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Intestinal colonization with Enterobacteriaceae in Pakistani and Swedish hospital-delivered infants.

Journal article
Authors Ingegerd Adlerberth
Barbro Carlsson
Peter de Man
F Jalil
S R Khan
Peter Larsson
Lotta Mellander
Catharina Svanborg
Agnes E Wold
Lars Åke Hanson
Published in Acta paediatrica Scandinavica
Volume 80
Issue 6-7
Pages 602-10
ISSN 0001-656X
Publication year 1991
Published at Institute of Laboratory Medicine, Dept of Clinical Immunology
Institute of Laboratory Medicine, Dept of Clinical Bacteriology
Institute for the Health of Women and Children, Dept of Paediatrics
Pages 602-10
Language en
Keywords Breast Feeding, Cross Infection, epidemiology, etiology, microbiology, Enterobacteriaceae Infections, epidemiology, etiology, microbiology, Feces, microbiology, Humans, Infant Food, Infant, Newborn, Intestines, microbiology, Pakistan, epidemiology, Regression Analysis, Sweden, epidemiology
Subject categories Pediatrics, Microbiology in the medical area, Infectious Medicine, Gastroenterology and Hepatology, Public Health, Global Health, Social Medicine and Epidemiology


Rectal cultures from Swedish and Pakistani hospital-delivered newborn infants were analysed regarding the early acquisition of enterobacteria. Swedish infants were delivered vaginally, Pakistani infants were delivered either vaginally or by caesarean section. The Swedish infants were all breast-fed, whereas breastfeeding was incomplete and often started late among the Pakistani infants. Both groups of Pakistani infants were more rapidly colonized with enterobacteria than were the Swedish infants. Cultures from Swedish infants seldom yielded more than one kind of enterobacteria; E. coli and Klebsiella were most frequently isolated. E. coli dominated in both Pakistani groups, but especially caesarean section delivered infants were in addition often colonized with Proteus, Klebsiella, Enterobacter or Citrobacter species. Breastfeeding from the first day of life reduced colonization with Klebsiella/Enterobacter/Citrobacter. The results suggest that environmental exposure, delivery mode and early feeding habits all influence the early intestinal colonization with enterobacteria.

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