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Campylobacter Enteritis: Early Diagnosis With Gram's Stain

Campylobacter Enteritis: Early Diagnosis With Gram's Stain Abstract Campylobacter jejuni has become one of the most important causes of infectious diarrhea in the United States. We examined the utility of Gram's stain of stool for the rapid presumptive diagnosis of Campylobacter enteritis in a large, urban hospital and found that this test has a sensitivity of 43.5% and a specificity of 99.4%. We believe that Gram's stain of stool could be used to direct the early management of up to one half of patients infected with this pathogen. (Arch Intern Med 1982;142:1858-1860) References 1. Blaser MJ, Reller LB: Campylobacter enteritis. N Engl J Med 1981;305:1444-1452.Crossref 2. Blaser MJ, Berkowitz ID, LaForce FM, et al: Campylobacter enteritis: Clinical and epidemiologic features. Ann Intern Med 1979;91:179-185.Crossref 3. Drake AA, Gilchrist MJR, Washington JA, et al: Diarrhea due to Campylobacter fetus subspecies jejuni: A clinical review of 63 cases. Mayo Clin Proc 1981;56:414-423. 4. Skirrow MB: Campylobacter enteritis: A 'new' disease. Br Med J 1977;2:9-11.Crossref 5. Pai CH, Sorger S, Lackman L, et al: Campylobacter gastroenteritis in children. J Pediatr 1979;94:589-591.Crossref 6. Griner PF, Mayewski RJ, Mushlin AI, et al: Selection and interpretation of diagnostic tests and procedures: Principles and applications. Ann Intern Med 1981;94:553-600. 7. Blaser MJ, Wells JG, Feldman RA, et al: A multicenter study of Campylobacter infection in the United States , in Moellering RC Jr, Brown WE, Warren GH, et al(eds): Proceedings of the 21st Interscience Conference on Antimicrobial Agents and Chemotherapy, Nov 6, 1981 , Chicago. Washington, DC, American Society for Microbiology, 1981, abstract 780. 8. Azoulay G, Bouvier R, Sidaine P, et al: Campylobacteriose digestive infantile. Arch Fr Pediatr 1980;37:109-110. 9. Sazie ESM, Titus AE: Rapid diagnosis of Campylobacter enteritis. Ann Intern Med 1982;96:62-63.Crossref 10. Maki M, Maki R, Visekari T: Leukocytes in Campylobacter-associated diarrhea in infants. Acta Pediatr Scand 1979;68:271-272.Crossref 11. Terhune C, Sazie E, Kalishman N, et al: Raw-milk-associated illness—Oregon. MMWR 1981;30:90-91. 12. Karmali MA, Fleming PC: Campylobacter enteritis in children. J Pediatr 1979;94:527-533.Crossref 13. Anders BJ, Lauer BL, Paisley JW, et al: Double-blind placebo controlled trial of erythromycin for treatment of Campylobacter enteritis , in Moellering RC Jr, Brown WE, Warren GH, et al (eds): Proceedings of the 21st Interscience Conference on Antimicrobial Agents and Chemotherapy, Nov 4-6,1981 , Chicago. Washington, DC, American Society of Microbiology, 1981, abstract 777. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Internal Medicine American Medical Association

Campylobacter Enteritis: Early Diagnosis With Gram's Stain

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Publisher
American Medical Association
Copyright
Copyright © 1982 American Medical Association. All Rights Reserved.
ISSN
0003-9926
eISSN
1538-3679
DOI
10.1001/archinte.1982.00340230100018
Publisher site
See Article on Publisher Site

Abstract

Abstract Campylobacter jejuni has become one of the most important causes of infectious diarrhea in the United States. We examined the utility of Gram's stain of stool for the rapid presumptive diagnosis of Campylobacter enteritis in a large, urban hospital and found that this test has a sensitivity of 43.5% and a specificity of 99.4%. We believe that Gram's stain of stool could be used to direct the early management of up to one half of patients infected with this pathogen. (Arch Intern Med 1982;142:1858-1860) References 1. Blaser MJ, Reller LB: Campylobacter enteritis. N Engl J Med 1981;305:1444-1452.Crossref 2. Blaser MJ, Berkowitz ID, LaForce FM, et al: Campylobacter enteritis: Clinical and epidemiologic features. Ann Intern Med 1979;91:179-185.Crossref 3. Drake AA, Gilchrist MJR, Washington JA, et al: Diarrhea due to Campylobacter fetus subspecies jejuni: A clinical review of 63 cases. Mayo Clin Proc 1981;56:414-423. 4. Skirrow MB: Campylobacter enteritis: A 'new' disease. Br Med J 1977;2:9-11.Crossref 5. Pai CH, Sorger S, Lackman L, et al: Campylobacter gastroenteritis in children. J Pediatr 1979;94:589-591.Crossref 6. Griner PF, Mayewski RJ, Mushlin AI, et al: Selection and interpretation of diagnostic tests and procedures: Principles and applications. Ann Intern Med 1981;94:553-600. 7. Blaser MJ, Wells JG, Feldman RA, et al: A multicenter study of Campylobacter infection in the United States , in Moellering RC Jr, Brown WE, Warren GH, et al(eds): Proceedings of the 21st Interscience Conference on Antimicrobial Agents and Chemotherapy, Nov 6, 1981 , Chicago. Washington, DC, American Society for Microbiology, 1981, abstract 780. 8. Azoulay G, Bouvier R, Sidaine P, et al: Campylobacteriose digestive infantile. Arch Fr Pediatr 1980;37:109-110. 9. Sazie ESM, Titus AE: Rapid diagnosis of Campylobacter enteritis. Ann Intern Med 1982;96:62-63.Crossref 10. Maki M, Maki R, Visekari T: Leukocytes in Campylobacter-associated diarrhea in infants. Acta Pediatr Scand 1979;68:271-272.Crossref 11. Terhune C, Sazie E, Kalishman N, et al: Raw-milk-associated illness—Oregon. MMWR 1981;30:90-91. 12. Karmali MA, Fleming PC: Campylobacter enteritis in children. J Pediatr 1979;94:527-533.Crossref 13. Anders BJ, Lauer BL, Paisley JW, et al: Double-blind placebo controlled trial of erythromycin for treatment of Campylobacter enteritis , in Moellering RC Jr, Brown WE, Warren GH, et al (eds): Proceedings of the 21st Interscience Conference on Antimicrobial Agents and Chemotherapy, Nov 4-6,1981 , Chicago. Washington, DC, American Society of Microbiology, 1981, abstract 777.

Journal

Archives of Internal MedicineAmerican Medical Association

Published: Oct 1, 1982

References