tpages>9</tpages><oa>free_for_read</oa></addata></record> |
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| source | MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; PubMed Central; Alma/SFX Local Collection |
| subjects | Acute Disease Adolescent Adult Aged Bacterial Infections - epidemiology Child Child, Preschool China - epidemiology Diarrhea Diarrhea - epidemiology Diarrhea - microbiology Diarrhea - virology E coli Female Humans Male Middle Aged Outpatients - statistics & numerical data Pathogens Prevalence Rural areas Rural Population - statistics & numerical data Sentinel Surveillance Urban Population - statistics & numerical data Virus Diseases - epidemiology Viruses Young Adult |
| title | Prevalence of Enteropathogens in Outpatients with Acute Diarrhea from Urban and Rural Areas, Southeast China, 2010-2014 |
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