Faecal candida and diarrhoea

Forbes, David

doi:10.1136/adc.84.4.328

Cited by 33 publications

(23 citation statements)

References 27 publications

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“…With regard to Candida, some investigators conclude that high concentrations, meaning over 100,000/g in stool, suggest this diagnosis, a concept that is supported with possible improvement after nystatin therapy. Nevertheless, many authorities question the validity of this observation [24].…”

Section: Diagnosismentioning

confidence: 94%

Clostridium difficile-associated enteric disease

Bartlett

2002

Curr Infect Dis Rep

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Clostridium difficile was identified as the putative agent of antibiotic-associated pseudomembranous colitis in 1978 and is now recognized as the major identifiable cause of antibiotic-associated diarrhea. This microbe causes a spectrum of enteric disease ranging from nuisance diarrhea to life-threatening colitis. Risk factors include increasing age, exposure to antibiotics, colonization or acquisition of toxin-producing strains of C. difficile, and lack of circulating antibody to C. difficile toxin A. Detection is relatively simple by stool assay for C. difficile toxin--usually an enzyme immunoassay that will detect toxin A and B. Most nonsevere cases will respond with discontinuation of the implicated antibiotic. More severe cases require metronidazole and supportive care. The major complications include ileus, toxic megacolon, relapsing disease after antibiotic treatment, and nosocomial epidemics.

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Section: Diagnosismentioning

confidence: 94%

Clostridium difficile-associated enteric disease

Bartlett

2002

Curr Infect Dis Rep

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“…In Brazil, the results of ROSSIT et al 78 were comparable with the highest published frequencies (35%) reported in HIV seropositive children. Indeed, these pathogens have been reported as opportunistic in the gastrointestinal tract and are considered in some situations the only etiological agent necessary for diarrheic symptoms 15,27 or relevant only when associated with other microorganisms 14,31,53 . Anyway, their importance is based on the growing incidence of isolation in oral and esophageal mucous membranes and even in the blood stream (candidemia) and their intrinsic or acquired resistance to the main available antifungal drugs 78 .…”

Section: Yeastmentioning

confidence: 99%

Etiological agents of diarrhea in patients infected by the human immunodeficiency virus-1: a review

Rossit¹,

Gonçalves

Franco

et al. 2009

Rev. Inst. Med. trop. S. Paulo

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Despite the importance of understanding the epidemiology of agents responsible for infectious diarrhea in human immunodeficiency virus (HIV)/acquired immunodeficiency syndrome (AIDS) population, the number of articles about this subject is relatively few. The current article summarizes published data on bacterial, fungal, viral and parasitic enteropathogens in the HIV/AIDS seropositive subjects in different countries, regions and localities. In general, there is a great difference in the frequencies of etiological agents due to factors which include immune status, geographical location, climate and socioeconomic conditions. It is important to stress that a great prevalence of infection by emergent agents has been reported in the more advanced stages of AIDS. Therefore, to establish specific treatment depends directly on knowledge of these agents and risk factors associated to their distribution. Moreover, the colonization by potential pathogenic agents verified in these individuals is high thus implicating that they act as carriers. Finally, public health measures of control and prevention must take into consideration the regional previously identified enteropathogens, especially in areas where HIV prevalence is high.

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“…Essa divergência de resultados com relação à presente pesquisa pode ser explicada pela inclusão de indivíduos sintomáticos no último estudo (30) . Forbes et al, em pesquisa realizada com crianças hospitalizadas, demonstraram que a Candida spp não causa diarreia em crianças eutróficas, mas desempenha papel importante em desnutridos com diarreia crônica (33) . Pode-se concluir que a transição nutricional está ocorrendo nas crianças que frequentam a creche "Sinharinha Neto" e que a melhora na qualidade de vida, incluindo saneamento básico e educação sanitária, contribui para o desaparecimento de algumas enteroparasitoses.…”

Section: Discussionunclassified

Estado nutricional e prevalência de enteroparasitoses em crianças matriculadas em creche

Biscegli¹,

Romera²,

Candido³

et al. 2009

Rev. paul. pediatr.

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RESUMOObjetivo: Avaliar o estado nutricional e descrever a prevalência de enteroparasitoses em crianças de uma creche.Métodos: Estudo transversal com 133 crianças (sete a 78 meses de idade) matriculadas na Creche "Sinharinha Neto", Catanduva (SP). Avaliou-se o estado nutricional pelas curvas da OMS/2006 e NCHS/2000 (menores e maiores de cinco anos, respectivamente) e investigou-se enteroparasitoses por meio de exames parasitológicos de fezes. O escore Z dos índices peso/altura foi aplicado para classificar desnutrição aguda (Z<-2) e obesidade (Z>2) e o da altura/idade para desnutrição pregressa e crônica (Z<-2). Para análise estatís-tica das variáveis, utilizou-se o teste Z para duas proporções, sendo significante p≤0,05.Resultados: Observou-se 0,8% de desnutrição aguda, 1,5% de desnutrição pregressa e 6% de obesidade. A prevalência de distúrbios nutricionais foi significativamente maior no gênero masculino. A prevalência de enteroparasitoses foi de 29,2%. Os parasitas encontrados foram Giardia lamblia (73,6%), Entamoeba coli e leveduras (10,5% cada) e Endolimax nana (7,9%). A faixa etária mais acometida foi de 25 a 60 meses (60,5%). A prevalência de Entamoeba coli e leveduras foi significativamente maior em crianças desnutridas em comparação às eutróficas.Conclusões: A transição nutricional é comprovada nas crianças da creche "Sinharinha Neto". A melhora na qualidade de vida contribuiu para o desaparecimento de algumas parasitoses, mas não afetou de forma efetiva a ocorrência de giardíase. Seria benéfico adotar medidas preventivas contra a obesidade infantil e as protozooses, tanto na creche como nos domicílios.Endereço para correspondência: Terezinha Soares Biscegli Rua Fortaleza, 95 -Jardim Ferreira CEP 15840-000 -Itajobi/SP E-mail: terezinhabiscegli@yahoo.com.br Recebido em: 7/11/08 Aprovado em: 1/3/09 Palavras-chave: criança; creches; estado nutricional; parasitoses. ABSTRACTObjective: To evaluate the nutritional status and the prevalence of intestinal parasitic diseases among children enrolled in a day care center.Methods: This cross-sectional study comprised 133 children, aged seven to 78 months, assisted in a nonprofit day care center in Catanduva, SP, Brazil. The nutritional status was classified according to WHO/2006 and NCHS/2000 curves (younger and older than five years, respectively). Faecal samples were collected for parasite examination. Z scores of weight/height were used to classify acute malnutrition (Z<-2) and obesity (Z>2), and height/age to classify past and chronic malnutrition (Z<-2). Statistical analyses were performed by Z test for proportions, beeing significant p≤0.05.Results: Among the evaluated children, 0.8% presented acute malnutrition, 1.5% past malnutrition and 6% obesity. Nutritional disorders were more prevalent among boys. The prevalence of intestinal parasites was 29.2%. The parasites identified were Giardia lamblia (73.6%), Entamoeba coli and yeasts (10.5% each) and Endolimax nana (7.9%). Children aged 25 to 60 months presented more parasites (60.5%). Entamoeba coli and yeas...

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Faecal candida and diarrhoea

Cited by 33 publications

References 27 publications

Clostridium difficile-associated enteric disease

Clostridium difficile-associated enteric disease

Etiological agents of diarrhea in patients infected by the human immunodeficiency virus-1: a review

Estado nutricional e prevalência de enteroparasitoses em crianças matriculadas em creche

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