Abstract
We have previously shown that one P-fimbriated E.coli clone was spread in a neonatal ward. It could there colonize fecally many of the children and also members of the staff.
The children that were fecally colonized with the pyelonephritogenic, P-fimbriated E.coli clone ran a greater risk to develop pyelonephritis later on.
We have therefore studied all children leaving twenty-two different neonatal wards after the age of five days. From each child we characterized five fecal strains.
We found that a very high proportion (76%) had klebsiella/enterobacter in their feces when they left the ward. In only 39% of all the children we found E.coli in the feces.
In most of the wards a few children leaving the ward had P-fimbriated E.coli in the stool. Two of the wards showed periods of time when many of the children leaving the ward were colonized with a P-fimbriated E.coli strain.
We now continue to study these two clinics both prospectively and retrospectively to see if this relatively high incidence of P-fimbriated E.coli among the children will lead to a higher incidence of pyelonephritis.
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Tullus, K., Burman, L., Källenius, G. et al. Incidence of P-fimbriated E.coli in feces among children leaving neonatal wards in Sweden. Pediatr Res 19, 1105 (1985). https://doi.org/10.1203/00006450-198510000-00215
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DOI: https://doi.org/10.1203/00006450-198510000-00215