Bacterial pathogens associated with diarrhoea on the island of Crete

Eur J Epidemiol. 1997 Oct;13(7):831-6. doi: 10.1023/a:1007318003083.


Stool specimens from 3,600 diarrhoeal patients from the island of Crete, Greece, were examined for bacterial pathogens, during a three-year period (1992-1994). One or more pathogens were identified in 826 patients (22.9%), more often from children. Salmonella spp. were the most frequently isolated organisms in 13.6% of the patients, followed by Campylobacter in 4.7%, and enteropathogenic Escherichia coli (EPEC) in 3.9%. Yersinia enterocolitica was found in 0.7%, Shigella spp. in 0.7% and Aeromonas hydrophila in 0.05%. Vibrio spp. and enterohaemorragic E. coli were not identified in the stools tested. Resistance to ampicillin was observed in 36% of the Salmonella, 62% of the Shigella, and 27% of the EPEC isolates. Cotrimoxazole resistance was observed in 42% of the Shigella and 12% of the EPEC isolates, while tetracycline and the quinolones were inactive against almost half and erythromycin against 20% of the Campylobacter isolates. This is the first study investigating bacterial pathogens associated with diarrhoea on the island of Crete.

MeSH terms

  • Adolescent
  • Campylobacter / isolation & purification
  • Child
  • Child, Preschool
  • Diarrhea / epidemiology
  • Diarrhea / microbiology*
  • Drug Resistance, Microbial
  • Escherichia coli / isolation & purification
  • Feces / microbiology*
  • Greece / epidemiology
  • Humans
  • Infant
  • Salmonella / isolation & purification
  • Seasons
  • Shigella / isolation & purification