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Please use this identifier to cite or link to this item: http://repositorio.ufba.br/ri/handle/ri/12767

Title: Community-based monitoring of diarrhea in urban Brazilian children: incidence and associated pathogens
Other Titles: Transactions of the Royal Society of Tropical Medicine and Hygiene
Authors: Barreto, Mauricio Lima
Milroy, Craig A.
Strina, Agostino
Prado, Matildes da Silva
Leite, José Paulo Gagliardi
Ramos, Eduardo Antônio Gonçalves
Ribeiro, Hugo
Alcântara-Neves, Neuza Maria
Teixeira, Maria da Glória Lima Cruz
Rodrigues, Laura C.
Ruf, Hilda
Guerreiro, Hygia
Trabulsi, Luiz Rachid
Keywords: Diarrhea;Enteropathogens;Surveillance;Community-based monitoring
Issue Date: 2006
Abstract: Community-based monitoring was conducted in order to investigate the occurrence of diarrhea in ‘sentinel areas’ of Salvador, Brazil, and to establish a preliminary profile of the most common pathogens present in children's diarrhea by screening stool samples. This report describes the results obtained from twice weekly home visits to identify and follow diarrhea episodes and testing of carer-requested stool sample collection over a 6-month period. Participants were selected from a large longitudinal study in 21 areas representing the city's poorer socioeconomic and sanitary conditions. Fecal samples were examined for the presence of pathogenic bacteria, viruses and protozoa. The mean incidence of diarrhea was 4.97 episodes per child-year, and longitudinal prevalence was 13.6 days per child-year (3.7%). Pathogens were found in 44% of the fecal samples examined. Bacteria were the most frequently encountered pathogens (isolated in 22% of samples), followed by protozoa (19.5%) and viruses (16%). Viral and bacterial pathogens were associated with episodes of severe diarrhea, while viral and protozoan pathogens were associated with longer episodes. The study demonstrated the importance of a public health monitoring system based on ‘sentinel areas’.
Description: Texto completo: acesso restrito. p. 234-242
URI: http://www.repositorio.ufba.br/ri/handle/ri/12767
ISSN: 0035-9203
Appears in Collections:Artigos Publicados em Periódicos Estrangeiros (ISC)

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