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Detection of enteric campylobacteriosis in children

V D Bokkenheuser, N J Richardson, J H Bryner

    Journal of Clinical Microbiology
    |February 1, 1979
    PubMed

    Insights

    Campylobacter fetus subsp. jejuni is a common cause of acute gastroenteritis in young children. Infections are typically mild and resolve within a week, with isolates showing antibiotic sensitivity.

    Area of Science:

    • Microbiology
    • Pediatrics
    • Infectious Diseases

    Background:

    • Campylobacter fetus subsp. jejuni is a significant bacterial pathogen.
    • Gastroenteritis is a common illness in young children.

    Purpose of the Study:

    • To investigate the prevalence and clinical significance of Campylobacter fetus subsp. jejuni in children.
    • To assess the antibiotic susceptibility and phage susceptibility of C. fetus subsp. jejuni isolates.

    Main Methods:

    • Bacterial culture and identification from stool samples of symptomatic and asymptomatic children.
    • Clinical data collection on illness duration and severity.
    • Antibiotic susceptibility testing.
    • Bacteriophage typing of bacterial isolates.

    Main Results:

    • C. fetus subsp. jejuni was identified as the sole pathogen in 31% of young children (0-8 months) with acute gastroenteritis.
    • Recovery rates in older children (8-24 months) were 38% in symptomatic and 40% in asymptomatic cases.
    • Infections were generally benign, lasting less than a week, with one case of bacteremia.
    • Isolates were sensitive to common antibiotics and 73% were lysed by a specific bacteriophage.
    • Some phage-resistant strains carried phages capable of lysing the reference strain.

    Conclusions:

    • Campylobacter fetus subsp. jejuni is a frequent cause of gastroenteritis in infants and young children.
    • The infection typically presents with mild, self-limiting symptoms.
    • Antibiotic sensitivity is common, and bacteriophage susceptibility may be a useful characteristic.

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