Journal List > Ann Clin Microbiol > v.19(4) > 1078547

Choi, Byun, and Kim: Prevalence of Bacteria in the Nationwide Survey of Stool Culture Performed in 2015, Korea

Abstract

Background

The spectrum of bacteria causing diarrhea is highly affected by geographic area, sani-tation, travel, food consumption, and previous antibiotic use. A nationwide databank for stool cultures is undeveloped. The aim of our study was to investigate the current prevalence of gastroenteritis bacterial pathogens in Korea.

Methods

We requested microbiological data via questionnaire emails sent to 98 hospitals. The frequency of each pathogen was acquired from 32 institutes. Numbers of stool cultures performed ranged from 193 to 14,296 (mean 2,724, SD 3,261) in 2015.

Results

Among 86,744 requested stool specimens, 917 (1.06%, range 0–4.59%, 95% confidence interval 0.63–1.48%) were positive. Salmonella was most prevalent (59.0%), followed by Candida (12.4%), Campylobacter (4.8%), Staphylococcus aureus (4.0%), Vibrio (4.0%), and Pseudomonas aeruginosa (1.75). Yersinia (0.3%) and Shigella (0.2%) were rarely isolated.

Conclusion

As the positive rate of the stool cultures is very low (1.06%), more effort and concern should be provided to enhance the isolation of pathogens. Salmonella was the most prevalent pathogen and Campylobacter and Vibrio were relatively common pathogens causing bacterial gastroenteritis in Korea.

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Table 1.
Frequency of microorganisms isolated from stool culture in 2015 compared with the previous study analyzed in a university-affiliated hospital
Bacterial isolates Cho et al. (2001–2010) [9] This study (2015)
  N % N %
Salmonella 359 63.0 541 59.0
Salmonella spp. 2   64  
Salmonella Typhi 1   3  
Serogroup A 2   1  
Serogroup B 86   191  
Serogroup C 89   137  
Serogroup D 157   129  
Serogroup E 22   14  
Shigella 98 17.2 2 0.2
Shigella flexneri     1  
Shigella boydii     1  
Campylobacter 85 14.9 44 4.8
Campylobacter jejun ni   42  
Campylobacter coli     2  
Vibrio 27 4.7 37 4.0
Vibrio parahaemolyt ticus 27   26  
Other Vibrio spp.     11  
Yersinia 1 0.2 3 0.3
Yersinia pseudotuber rculosis   1  
Yersinia enterocolitic ca 1   2  
Others*     190 20.7
Total 570 100.0 917 100.0

* Candida 114, Staphylococcus aureus 37, Pseudomonas aeruginosa 14, Bacillus cereus 12, Klebsiella pneumoniae 10, Plesiomonas shigelloides 1, Shewanella putrefaciens 1, Enterococcus faecium 1.

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