Bacterial Diarrheal Diseases by M. H. Merson (auth.), Y. Takeda, T. Miwatani (eds.)

By M. H. Merson (auth.), Y. Takeda, T. Miwatani (eds.)

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Enteroeolitiea seems to be a rare cause of infantile diarrhea in Brazil. In a survey conducted in our laboratory in the last 4 years we found the bacteria in only 3 children with diarrhea out of more than 500 studied. In Rio de Janeiro, in a study conducted by Stumpf et al. (23) in 1978, Y. 7%) of 70 children with diarrhea. In spite of the low frequency of infantile diarrhea caused by Y. enteroeolitiea, the bacteria have been found in several animal species and foods in Brazil (6). Campylobaeter fetus ssp.

Coli 0111 and 0119 have been isolated from the environment in several hospital nurseries (17); 2) the larger the number of hospital admissions of an infant the more it has EPEe infections (data not published); and 3) most EPEe strains isolated from infants with endemic diarrhea are typical hospital strains in its pattern of drug resistance (14, 29). So, it is probable that endemic EPEe infections in Sao Paulo are nosocomial infections basically. This permanent source of infection would be a satisfactory explanation for the persistently high isolation rate for EPEe in infants in the first months of life.

Children under two years of age experienced more than one episode. Diarrhea increased in March and April however there was no increase in diarrhea in November and December as had been found at the hospital the preceding year, in part reflecting the lower incidence of rotavirus in children in the village vs the hospital. In November and December rotavirus accounted for 60 percent of pediatric diarrhea cases at the hospital, but only ten percent of those in the village. Since only 132 episodes of diarrhea occurred in the village during one year, conclusions based on results from the Ban Pong study must be interpreted with caution.

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