해외여행 후 발생한 급성장염의 원인 병원체 분석
Characteristics of Enteric Pathogens Isolated from Acute Enteritis Patients with Overseas Travel
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Background: The risk of imported infectious diseases has been increasing with the annual rise in the number of international travelers. Objectives: This study aims to analyze the distribution and characteristics of intestinal bacteria isolated in 2019 from residents of Chungcheongnam-do Province with experience of travelling overseas. Methods: Twenty-three former overseas travelers with diarrhea were analyzed to detect viruses and bacteria according to the Manual for Detection of Foodborne Pathogens at Outbreaks. Additionally, antibiotic susceptibility tests and 16s rRNA sequencing were performed. Results: Twenty-five strains of ten pathogens were isolated from 18 samples. Pathogenic E. coli was the most common at 57.7%, followed by Clostridium perfringens (15.4%), Campylobacter spp. (7.7%), and Salmonella spp. (7.7%). The serotype of Salmonella was confirmed as Salmonella Braenderup, II 9,46:g,[m],[s],t:[e,n,x]. Conclusions: It was confirmed that the major enteric bacterial pathogens isolated from overseas travelers in Chungcheongnam-do Province were pathogenic E. coli, as found in other studies. The study on Plesiomonas shigelloides is meaningful in that it is reported as a rare case of infection in Korea. Antibiotic resistance and 16s rRNA analysis were performed, which is expected to provide important basic data for the prevention of traveler’s diarrhea.
Abstract
Background: The risk of imported infectious diseases has been increasing with the annual rise in the number of international travelers. Objectives: This study aims to analyze the distribution and characteristics of intestinal bacteria isolated in 2019 from residents of Chungcheongnam-do Province with experience of travelling overseas. Methods: Twenty-three former overseas travelers with diarrhea were analyzed to detect viruses and bacteria according to the Manual for Detection of Foodborne Pathogens at Outbreaks. Additionally, antibiotic susceptibility tests and 16s rRNA sequencing were performed. Results: Twenty-five strains of ten pathogens were isolated from 18 samples. Pathogenic E. coli was the most common at 57.7%, followed by Clostridium perfringens (15.4%), Campylobacter spp. (7.7%), and Salmonella spp. (7.7%). The serotype of Salmonella was confirmed as Salmonella Braenderup, II 9,46:g,[m],[s],t:[e,n,x]. Conclusions: It was confirmed that the major enteric bacterial pathogens isolated from overseas travelers in Chungcheongnam-do Province were pathogenic E. coli, as found in other studies. The study on Plesiomonas shigelloides is meaningful in that it is reported as a rare case of infection in Korea. Antibiotic resistance and 16s rRNA analysis were performed, which is expected to provide important basic data for the prevention of traveler’s diarrhea.
참고문헌 (17)
- 2017-2018 Annual Statistical Report on Tourism, "Korea Tourism Organization", Korea Tourism Organization, ~ (2019)
- Korea Centers for Disease Control and Prevention, "Trends in imported cases of infectious diseases in Korea", Public Health Wkly Rep, 1(38), pp.633~637 (2008)
- DuPont HL, "Systematic review: the epidemiology and clinical features of travellers’ diarrhoea", Aliment Pharmacol Ther, 30(3), pp.187~196 (2009)
- Flores J, "Enterotoxigenic Escherichia coli heat-labile toxin seroconversion in US travelers to Mexico", J Travel Med, 5(3), pp.156~161 (2008)
- Duval B, "A population-based comparison between travelers who consulted travel clinics and those who did not", J Travel Med, 10(1), pp.4~10 (2003)
- Cartwright RY, "Food and waterborne infections associated with package holidays", J Appl Microbiol, 94(Suppl), pp.12S~24S (2003)
- Korea Centers for Disease Control and Prevention, "Guideline for Water & Foodborne Diseases Prevention and Control" (2018), KCDC
- Clinical and Laboratory Standards Institute, "Performance Standards for Antimicrobial Susceptibility Testing" (2020), Clinical and Laboratory Standards Institute
- Thompson FL, "Phylogeny and molecular identification of vibrios on the basis of multilocus sequence analysis", Appl Environ Microbiol, 71(9), pp.5107~5115 (2005)
- aitou N, "The neighbor-joining method: a new method for reconstructing phylogenetic trees", Mol Biol Evol, 4(4), pp.406~425 (1987)
- Yun YS, "Prevalence and characteristics of Salmonella spp. isolated in Korea, 2015", Public Health Wkly Rep, 9(10), pp.174~180 (2015)
- Jung SM, "Prevalence of enteric bacterial pathogens isolated from overseas travelers between 2015 and 2017", Public Health Wkly Rep, 11(26), pp.842~847 (2018)
- Brenden RA, "Clinical disease spectrum and pathogenic factors associated with Plesiomonas shigelloides infections in humans", Rev Infect Dis, 10(2), pp.303~316 (1988)
- Eason JD, "Plesiomonas shigelloides septicemia and meningitis in a neonate", Can J Infect Dis, 7(6), pp.380~382 (1996)
- Kim HS, "A case report foreign travel-associated Plesiomonas shigelloides infection", Public Health Wkly Rep, 8(37), pp.888~890 (2015)
- Navaneethan U, "Mechanisms of infectious diarrhea", Nat Clin Pract Gastroenterol Hepatol, 5(11), pp.637~647 (2008)
- Diagnostics and Reporting Criteria for Nationally Notifiable Communicable Diseases, "Korea Centers for Disease Control and Prevention", Korea Centers for Disease Control and Prevention, ~ (2020)
