An epidemiological study of Haemophilus influenzae at a Brazilian day care center



Título del documento: An epidemiological study of Haemophilus influenzae at a Brazilian day care center
Revista: The brazilian journal of infectious diseases
Base de datos: PERIÓDICA
Número de sistema: 000290647
ISSN: 1413-8670
Autores: 1
Instituciones: 1Universidade de Sao Paulo, Departamento de Morfologia, Estomatologia e Fisiologia, Ribeirao Preto, Sao Paulo. Brasil
Año:
Periodo: Oct
Volumen: 5
Número: 5
Paginación: 260-268
País: Brasil
Idioma: Inglés
Tipo de documento: Artículo
Enfoque: Experimental
Resumen en inglés Day care centers are a relatively new phenomenon in Brazil that bring together large numbers of young children susceptible to contagious diseases. Haemophilus influenzae (Hi) is an important infection in the age range of those attending day care centers. In the present study, the carriage rate of Haemophilus influenzae was identified in 38 day care attendees age 6 to 37 months, and 23 staff members, at a day care center in Ribeirão Preto-São Paulo, in 1997. To identify the carriers, two nasopharyngeal swabs were collected; one in July and one in December. The rate of H. influenzae carriers among the children was 77%. Only 2 of 23 staff members (9%) had Hi. Among the children, there were 58 isolates in the two sampling periods; 6 of the Hi were serotype b, 1 was serotype e, and 48 isolates were non-typeable. Two were identified as H. parainfluenzae. One adult had a non-typeable Hi and 1 had H. paraphrohaemolyticus. Three of the 6 children with type B had received a conjugate vaccine against H. influenzae type b, but they still carried this bacterium in the nasopharynx (50%). Forty ribotype patterns were found among the isolates, showing a high exchange rate of nontypeable H. influenzae carriers. The results indicate that, because of the high and changing biotype of Hi carriage, day care centers should be carefully monitored as potential point source of HI disease in the community
Disciplinas: Medicina
Palabras clave: Microbiología,
Pediatría,
Salud pública,
Haemophilus influenzae,
Guarderías,
Colonización
Keyword: Medicine,
Microbiology,
Pediatrics,
Public health,
Haemophilus influenzae,
Day care,
Colonization
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