Cholera and other vibrio-associated diarrhoeas.

In recent years, there have been major advances in knowledge of Vibrio species and related organisms that are responsible for diarrhoeal diseases, particularly V. cholerae O-Group 1 (epidemic strains), atypical V. cholerae O-Group 1, non-O-Group 1 V. cholerae (non-epidemic strains), V. parahaemolyticus, V. alginolyticus, and "Group F vibrios". This article reviews the important new information, and identifies gaps in our knowledge, on aspects such as the epidemiology and bacteriology of vibrios, environmental surveillance for V. cholerae O-Group 1, phage and vibriocin typing of V. cholerae, and cholera enterotoxin, and its relevance to pathogenesis, immunity, and vaccine development. In each of these areas priorities for further research are recommended.