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Intestinal Colonization with Enterobacteriaceae in Pakistani and Swedish Hospital‐Delivered Infants
Author(s) -
ADLERBERTH INGEGERD,
CARLSSON BARBRO,
MAN PETER DE,
JALIL FEHMIDA,
KHAN SHAUKAT R.,
LARSSON PETER,
MELLANDER LOTTA,
SVANBORG CATHARINA,
WOLD AGNES E.,
HANSON LARS Å.
Publication year - 1991
Publication title -
acta pædiatrica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.772
H-Index - 115
eISSN - 1651-2227
pISSN - 0803-5253
DOI - 10.1111/j.1651-2227.1991.tb11917.x
Subject(s) - citrobacter , medicine , colonization , breastfeeding , klebsiella , caesarean section , enterobacter , breast feeding , enterobacteriaceae , pediatrics , caesarean delivery , microbiology and biotechnology , pregnancy , biology , escherichia coli , biochemistry , genetics , gene
. Rectal cultures from Swedish and Pakistani hospital‐delivered newborn infants were analysed regarding the early aquisition 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 Klebsiefla 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/Citrobucter. The results suggest that environmental exposure, delivery mode and early feeding habits all influence the early intestinal colonization with enterobacteria.