The DOI matches its Crossref record; 19 of the 19 references it cites were found in a registry or an index.
Enteropathogens Associated with Acute Diarrheal Disease in Urban Infants in Sao Paulo, Brazil
Abstract
To determine the prevalence and epidemiology of enteropathogens in acute infantile diarrhea, 500 infants less than or equal to 12 months of age with diarrhea and 500 age-matched control subjects coming to a São Paulo emergency room were studied. Enteropathogens were identified in 55% of case infants and 10% of controls; enteropathogenic Escherichia coli (EPEC) of classic EPEC serotypes producing EPEC adherence factor (EAF) (26% of case infants), rotavirus (14%), Salmonella species (8%), enterotoxigenic E. coli (7%), and Shigella species (5%) were associated with diarrhea. Isolation of EAF+ classic EPEC decreased with increasing age of cases and peaked in spring, whereas rotavirus was least common in early infancy and peaked in fall and winter. Bloody stool had a 36% positive predictive value for Shigella infection, EAF+ classic EPEC were highly resistant to antimicrobial drugs. Among poor São Paulo infants, EAF+ classic EPEC equaled or exceeded rotavirus throughout the year as a cause of diarrhea bringing children to medical attention.
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Cites
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Cited by
Diarrheagenic Escherichia coli
Gomes, T. A. T., Elias, W. P., Scaletsky, I. C. A., Guth, B. E. C., Rodrigues, J. F., Piazza, R. M. F., Ferreira, L. C. S., & Martinez, M. B. (2016) · Brazilian Journal of Microbiology · doi:10.1016/j.bjm.2016.10.015 · Cited by 1,158
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Metadata
- Authors
- Tardelli Gomes, T. A., Rassi, V., MacDonald, K. L., Silva Ramos, S. R. T., Trabulsi, L. R., Vieira, M. A. M., Guth, B. E. C., Candeias, J. A. N., Ivey, C., Toledo, M. R. F., & Blake, P. A.
- Venue
- Journal of Infectious Diseases
- Publisher
- Oxford University Press (OUP)
- Published
- 1991-08-01
- Volume
- 164
- Issue
- 2
- Pages
- 331-337
- ISSN
- 0022-1899 (ISSN-L)
- 1537-6613
- OpenAlex
- W2083857466
- Cited by
- 255
- References
- 19
- FWCI
- 4.41
- Type
- journal article
- Language
- en
- Open access
- closed
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- Tardelli Gomes, T. A., Rassi, V., MacDonald, K. L., Silva Ramos, S. R. T., Trabulsi, L. R., Vieira, M. A. M., Guth, B. E. C., Candeias, J. A. N., Ivey, C., Toledo, M. R. F., & Blake, P. A. (1991). Enteropathogens Associated with Acute Diarrheal Disease in Urban Infants in Sao Paulo, Brazil. Journal of Infectious Diseases. https://doi.org/10.1093/infdis/164.2.331
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