Intestinal carriage of P fimbriated Escherichia coli and the susceptibility to urinary tract infection in young children.

Plos, Kaety,1944Gothenburg University,Göteborgs universitet,Institutionen för omvårdnad,Institute of Nursing (author)

This prospective study analyzed the intestinal carriage of P fimbriated Escherichia coli as a host susceptibility factor in urinary tract infection (UTI). P fimbriation was defined by the pap and G adhesin (papG1A2, prsGJ96) genotypes. Children with UTI carried pap+ E. coli in the fecal flora more often than healthy controls both at diagnosis (86% vs. 29%) and during infection-free intervals (approximately 40%; P < .01). P1 blood group-positive children carried pap+ E. coli in the fecal flora more often (88%) than those with P2 blood group (40%; P < .05). A pap+ E. coli strain caused UTI in 53 of 55 patients who carried both pap+ and pap- strains in their fecal flora. These results suggest that persons who develop UTI have an increased tendency to carry pap+ E. coli in the large intestine and that these pap+ E. coli cause UTI more often than pap E. coli strains in the fecal flora of the same host.

Connell, HughLund University,Lunds universitet(Swepub:lu)kanm-hco (author)
Jodal, Ulf,1938Gothenburg University,Göteborgs universitet,Institutionen för kvinnors och barns hälsa, Avdelningen för pediatrik,Institute for the Health of Women and Children, Dept of Paediatrics(Swepub:gu)xjodul (author)
Marklund, B I (author)
Mårild, Staffan,1945Gothenburg University,Göteborgs universitet,Institutionen för kvinnors och barns hälsa, Avdelningen för pediatrik,Institute for the Health of Women and Children, Dept of Paediatrics(Swepub:gu)xmarst (author)
Wettergren, B (author)
Svanborg, CatharinaLund University,Lunds universitet,Avdelningen för mikrobiologi, immunologi och glykobiologi - MIG,Institutionen för laboratoriemedicin,Medicinska fakulteten,Division of Microbiology, Immunology and Glycobiology - MIG,Department of Laboratory Medicine,Faculty of Medicine(Swepub:lu)mmb-csv (author)
Göteborgs universitetInstitutionen för omvårdnad (creator_code:org_t)

In:The Journal of infectious diseases: Oxford University Press (OUP)171:3, s. 625-310022-18991537-6613

By the author/editor: Plos, Kaety, 194 ...; Connell, Hugh; Jodal, Ulf, 1938; Marklund, B I; Mårild, Staffan, ...; Wettergren, B; show more...; Svanborg, Cathar ...; show less...

About the subject

MEDICAL AND HEALTH SCIENCES: MEDICAL AND HEAL ...; and Basic Medicine; and Microbiology in ...

MEDICAL AND HEALTH SCIENCES: MEDICAL AND HEAL ...; and Clinical Medicin ...; and Infectious Medic ...

MEDICAL AND HEALTH SCIENCES: MEDICAL AND HEAL ...; and Clinical Medicin ...; and Pediatrics

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