Microbiota that affect risk for shigellosis in children in low-income countries.

Microbiota that affect risk for shigellosis in children in low-income countries.
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DOI:
10.3201/eid2101.140795
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发表时间:
2015-02
影响因子:
11.8
通讯作者:
Stine OC
Stine OC
中科院分区:
医学2区
文献类型:
--
作者:
Lindsay B;Oundo J;Hossain MA;Antonio M;Tamboura B;Walker AW;Paulson JN;Parkhill J;Omore R;Faruque AS;Das SK;Ikumapayi UN;Adeyemi M;Sanogo D;Saha D;Sow S;Farag TH;Nasrin D;Li S;Panchalingam S;Levine MM;Kotloff K;Magder LS;Hungerford L;Sommerfelt H;Pop M;Nataro JP;Stine OC

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Co-infection with Shigella spp. and other microbes modifies diarrhea risk. Pathogens in the gastrointestinal tract exist within a vast population of microbes. We examined associations between pathogens and composition of gut microbiota as they relate to Shigella spp./enteroinvasive Escherichia coli infection. We analyzed 3,035 stool specimens (1,735 nondiarrheal and 1,300 moderate-to-severe diarrheal) from the Global Enteric Multicenter Study for 9 enteropathogens. Diarrheal specimens had a higher number of enteropathogens (diarrheal mean 1.4, nondiarrheal mean 0.95; p<0.0001). Rotavirus showed a negative association with Shigella spp. in cases of diarrhea (odds ratio 0.31, 95% CI 0.17–0.55) and had a large combined effect on moderate-to-severe diarrhea (odds ratio 29, 95% CI 3.8–220). In 4 Lactobacillus taxa identified by 16S rRNA gene sequencing, the association between pathogen and disease was decreased, which is consistent with the possibility that Lactobacillus spp. are protective against Shigella spp.–induced diarrhea. Bacterial diversity of gut microbiota was associated with diarrhea status, not high levels of the Shigella spp. ipaH gene.
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