We identified different diarrheagenic (DEC)Escherichia

The findings indicate that the transmission of diarrhoea is influenced by factors from all hierarchical levels, with interpersonal transmission playing a relatively higher role than previously thought. This is compatible with a predominance of viruses and other agents spread by interpersonal routes including Shigella, Giardia and Cryptosporidium. Diarrhoea control strategies in similar settings (middle-income countries in which a large proportion of the population has access to water and sanitation) must give greater emphasis to policies geared towards reducing person-to-person transmission for the prevention of diarrhoea.

A new repetitive DNA element was identified in an isolate of Leptospira interrogans serovar copenhageni from a patient in Salvador, Brazil. A Sau3A genomic library from this strain was constructed and screened for repetitive DNA elements. An insert of 438 bp (Rep1) from one library clone hybridized to multiple chromosomal DNA fragments resolved electrophoretically after digestion with BamHI, HindIII, and MfeI. A single oligonucleotide primer, designated iRepl, was designed to generate multiple PCR amplicons of various electrophoretic mobilities in a PCR typing method. The method distinguished strains belonging to the eight pathogenic and three saprophytic species of the genus Leptospira. Clinical isolates obtained during urban epidemics between 1996 and 1998 in Salvador, Brazil, were analyzed by this PCR method. Although the iRep1 primer was unable to discriminate strains among L. interrogans serovar copenhageni isolates, it was able to differentiate strains belonging to different species and serogroups of Leptospira identified in Salvador. This PCR-based method may provide a faster and less expensive alternative to serologic tests used in reference laboratories.

A case-control study, aimed at identifying factors associated with rotavirus diarrhoea cases presenting to health facilities, was conducted in children from low-income and middle-low-income families in Brazil. Cases were 390 children with diarrhoea and rotavirus in stools; controls were 1674 children without diarrhoea presenting to the same facilities. Data were collected by questionnaire and observations during home visits. Explanatory variables were grouped according to a conceptual model of causation. The ORs by non-conditional logistic regression and population-attributable fractions were calculated. Socioeconomic factors contributed a third of cases, followed by contact with diarrhoea cases and by not being breast fed. In cases aged <1 year, not being breast fed was the main determinant, followed by socioeconomic factors, and crowding and contact outside the home; in older children, socioeconomic factors followed by contact inside and outside the home were the main determinants. Environmental and sanitation variables were not associated with diarrhoea in the final model, and socioeconomic factors were only partly mediated by proximal variables. Transmission of rotavirus appears to be mostly by person-to-person contact, and shows marked social differentials not explained by the biological factors studied. The rotavirus vaccine is unlikely to protect against the full range of circulating genotypes of rotavirus, and understanding rotavirus epidemiology remains essential to the development of control policies.

Background: Vulvovaginal candidiasis (VVC) is the second most common vaginal infection. HIV-infection is a risk factor for this infection. Objective: To determine the frequency of VVC and to describe the main Candida species isolated and their susceptibility to antifungal drugs in HIV-infected patients, compared to HIV-uninfected women in Salvador, Brazil. Methods: Cross-sectional study including a group of 64 HIV-infected women and 76 uninfected women, followed up at the AIDS reference center and at the Gynecological Clinic of Escola Bahiana de Medicina e Saúde Pública (Salvador, Bahia, Brazil). Results: Frequency of Candida spp. was higher in HIV-infected women (29.7%) than in HIV-uninfected controls (14.5%) (p = 0.02). The odds ratio value for vulvovaginal candidiasis in HIV-infected patients was 2.6 (95% CI: 1.07 -6.32 p = 0.03). Candida albicans was the most commonly isolated species in both HIV-infected (52.3%) and uninfected women (85.7%), followed by C. parapsolis in 17.6% and 14.3%, respectively. In HIV-infected women, C. glabrata, C. parapsilosis, and a coinfection of C. albicans and C. glabrata were also identified. There was no significant difference between Candida species isolated from the vaginal mucosa of women with VVC and colonization of the vaginal mucosa of HIV-infected and HIV-uninfected women. One C. glabrata isolate from an HIV-infected patient was resistant to fluconazole and other two isolates exhibited a dose-dependent susceptibility. Conclusion: Our results confirm a higher frequency of Candida spp. isolated from the vaginal mucosa of HIV-infected women and a broader spectrum of species involved. Only Candida glabrata isolates showed decreased susceptibility to fluconazole.

Our results confirm a higher frequency of Candida spp. isolated from the vaginal mucosa of HIV-infected women and a broader spectrum of species involved. Only Candida glabrata isolates showed decreased susceptibility to fluconazole.

RESUMO:Com o aumento da resistência bacteriana aos antibióticos disponíveis, tornouse imprescindível a busca por novos fármacos ou protótipos. Os metabólitos secundários produzidos por alguns vegetais como cumarinas, alcaloides e terpenoides podem apresentar várias atividades biológicas, dentre elas, atividade antibiótiotica. O objetivo deste trabalho foi avaliar a atividade antimicrobiana in vitro, pelo método de difusão em disco, das diferentes partes de duas espécies pertencentes à família Rutaceae coletadas na Chapada Diamantina, Bahia, Brasil: Spiranthera odoratissima A. St.-Hil. e Zanthoxylum stelligerum Turcz., bem como do alcaloide diidroqueleritrina, isolado do extrato metanólico de Z. stelligerum frente a cepas padrão de microrganismos e isolados clínicos. Os resultados apresentados indicam que o extrato da raiz da espécie Z. stelligerum e o alcaloide extraído desta apresentaram propriedades antimicrobianas contra as cepas Gram positivas e leveduras. A E. coli foi a única cepa Gram negativa que se mostrou sensível ao extrato e ao alcaloide.Unitermos: Spiranthera odoratissima, Zanthoxylum stelligerum, atividade antimicrobiana, diidroqueleritrina, Rutaceae.ABSTRACT: "Evaluation of the antimicrobial activity of two Rutaceae species from the Brazilian Northeast". With the increase in bacterial resistance to available antibiotics, it became imperative to search for new drugs or prototypes. The secondary metabolites produced by some plants as coumarins, alkaloids and terpenoids have several biological activities, among them, antibiotic activity. The objective of this study was to evaluate the antimicrobial activity in vitro by the disk diffusion method, from different parts of two species belonging to the family Rutaceae, collected in the Chapada Diamantina, Bahia, Brazil: Spiranthera odoratissima A. St Hil. and Zanthoxylum stelligerum Turcz., and the alkaloid dihydrochelerythrine, isolated from the methanolic extract of Z. stelligerum front of standard strains of microorganisms and clinical isolates. The results indicate that the extract from the roots of Z. stelligerum and the alkaloid had antimicrobial properties against Gram positive and yeast strains. The E. coli was the only Gram negative strain that was sensitive to extract and the alkaloid.

PuRPOse: to compare the frequency of vulvovaginitis in women infected with human imunnodeficiency virus (HIV) with the frequency in non-infected women. MethOds: a transversal study including 64 HIV infected women and 76 noninfected ones. The frequencies of bacterial vaginosis, candidiasis and trichomoniasis, diagnosed by Amsel's criteria, culture and fresh exam, respectively, were calculated. Chi-square test, Fisher's exact test and multiple regressions to verify the independence of associations were used to analyze the data. Results: the vaginal infection was more prevalent in HIV infected patients, as compared to the control group (59.4 versus 28.9%, p<0,001; Odds Ratio=2.7, p=0.007). Bacterial vaginosis occurred in 26.6% of the positive-HIV women; vaginal candidiasis, in 29.7% and trichomoniasis, in 12.5% of them. All the infections were significantly more frequent in the group of HIV infected women (p=0.04, 0.02 e 0.04, respectively). COnClusiOns: vulvovaginitis is more frequent in HIV infected women.trabalho realizado no Curso de Pós-graduação de Medicina e saúde humana da escola bahiana de Medicina e saúde Pública -ebMsP -salvador (ba), brasil. Pesquisa fomentada pela Fundação de amparo à Pesquisa do estado da bahia (Fapesb) -bahia (ba), brasil.