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Prevalence of Enteric Pathogens among International Travelers with Diarrhea Acquired in Kenya (Mombasa), India (Goa), or Jamaica (Montego Bay)
Open accessAbstract
Stools from tourists from Europe and North America who acquired diarrhea in Mombasa (Kenya), Goa (India), or Montego Bay (Jamaica) were examined for enteric pathogens. Enterotoxigenic Escherichia coli (ETEC) was the most common pathogen (25%) identified in the 3 locations. Isolation of Shigella species was more frequent in Goa and Mombasa than in Montego Bay (10%, 9%, and 0.3%, respectively; P <.005). Viruses (rotaviruses and enteric adenoviruses) were found in 9% of travelers to the 3 areas. Of 275 ETEC isolates in this study, 158 (57%) produced a defined colonization factor antigen (CFA). Coli surface 6 (CS6) was the most frequent and was found in 41%-52% of CFA/CS-positive ETEC isolates. The frequency of resistance among bacterial enteropathogens to traditional antimicrobial agents was particularly high throughout the study period in all 3 regions. Quinolones were active against the bacterial enteropathogens in the 3 sites.
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Cited by
Sarker, S. A., Sultana, S., Reuteler, G., Moine, D., Descombes, P., Charton, F., Bourdin, G., McCallin, S., Ngom-Bru, C., Neville, T., et al. (2016) · EBioMedicine · doi:10.1016/j.ebiom.2015.12.023 · Cited by 533
Global Etiology of Travelers’ Diarrhea: Systematic Review from 1973 to the Present
Shah, N., DuPont, H. L., & Ramsey, D. J. (2009) · The American Journal of Tropical Medicine and Hygiene · doi:10.4269/ajtmh.2009.80.609 · Cited by 326
Self-citationA systematic review of ETEC epidemiology focusing on colonization factor and toxin expression
Isidean, S. D., Riddle, M. S., Savarino, S. J., & Porter, C. K. (2011) · Vaccine · doi:10.1016/j.vaccine.2011.06.084 · Cited by 273
Fletcher, S. M., McLaws, M.-L., & Ellis, J. T. (2013) · Journal of Public Health Research · doi:10.4081/jphr.2013.e9 · Cited by 172
New Developments in Traveler's Diarrhea.
(2011) · Europe PMC (PubMed Central) · Cited by 67
Metadata
- Authors
- Jiang, Z., Lowe, B., Verenkar, M. P., Ashley, D., Steffen, R., Tornieporth, N., von Sonnenburg, F., Waiyaki, P., & DuPont, H. L.
- Venue
- The Journal of Infectious Diseases
- Publisher
- Oxford University Press (OUP)
- Published
- 2002-02-15
- Volume
- 185
- Issue
- 4
- Pages
- 497-502
- ISSN
- 0022-1899 (ISSN-L)
- 1537-6613
- OpenAlex
- W2098838566
- Cited by
- 268
- References
- 0
- FWCI
- 13.00
- Type
- journal article
- Language
- en
- Open access
- bronze
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- CoChat. (2026). Citation check: Prevalence of Enteric Pathogens among International Travelers with Diarrhea Acquired in Kenya (Mombasa), India (Goa), or Jamaica (Montego Bay). https://app.cochat.ai/papers/10.1086/338834
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- Jiang, Z., Lowe, B., Verenkar, M. P., Ashley, D., Steffen, R., Tornieporth, N., von Sonnenburg, F., Waiyaki, P., & DuPont, H. L. (2002). Prevalence of Enteric Pathogens among International Travelers with Diarrhea Acquired in Kenya (Mombasa), India (Goa), or Jamaica (Montego Bay). The Journal of Infectious Diseases. https://doi.org/10.1086/338834
Data sources
Bibliographic data: Semantic Scholar, OpenAlex, Crossref.
Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).
Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.
