The Bristol Stool Form Scale: its translation to Portuguese, cultural adaptation and validation

Martinez, Anna Paula; Azevedo, Gisele Regina de

doi:10.1590/s0104-11692012000300021

Cited by 68 publications

(46 citation statements)

References 16 publications

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“…The inclusion of patients into the surveillance merely based on the subjective assessment of the local field doctor is a major limitation of the study. This limitation does not allow direct comparisons with studies using standardized definitions of travelers' diarrhea, for example, including stool quality assessments like the Bristol stool scale [ 39 – 42 ]. Of note, the assessment of symptoms of patients with ≥3 stools per day led to similar results as observed for the whole study population.…”

Section: Discussionmentioning

confidence: 99%

Surveillance of Food- and Smear-Transmitted Pathogens in European Soldiers with Diarrhea on Deployment in the Tropics: Experience from the European Union Training Mission (EUTM) Mali

Frickmann

Warnke²,

Frey

et al. 2015

BioMed Research International

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Introduction. Since 2013, European soldiers have been deployed on the European Union Training Mission (EUTM) in Mali. From the beginning, diarrhea has been among the most “urgent” concerns. Diarrhea surveillance based on deployable real-time PCR equipment was conducted between December 2013 and August 2014. Material and Methods. In total, 53 stool samples were obtained from 51 soldiers with acute diarrhea. Multiplex PCR panels comprised enteroinvasive bacteria, diarrhea-associated Escherichia coli (EPEC, ETEC, EAEC, and EIEC), enteropathogenic viruses, and protozoa. Noroviruses were characterized by sequencing. Cultural screening for Enterobacteriaceae with extended-spectrum beta-lactamases (ESBL) with subsequent repetitive sequence-based PCR (rep-PCR) typing was performed. Clinical information was assessed. Results. Positive PCR results for diarrhea-associated pathogens were detected in 43/53 samples, comprising EPEC (n = 21), ETEC (n = 19), EAEC (n = 15), Norovirus (n = 10), Shigella spp./EIEC (n = 6), Cryptosporidium parvum (n = 3), Giardia duodenalis (n = 2), Salmonella spp. (n = 1), Astrovirus (n = 1), Rotavirus (n = 1), and Sapovirus (n = 1). ESBL-positive Enterobacteriaceae were grown from 13 out of 48 samples. Simultaneous infections with several enteropathogenic agents were observed in 23 instances. Symptoms were mild to moderate. There were hints of autochthonous transmission. Conclusions. Multiplex real-time PCR proved to be suitable for diarrhea surveillance on deployment. Etiological attribution is challenging in cases of detection of multiple pathogens.

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Section: Discussionmentioning

confidence: 99%

Surveillance of Food- and Smear-Transmitted Pathogens in European Soldiers with Diarrhea on Deployment in the Tropics: Experience from the European Union Training Mission (EUTM) Mali

Frickmann

Warnke²,

Frey

et al. 2015

BioMed Research International

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“…Types 1 and 2 are considered to be abnormally hard stools (and in conjunction with other symptoms indicative of constipation) while Types 6 and 7 are considered abnormally liquid stools (and in conjunction with other symptoms indicative of diarrhea). Types 3, 4 and 5 are generally considered to be the most normal stool forms [ 8 ]. Constipation was rated using the Cleveland Clinic Constipation score (CCS).…”

Section: Methodsmentioning

confidence: 99%

Stool consistency is significantly associated with pain perception

et al. 2017

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BackgroundCommensal as well as pathogenic bacteria can influence a variety of gut functions, thereby leading to constipation and diarrhea in severe cases. In fact, several researchers have reported evidence supporting the association between stool consistency or constipation and the Gut microbiome (GM) composition and dysbiosis. GM influences the human health and disease via the gut-brain axis. We thus hypothesized that the pathogenic bacteria increases pain perception to some extent, which means that there could be an association between stool consistency or constipation and pain perception of healthy subjects.DesignObservational study.ObjectivesThe aim of the present study was to investigate the association between stool consistency or constipation and pain perception of healthy subjects.MethodsThirty-eight healthy subjects participated in this study. The participants were assessed on their usual stool form (the Bristol Stool Form Scale: BSFS), constipation (the Cleveland Clinic Constipation score: CCS), degree of obesity, pain perception by mechanical stimulus, cold pain threshold, and a questionnaire on psychological state.ResultsThe BSFS was significantly and positively associated with pain perception, and showed a significant association with anxiety states. Furthermore, pain perception was significantly associated with anxiety states. However, there were no significant associations between the CCS and any independent variables. In addition, we found that a significant predictor to the pain perception was BSFS. Moreover, there were significant relationships among the psychological states, BSFS and obesity.ConclusionThese results suggest that the stool form is associated with pain perception and anxiety status.

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“…Three patients' related variables were considered: number of stools in each phase of the study (period of 14 days), number of irritability episodes in these 14 days (considering irritability episode as number of times the participant verbally complaints about constipation) and Bristol stool scale [18]. These variables were measured and written down on a daily basis by nursing assistants in charge.…”

Section: Methodsmentioning

confidence: 99%

Effects of Dielectric Monopolar Radiofrequency with Vacuumtherapy in the Treatment of Chronic Constipation in Patients with Intellectual Developmental Disorders

Vera¹,

Puyalto²,

Vivancos³

et al. 2019

Neuropsychiatry

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AimChronic constipation is a high prevalence complication in patients with intellectual developmental disorders due to medication intake and physical activity reduction. Several manual therapy techniques have achieved good results at its treatment, being these a considerable option as no adverse effects have been shown. Nevertheless, the use of electrotherapy devices has not been studied on chronic constipation treatment. These may be considered as a potential tool which may supplement treatment. Thermotherapy by dielectric monopolar radiofrequency (DMR) linked to vacuum therapy could activate local blood irrigation at the colon level and peristaltic movements due to mechanic push-pull. The aim of this study is therefore to prove the efficacy of DMR linked to vacuum therapy for the treatment of chronic constipation in intellectual developmental disorders patients. MethodsNineteen patients which met the inclusion criteria were chosen. Number of stools and shape of them (Bristol Stool Questionnaire) were measured in a period of 14 days, when patients received their common care techniques for chronic constipation. After that, patients received 14 days of DMR linked to vacuum therapy treatment. The same variables were measured in the meantime so as to observe possible differences. ResultsDMR linked to vacuum therapy proved an improvement in number of stools per day and the shape/quality of them. No adverse results were observed. ConclusionDMR linked to vacuum treatment seems effective for the treatment of chronic constipation in intellectual developmental disorders patients.

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The Bristol Stool Form Scale: its translation to Portuguese, cultural adaptation and validation

Abstract: the scale demonstrated high reliability for all the groups studied.

Cited by 68 publications

References 16 publications

Surveillance of Food- and Smear-Transmitted Pathogens in European Soldiers with Diarrhea on Deployment in the Tropics: Experience from the European Union Training Mission (EUTM) Mali

Surveillance of Food- and Smear-Transmitted Pathogens in European Soldiers with Diarrhea on Deployment in the Tropics: Experience from the European Union Training Mission (EUTM) Mali

Stool consistency is significantly associated with pain perception

Effects of Dielectric Monopolar Radiofrequency with Vacuumtherapy in the Treatment of Chronic Constipation in Patients with Intellectual Developmental Disorders

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