Prospective Study of the Etiology of Diarrhea in Adult Outpatients and Impatients

H.I. Rautelin Dept. of Bacteriology and Immunology and Dept. of Virology, University of Helsinki; Dept. of Medicine and Tropical Diseases, Aurora Municipal Hospital, and Division of Primary Health Care, Helsinki City Health Dept., Helsinki, Finland

O.V. Renkonen Dept. of Bacteriology and Immunology and Dept. of Virology, University of Helsinki; Dept. of Medicine and Tropical Diseases, Aurora Municipal Hospital, and Division of Primary Health Care, Helsinki City Health Dept., Helsinki, Finland

C.-H. Von Bonsdorff Dept. of Bacteriology and Immunology and Dept. of Virology, University of Helsinki; Dept. of Medicine and Tropical Diseases, Aurora Municipal Hospital, and Division of Primary Health Care, Helsinki City Health Dept., Helsinki, Finland

J. Lähdevirta Dept. of Bacteriology and Immunology and Dept. of Virology, University of Helsinki; Dept. of Medicine and Tropical Diseases, Aurora Municipal Hospital, and Division of Primary Health Care, Helsinki City Health Dept., Helsinki, Finland

T. Pitkänen Dept. of Bacteriology and Immunology and Dept. of Virology, University of Helsinki; Dept. of Medicine and Tropical Diseases, Aurora Municipal Hospital, and Division of Primary Health Care, Helsinki City Health Dept., Helsinki, Finland

A. Järvinen Dept. of Bacteriology and Immunology and Dept. of Virology, University of Helsinki; Dept. of Medicine and Tropical Diseases, Aurora Municipal Hospital, and Division of Primary Health Care, Helsinki City Health Dept., Helsinki, Finland

P. Reinikainen Dept. of Bacteriology and Immunology and Dept. of Virology, University of Helsinki; Dept. of Medicine and Tropical Diseases, Aurora Municipal Hospital, and Division of Primary Health Care, Helsinki City Health Dept., Helsinki, Finland

T.U. Kosunen Dept. of Bacteriology and Immunology and Dept. of Virology, University of Helsinki; Dept. of Medicine and Tropical Diseases, Aurora Municipal Hospital, and Division of Primary Health Care, Helsinki City Health Dept., Helsinki, Finland

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Abstract

A prospective study of the etiology of diarrhea in 253 adult outpatients and inpatients was conducted in Helsinki in 1985-86. The outpatients constituted 84.6% of all patients studied. A broad panel of diagnostic techniques was applied, including detection of bacteria and parasites in the feces and determination of the serologic responses to campylobacter, salmonella, Yersinia enterocolitica, and several viruses. Pathogens were identified for 28.5% of the patients. The commonest findings were Campylobacter jejunilcoli in 13.0% and Salmonella species in 7.1% of the patients. Mixed infections of several pathogens were found in 16 patients.

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Prospective Study of the Etiology of Diarrhea in Adult Outpatients and Impatients

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Prospective Study of the Etiology of Diarrhea in Adult Outpatients and Impatients

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