Isolation of Campylobacter Species from Stool Samples by Use of a Filtration Method: Assessment from a United

Irving Nachamkin1,2, Phi Nguyen2

  • 1Department of Pathology and Laboratory Medicine, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania, USA irving.nachamkin@uphs.upenn.edu.

Insights

This study investigated non-jejuni and non-coli Campylobacter species in Philadelphia fecal samples. Campylobacter concisus was frequently isolated, though most species lacked clinical significance, warranting further US-based research.

Area of Science:

  • Clinical Microbiology
  • Infectious Diseases
  • Bacteriology

Background:

  • Campylobacter species are common causes of bacterial gastroenteritis.
  • Non-jejuni and non-coli Campylobacter species are increasingly recognized but less understood.
  • Limited data exists on the prevalence of these species in US populations.

Purpose of the Study:

  • To prospectively analyze fecal samples for Campylobacter species beyond C. jejuni and C. coli.
  • To identify the prevalence and types of non-jejuni, non-coli Campylobacter species in the Philadelphia region.
  • To assess the clinical significance of isolated Campylobacter species.

Main Methods:

  • Prospective analysis of 225 fecal samples from the Philadelphia region.
  • Utilized a filtration method for Campylobacter isolation.
  • Employed microaerobic conditions with increased H2 concentrations for cultivation.

Main Results:

  • 13 out of 225 samples (5.8%) yielded Campylobacter species.
  • Campylobacter concisus was frequently isolated.
  • The majority of identified Campylobacter species were not considered clinically significant.

Conclusions:

  • Non-jejuni and non-coli Campylobacter species, particularly C. concisus, are present in the Philadelphia population.
  • Further research is needed to understand the clinical relevance and epidemiology of these species in the US.
  • Current diagnostic methods may overlook these less common Campylobacter species.

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