Volume 84, Issue 6
  • ISSN: 0002-9637
  • E-ISSN: 1476-1645



Stool samples from children < 5 years of age with diarrhea ( = 239) were examined for enteric pathogens using a combination of culture, enzyme-immunoassay, and polymerase chain reaction methods. Pathogens were detected in 122 (51%) stool samples; single pathogens were detected in 37.2% and co-pathogens in 13.8% of samples. Norovirus, rotavirus, and diarrheagenic (DEC) were the most frequently detected pathogens (15.5%, 13.4%, and 11.2%, respectively); , adenovirus, and were detected less frequently (7.9%, 7.1%, and 4.2%). The most commonly detected DEC was enteroaggregative (5.4%). Resistance to ≥ 3 antimicrobials was observed in 60% (18/30) of the bacterial pathogens. resistance to ciprofloxacin (63.1%) has become a concern. Enteric viral pathogens were the most significant causative agents of childhood diarrhea in Tripoli. Bacterial pathogens were also important contributors to pediatric diarrhea. The emergence of ciprofloxacin-resistant represents a serious health problem that must be addressed by Libyan health authorities


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Supplementary tables

  • Received : 26 Feb 2011
  • Accepted : 22 Mar 2011
  • Published online : 01 Jun 2011

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