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Campylobacter enteritis in Saudi Arabia.

R Zaman1

  • 1Department of Pathology, King Khalid National Guard Hospital, Saudi Arabia.

Epidemiology and Infection
|February 1, 1992
PubMed
Summary

Campylobacter infection affects 4.5% of diarrhea patients in Jeddah, Saudi Arabia, particularly children and young adults. This study highlights Campylobacter jejuni and C. coli as significant causes of bacterial enteritis.

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Area of Science:

  • Medical Microbiology
  • Infectious Diseases
  • Public Health

Background:

  • Bacterial gastroenteritis is a common health concern globally.
  • Campylobacter species are recognized as a leading cause of bacterial diarrhea worldwide.
  • Limited data exists on the specific incidence and characteristics of Campylobacter infections in Saudi Arabia.

Purpose of the Study:

  • To determine the incidence of Campylobacter infection among patients presenting with diarrhea in Jeddah, Saudi Arabia.
  • To identify the predominant species and serotypes of Campylobacter isolated.
  • To assess antimicrobial resistance patterns of the isolated Campylobacter strains.

Main Methods:

  • A 12-month prospective survey was conducted involving 1217 patients with diarrhea.
  • Stool samples were cultured for bacterial pathogens, including Campylobacter species.
  • Species identification, biotyping, serotyping (Penner and Preston schemes), and antimicrobial susceptibility testing were performed.

Main Results:

  • Campylobacter was isolated from 55 (4.5%) patients, making it the second most common bacterial cause after Salmonella (6.2%).
  • Infection rates were notably high in children and young adults (20-39 years), who accounted for 36.5% of isolates.
  • Campylobacter jejuni (69%) was more prevalent than C. coli (31%). Serogroups 5 and 23 and phage type 125 were most common. Resistance was observed to erythromycin (7.3%) and tetracycline (32.7%).

Conclusions:

  • Campylobacter represents a significant etiological agent of bacterial enteritis in Jeddah, affecting both pediatric and adult populations.
  • Routine diagnostic consideration for Campylobacter is warranted in patients with diarrhea in this region.
  • The prevalence of specific species, serotypes, and antimicrobial resistance patterns provides valuable epidemiological data for public health interventions.

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