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March 1959, Vol 97, No. 3 >
Article | March 1959

Isolation of Enteropathogenic Escherichia Coli from Mothers and Newborn Infants FREE

MERLIN L. COOPER, M.D.; HELEN M. KELLER, M.S.; EDWARD W. WALTERS, M.S.; JOHN C. PARTIN, B.S.; DONALD E. BOYE; Evelyn W. Perry, A.B.; Jacqueline J. Partin, B.S.; George Nagao, A.B.; Charles Neilson, B.S.
[+] Author Affiliations

Submitted for publication July 29, 1958.


AMA Am J Dis Child. 1959;97(3):255-266. doi:10.1001/archpedi.1959.02070010257001.
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Studies by various investigators of infants from whom enteropathogenic Escherichia coli (EPEC) were isolated reveal that many infants were in the first weeks of life and that the majority had an associated diarrhea. Cathie and MacFarlane1 (1951) studied 264 cases of infantile diarrhea and found E. coli O111:B4 in stool cultures of 16.7% in each of the first two months of life. Shanks and Studzinski2 (1952) studied 158 infants with diarrhea, culturing stools for E. coli 055:B5 and O111:B4, and found these serotypes in 25.0% of infants under 4 weeks of age. Thomson, Watkins, and Gray3 (1956) searched for E. coli O26:B6, 055:B5, and O111:B4 in a group of infants, 77.0% of whom were in the first three months of life, and they found 20 infants (18.0%) harboring one of these three types. In 8 of these 20 infants there was

REFERENCES

1 +
Cathie, I. A. B., and MacFarlane, J. C. W.:  Incidence of Bact. Coli O Group 111 in Sporadic Infantile Gastro-Enteritis , Brit. M. J. 2:1002, 1951;.
2 +
Shanks, R. A., and Studzinski, L. P.:  Bact. Coli in Infantile Diarrhoea , Brit. M. J. 2:119, 1952;.
3 +
Thomson, S.; Watkins, A. G., and Gray, O. P.:  Escherichia Coli Gastro-Enteritis , Arch. Dis. Childhood 31:340, 1956;.
4 +
Curtin, M., and Clifford, S. H.:  Incidence of Pathogenic Serologic Types of Escherichia Coli Among Neonatal Patients in the New England Area , New England J. Med. 255:1090, 1956;.
5 +
Cooper, M. L.; Keller, H. M., and Walters, E. W.:  Comparative Frequency of Detection of Enteropathogenic E. Coli, Salmonella and Shigella in Rectal Swab Cultures from Infants and Young Children , Pediatrics 19:411, 1957;.
6 +
McNaught, W., and Stevenson, J. S.: " Coliform Diarrhoea" in Adult Hospital Patients , Brit. M. J. 2:182, 1953;.
7 +
Cooper, M. L.; Walters, E. W.; Keller, H. M.; Sutherland, J. M., and Wiseman, H. J.:  Epidemic Diarrhea Among Infants Associated with the Isolation of a New Serotype of Escherichia Coli: E. Coli O127:B8 , Pediatrics 16:215, 1955;.
8 +
Taylor, J.; Powell, B. W., and Wright, J.:  Infantile Diarrhoea and Vomiting; Clinical and Bacteriological Investigation , Brit. M. J. 2:117, 1949;.
9 +
Stevenson, J. S.:  Further Observations on Occurrence of Bact. Coli D 433 in Adult Faeces , Brit. M. J. 2:123, 1952;.
10 +
Ocklitz, H. W., and Schmidt, E. F.:  Über das Vorkommen von Dyspepsie-Coli bei Erwachsenen , Helvet. paediat. acta 10:450, 1955;.
11 +
Ocklitz, H. W., and Schmidt, E. F.:  Enteropathogenic Escherichia Coli Serotypes: Infection of Newborn Through Mother , Brit. M. J. 2:1036, 1957;.
12 +
Edwards, P. R., and Ewing, W. H.: Identification of Enterobacteriaceae , Ed. 1, Minneapolis, Burgess Publishing Company, 1955;.
13 +
Ewing, W. H.; Tatum, H. W., and Davis, B. R.: The Occurrence of Escherichia Coli Serotypes Associated with Diarrheal Disease in the United States, Official Bulletin of the Conference of State and Provincial Public Health Laboratory Directors, 1957, Vol. 15, p. 118.
14 +
Stool and Urine Cultures for Enteric Disease Organisms , Connecticut State Department of Health, Hartford, Conn., 1945;, p. 5.
15 +
Cooper, M. L., and Keller, H. M.:  Severe Staphylococcal Infections in Young Children: The Isolation of Micrococcus Pyogenes Var. Aureus with a Specific Bacteriophage Pattern , A. M. A. J. Dis. Child . 95:245, 1958;.
16 +
Neter, E., et al.:  Demonstration of Antibodies Against Enteropathogenic Escherichia Coli in Sera of Children of Various Ages , Pediatrics 16:801, 1955;.
17 +
Yeivin, R.; Salzberger, M., and Olitzki, A. L.:  Development of Antibodies to Enteric Pathogens: Placental Transfer of Antibodies and Development of Immunity in Childhood , Pediatrics 18:19, 1956;.
18 +
Lindberg, R. B., and Hunter, D. H.:  Antibodies for Pathogenic and Nonpathogenic Serotypes of Escherichia Coli in Human Colostrum and Serum , Fed. Proc. 16:422, 1957;.
19 +
Kauffmann, F.:  Über die Bedeutung der Escherichia-coli-Typen für die Beurteilung der Darmflora , Deutsche med. Wchnschr. 79:1033, 1954;.

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References

1 +
Cathie, I. A. B., and MacFarlane, J. C. W.:  Incidence of Bact. Coli O Group 111 in Sporadic Infantile Gastro-Enteritis , Brit. M. J. 2:1002, 1951;.
2 +
Shanks, R. A., and Studzinski, L. P.:  Bact. Coli in Infantile Diarrhoea , Brit. M. J. 2:119, 1952;.
3 +
Thomson, S.; Watkins, A. G., and Gray, O. P.:  Escherichia Coli Gastro-Enteritis , Arch. Dis. Childhood 31:340, 1956;.
4 +
Curtin, M., and Clifford, S. H.:  Incidence of Pathogenic Serologic Types of Escherichia Coli Among Neonatal Patients in the New England Area , New England J. Med. 255:1090, 1956;.
5 +
Cooper, M. L.; Keller, H. M., and Walters, E. W.:  Comparative Frequency of Detection of Enteropathogenic E. Coli, Salmonella and Shigella in Rectal Swab Cultures from Infants and Young Children , Pediatrics 19:411, 1957;.
6 +
McNaught, W., and Stevenson, J. S.: " Coliform Diarrhoea" in Adult Hospital Patients , Brit. M. J. 2:182, 1953;.
7 +
Cooper, M. L.; Walters, E. W.; Keller, H. M.; Sutherland, J. M., and Wiseman, H. J.:  Epidemic Diarrhea Among Infants Associated with the Isolation of a New Serotype of Escherichia Coli: E. Coli O127:B8 , Pediatrics 16:215, 1955;.
8 +
Taylor, J.; Powell, B. W., and Wright, J.:  Infantile Diarrhoea and Vomiting; Clinical and Bacteriological Investigation , Brit. M. J. 2:117, 1949;.
9 +
Stevenson, J. S.:  Further Observations on Occurrence of Bact. Coli D 433 in Adult Faeces , Brit. M. J. 2:123, 1952;.
10 +
Ocklitz, H. W., and Schmidt, E. F.:  Über das Vorkommen von Dyspepsie-Coli bei Erwachsenen , Helvet. paediat. acta 10:450, 1955;.
11 +
Ocklitz, H. W., and Schmidt, E. F.:  Enteropathogenic Escherichia Coli Serotypes: Infection of Newborn Through Mother , Brit. M. J. 2:1036, 1957;.
12 +
Edwards, P. R., and Ewing, W. H.: Identification of Enterobacteriaceae , Ed. 1, Minneapolis, Burgess Publishing Company, 1955;.
13 +
Ewing, W. H.; Tatum, H. W., and Davis, B. R.: The Occurrence of Escherichia Coli Serotypes Associated with Diarrheal Disease in the United States, Official Bulletin of the Conference of State and Provincial Public Health Laboratory Directors, 1957, Vol. 15, p. 118.
14 +
Stool and Urine Cultures for Enteric Disease Organisms , Connecticut State Department of Health, Hartford, Conn., 1945;, p. 5.
15 +
Cooper, M. L., and Keller, H. M.:  Severe Staphylococcal Infections in Young Children: The Isolation of Micrococcus Pyogenes Var. Aureus with a Specific Bacteriophage Pattern , A. M. A. J. Dis. Child . 95:245, 1958;.
16 +
Neter, E., et al.:  Demonstration of Antibodies Against Enteropathogenic Escherichia Coli in Sera of Children of Various Ages , Pediatrics 16:801, 1955;.
17 +
Yeivin, R.; Salzberger, M., and Olitzki, A. L.:  Development of Antibodies to Enteric Pathogens: Placental Transfer of Antibodies and Development of Immunity in Childhood , Pediatrics 18:19, 1956;.
18 +
Lindberg, R. B., and Hunter, D. H.:  Antibodies for Pathogenic and Nonpathogenic Serotypes of Escherichia Coli in Human Colostrum and Serum , Fed. Proc. 16:422, 1957;.
19 +
Kauffmann, F.:  Über die Bedeutung der Escherichia-coli-Typen für die Beurteilung der Darmflora , Deutsche med. Wchnschr. 79:1033, 1954;.

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