Volume 83, Issue 5
  • ISSN: 0002-9637
  • E-ISSN: 1476-1645



The objective was to assess the association of enteric pathogens in diarrheal disease in a remote rural area in Thailand. Stool specimens were collected from 236 children aged 3 months to 5 years with acute diarrhea (cases) and from 236 asymptomatic controls. Standard microbiologic methods, and enzyme immunoassay for viral pathogens, , and , were used to identify enteric pathogens with susceptibility testing by disk diffusion. , , , and enterotoxigenic were commonly isolated from cases and controls (22% versus 25%, 10% versus 11%, 6% versus 9%, and 10% versus 6%, respectively). Only , rotavirus, and adenovirus were identified significantly more frequently in cases than controls (9% versus 0%, 18% versus 3%, and 16% versus 2%, respectively), whereas was detected less often in cases than controls. Most pre-school children were infested with enteric pathogens; laboratory-based studies are important to understand the epidemiology of enteric pathogens in remote areas among marginal populations.


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  • Received : 29 Jun 2010
  • Accepted : 11 Aug 2010
  • Published online : 05 Nov 2010

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