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PubMed2006

Evaluation of blood stream infections by Candida in three tertiary hospitals in Salvador, Brazil: a case-control study.

Invasive infections caused by Candida spp. are an important problem in immunocompromised patients. There is scarce data on the epidemiology of blood stream candidiasis in Salvador, Brazil. This study evaluates the risk factors associated with candidemia, among patients admitted to three tertiary, private hospitals, in Salvador, Brazil. We conducted a case-control, retrospective study to compare patients with diagnosis of candidemia in three different tertiary hospitals in Salvador, Brazil. Patients were matched for nosocomial, acquired infections, according to the causal agent: cases were defined by positive blood cultures for Candida species. Controls were those patients who had a diagnosis of systemic bacterial infection, with a positive blood culture to any bacteria, within the same time period (+/- 30 days) of case identification. The groups were compared for the main known risk factors for candidemia and for mortality rates. A hundred thirty-eight patients were identified. Among the 69 cases, only 14 were diagnosed as infected by Candida albicans. Candida species were defined in only eight cultures: C. tropicalis (4 cases), C. glabrata, C. parapsilosis, C. guillermondi, C. formata (1 case each). The main risk factors, identified in a univariate analysis, were: presence of a central venous catheter (CVC), use of parenteral nutrition support (PNS), previous exposure to antibiotics, and chronic renal failure (CRF). No association was detected with surgical procedures, diabetes mellitus, neutropenia or malignancies. Patients were more likely to die during the hospitalization period, but the rates of death caused by the infections were similar for cases and controls. The length of hospitalization was similar for both groups, as well as the time for a positive blood culture. Blood stream infection by Candida spp. is associated with CVC, PNS, previous use of antibiotics, and CRF. The higher mortality rate for cases probably better reflects the severity of the underlying diseases, than as a direct consequence of Candidemia.

Brazil↗
PubMed2002

MIDAS (Migraine Disability Assessment): a valuable tool for work-site identification of migraine in workers in Brazil.

CONTEXT: MIDAS was developed as a fast and efficient method for identification of migraine in need of medical evaluation and treatment. It was necessary to translate MIDAS, originally written in English, so as to apply it in Brazil and make it usable by individuals from a variety of social-economic-cultural backgrounds. OBJECTIVE: To translate and to apply MIDAS in Brazil. SETTING: Assessment of a sample of workers regularly employed by an oil refinery. SETTING: Refinaria Presidente Bernardes, Cubatão, São Paulo, Brazil. PARTICIPANTS: 404 workers of the company who correctly answered a questionnaire for the identification and evaluation of headache. When the individual considered it to be pertinent to his own needs, there was the option to answer MIDAS as well. METHODS: MIDAS, originally written in English, was translated into Brazilian Portuguese by a neurologist and by a translator specializing in medical texts. The final version of the translation was obtained when, for ten patients to whom it was applied, the text seemed clear and the results were consistent over three sessions. MAIN MEASUREMENTS: Prevalence and types of primary headaches, evaluation of MIDAS as a tool for identification of more severe cases. RESULTS: From the total of 419 questionnaires given to the employees, 404 were returned correctly completed. From these, 160 persons were identified as presenting headaches, 44 of whom considered it worthwhile answering MIDAS. Nine of these individuals who answered MIDAS were identified as severe cases of migraine due to disability caused by the condition. An interview on a later date confirmed these results. Three were cases of chronic daily headache (transformed migraine) and six were cases of migraine. CONCLUSIONS: MIDAS translated to Brazilian Portuguese was a useful tool for identifying severe cases of migraine and of transformed migraine in a working environment. The workers did not consider MIDAS to be difficult to answer. Their high level of voluntary participation demonstrates that this medical condition was of real interest among the workers, whether they were sufferers or not.

Adult↗
PubMed2005

Growth and mortality of black bass, Micropterus salmoides (Pisces, Centrachidae; Lacapède, 1802) in a reservoir in southern Brazil.

The black bass, Micropterus salmoides, was introduced to Brazil from North America in 1922. Since then the species has been reared in aquaculture facilities intended to stock reservoirs as additions to native stocks available for angling. At present no scientific information on the biology of black bass in Brazilian waters is available. Since black bass dispersion may cause severe impacts on native Brazilian fish fauna, information on the basic biological parameters of this species is necessary. The objective of the present study is to provide information on the growth, age structure, and mortality of the species in a small reservoir in southern Brazil, where the species reproduces regularly. Based on scale readings, the von Bertalanffy growth curve was calculated and compared to the length-frequency distribution of the population. Both methods showed similar results. Maximum length was about 44 cm. The mean length at the end of the first year was 23.1 cm (s.d. = 13.88); at that of the second, 37.3 cm (s.d. = 12.52); and 41.4 cm (s.d. = 9.92) at the third. Oldest fish were three years old. The growth performance index phi' was 3.28 cm year(-1). Mortality increased from 0.16 year(-1) between the first and the second cohort, to 0.8 year(-1) between the second and third. The results show that black bass in Brazil grows faster than in its area of origin, but longevity is shorter and body shape, stouter. The cause of high mortality at a relatively early age may be connected with the loss of genetic diversity due to inbreeding of the Brazilian stocks, which originated from few introduced individuals a long time ago. The fact that black bass reproduces in reservoirs and grows rapidly may be considered a threat to conserving fish diversity in Brazilian ecosystems.

Animals↗
PubMed2005

Spatial distribution and abundance of nonindigenous coral genus Tubastraea (Cnidaria, Scleractinia) around Ilha Grande, Brazil.

The distribution and abundance of azooxanthellate coral Tubastraea Lesson, 1829 were examined at different depths and their slope preference was measured on rocky shores on Ilha Grande, Brazil. Tubastraea is an ahermatypic scleractinian nonindigenous to Brazil, which probably arrived on a ship's hull or oil platform in the late 1980's. The exotic coral was found along a great geographic range of the Canal Central of Ilha Grande, extending over a distance of 25 km. The abundance of Tubastraea was quantified by depth, using three different sampling methods: colony density, visual estimation and intercept points (100) for percentage of cover. Tubastraea showed ample tolerance to temperature and desiccation since it was found more abundantly in very shallow waters (0.1-0.5 m), despite the fact that hard substratum is available at greater depths at all the stations sampled. At most sites, 1 to 5 colonies per 0.25 m2 were found most frequently, but occasionally more than 50 colonies were found per 0.25 m2, indicating a somewhat gregarious spatial distribution for this coral. The coral Tubastraea was found to occupy slopes of every possible angle in the Canal Central of Ilha Grande, but more colonies were found occupying slopes of 80 to 100 degrees. Therefore, its insensitivity to angles of recruitment and its tolerance for different depths makes it an organism with great ecological tolerance, with a potential to colonize new areas and increase its current range in Brazil's coastal waters.

Animals↗
PubMed2006

First record of Cephalobaena tetrapoda (Pentastomida: Cephalobaenidae) as a parasite on Liophis lineatus (Ophidia: Colubridae) in Northeast Brazil.

Cephalobaenidae constitutes one of the main pentastomid groups infecting the respiratory tract of snakes. Six specimens of Liophis lineatus, a colubrid, were collected by active capture and pitfalls installed on the banks of the Batateiras river, close to its source, in the APA - Area de Proteção Ambiental (a protected environmental area of the IBAMA - Brazilian Institute for the Environment and Natural Resources), and in a remnant of the humid tropical forest FLONA - Floresta Nacional do Araripe, both in the municipality of Crato, state of Ceará, Northeast Brazil. Out of the six specimens of L. lineatus examined, only one had its lung infected by the pentastomid Cephalobaena tetrapoda. This represents the first record of C. tetrapoda as a parasite of a snake in Northeast Brazil, as well as the first record of a colubrid, L. lineatus, as a new host for the pentastomid in Brazil.

Animals↗
PubMed2006

Brazil's Craniofacial Project: genetic evaluation and counseling in the Reference Network for Craniofacial Treatment.

OBJECTIVE: This study is part of Brazil's Craniofacial Project, which is the first initiative for a national characterization of craniofacial healthcare in Brazil. Our main aim was to describe the status of clinical genetics in the Brazilian Reference Network for Craniofacial Treatment. DESIGN: All services (n = 29) listed in the Brazilian Reference Network for Craniofacial Treatment until October 2003 were contacted and invited to complete a questionnaire. Information regarding the general characteristics of the services, availability of genetic services, and genetic service providers was collected. RESULTS: The response rate was 86.2% (n = 25). Thirteen responding teams had clinical geneticists. Teams were predominantly located in the southeast region and affiliated with universities. Family interest in genetic counseling was reported by 95.7% (22/23) of the services. Although 80% of the responding services reported offering genetic counseling, only 45% (9/20) provided genetic counseling guided by clinical geneticists. CONCLUSION: Availability and access to genetic evaluation and counseling are still rudimentary in Brazil. Many services report family interest in genetic counseling, but there are few teams with clinical geneticists. Inclusion of this specialist on craniofacial teams is crucial to patient care. Development of standard guidelines for genetic evaluation of selected craniofacial anomalies and for local genetic counseling (e.g., for nonsyndromic cleft lip or palate) could be an alternative for improving current deficiencies in the system. Strengthening the degree of coordination and communication among craniofacial teams represents another important goal.

Brazil↗
PubMedDate not supplied

Prevalence of antibodies against Ornithobacterium rhinotracheale in broilers and breeders in Southern Brazil.

In this investigation, we determined the prevalence of the Ornithobacerium rhinotracheale (ORT) infection in broilers and broiler breeders in southern Brazil. We also correlated the presence of antibodies in broilers with performance. Sera from 1550 broilers from 50 flocks were collected during the slaughter time in nine companies with federal veterinary inspection of the state of Rio Grande do Sul. Sera from 480 meat-type breeders of 40 flocks from 14 companies in southern Brazil were also analyzed by enzyme-linked immunosorbent assay, and the prevalence of antibodies was determined. The prevalence of ORT antibodies in broiler flocks was 63.83%, but in each individual flock only 6.52% of the birds were positive. The prevalence in broiler breeder flocks was 100.00%, and in each individual flock 94.62% of the birds were positive. There was a positive correlation between the presence of antibodies to ORT and decreased body weight in broilers. There was no significant correlation between presence of antibodies to ORT and age, lineage, efficiency index, feed conversion, and mortality. There was a positive correlation between the presence of respiratory signs and antibodies to ORT, although the reverse correlation was not significant. These results confirm that ORT is present and widespread in broilers and broiler breeders in southern Brazil.

Animals↗
PubMed2003

Serosurvey for feline leukemia virus and lentiviruses in captive small neotropic felids in São Paulo state, Brazil.

Feline leukemia virus (FeLV), Gammaretrovirus, and feline immunodeficiency virus, a Lentivirus, are members of the family Retroviridae, and may establish persistent infections in the domestic cat (Felis catus). Cytoproliferative and cytosuppressive disorders may result from infection with these viruses. Morbidity and mortality rates are high in domestic cats worldwide. Infection of endangered neotropic small felids with these viruses could be devastating. To investigate the prevalence of FeLV and feline lentiviruses in neotropic small felids kept in captivity in São Paulo state. Brazil, serum samples from 104 animals belonging to the species Leopardus pardalis, Leopardus tigrinus, Leopardus wiedii, Herpailurus yaguarondi, and Oncifelis geoffroyi were tested for FeLV and feline lentiviruses by commercially available immunoassays. All results were negative, suggesting that retrovirus infection is not an important clinical problem in these populations. Because domestic cats in São Paulo city are naturally infected with these pathogens, and feral cats are commonly found in zoologic facilities in Brazil, preventive measures should be taken to avoid transmission of retroviruses to naive populations of wild and captive neotropic felids in Brazil.

Animals↗
PubMed2004

Molecular identification of symbionts from the pulmonate snail Biomphalaria glabrata in Brazil.

The icthyosporean, Capsaspora owczarzaki, a known predator of Schistosoma mansoni sporocysts in vitro, is more prevalent in laboratory-reared strains of the intermediate snail host, Biomphalaria glabrata resistant to S. mansoni, than from the susceptible M line strain. We examined whether B. glabrata resistant to the NIH-PR-1 strain of S. mansoni from 2 regions in Brazil were also host to C. owczarzaki. Symbiont presence was examined using hemolymph culturing and nested polymerase chain reaction of snail genomic DNA with primers designed to specifically amplify sequences from relatives of the Icthyosporea. All B. glabrata of the resistant Salvador strain from the laboratory of Dr. Lobato Paraense in Rio de Janeiro, Brazil (n = 46) tested negative for symbionts. Three of 18 semiresistant 10-R2 B. glabrata from the laboratory of Dr. Barbosa in Recife, Brazil tested positive for C. owczarzaki. Another icthyosporean, Anurofeca sp., was identified from 1, 10-R2 snail and from 2 of 12 field-collected B. glabrata from Praia do Forte Orange, Ilha de Itamaracá. Snails from 2 other sites, Hotel Colibri, Pontezinha and Praia do Sossego, Ilha de Itamaracá, were negative for Anurofeca. Two genera of ciliates were also identified. Paruroleptus sp. was found in 4, 10-R2 snails and Trichodina sp. was identified in 2 field-collected snails from Praia do Forte Orange and Praia do Sossego.

Animals↗
PubMed2003

Income inequality, illiteracy rate, and life expectancy in Brazil.

OBJECTIVES: The link between income disparities and health has been studied mostly in developed nations. This study assesses the relationship between income disparities and life expectancy in Brazil and measures the impact of illiteracy rates on the association. METHODS: The units of analysis (n = 27) are all the Brazilian states and the federal capital. Simple and multiple linear regressions were performed to measure the association between income disparity, measured by the Gini coefficient, gross domestic product (GDP) per capita, and illiteracy rate. Data came from publicly available sources at the Brazilian Ministry of Health and the Brazilian Institute of Geography and Statistics. RESULTS: Income disparities and illiteracy rates were negatively associated with life expectancy in Brazil. GDP per capita was positively associated with life expectancy. The inclusion of illiteracy rates in the regression model removed the effect of income disparities. CONCLUSIONS: Illiteracy rate is strongly associated with life expectancy in Brazil. This finding is in accord with reports from the United States and has implications for health policy and planning for both developed and developing countries.

Aged↗
PubMed1997

Dietary patterns in Japanese migrants to southeastern Brazil and their descendants.

This paper describes the dietary patterns of people of Japanese ancestry living in São Paulo, Brazil. Two cross-sectional surveys using a food frequency questionnaire (in 1989 and 1995) and self-administered three-day food record (only in 1995) were carried out in randomly chosen first-generation (Japan-born) and second-generation (Brazil-born) Japanese living in the city of São Paulo (n = 166), aged 40-69 years at the time of the first survey (1989). Daily intake of rice, bread, milk, fruits and coffee, and infrequent consumption of pork, green tea, black tea, tsukemono (pickled vegetables), seaweed and mushrooms were reported. The mean (+/- standard deviation) daily proportions of energy from fat among Japan-born participants were 27.2 +/- 6.7% for men and 26.2 +/- 6.7% for women. The respective figures for Brazil-born Japanese were 30.1 +/- 7.4% and 29.5 +/- 6.4%. These values were quite close to recent estimates for the general Brazilian population in metropolitan areas (about 30%), but seem to be higher than available data from Japan (25.3%). Dietary changes in this migrant population are discussed with focus on nutrients currently implicated in the etiology of major chronic diseases.

Aged↗
PubMed1991

We are all people living with AIDS: myths and realities of AIDS in Brazil.

Although AIDS was expected in Brazil, no serious efforts were undertaken to prevent AIDS from taking root. Irresponsible press and media coverage highlighted the spread of AIDS within the gay community of the United States, creating an aura of immunity in Brazil to what was characterized as a "foreign" disorder. When AIDS did surface in 1983, the official response was to adopt an abstract, inappropriate, and ideological "Western" model, in which only stigmatized "others" and "minorities" were at risk of HIV infection. Brazilian health authorities subsequently downplayed the significance of the sale of contaminated blood in HIV transmission, and likewise ignored the rising rates of AIDS among Brazil's one unarguable majority group: the poor. An analysis of efforts to force the "facts" of AIDS to fit a false model's predictions leads to a clearer definition of the broader context of the Brazilian epidemic: we all are people living with AIDS, precisely because we live in this age of AIDS; it is sheer folly to discriminate against persons infected by HIV and to obstruct their participation in efforts to curtail the epidemic's spread; and the necessary response to AIDS is solidarity, not because it is poetic, but because no other response will suffice.

Acquired Immunodeficiency Syndrome↗
PubMedDate not supplied

Developing gerontology in a developing country: The case of Sao Paulo, Brazil.

This paper details the efforts of a team of professionals to establish a gerontology center in Sao Paulo, Brazil. The focus is on some of the problems of the emergent profession in Brazil: the uncertain labor market; the problems of recruiting; the problems of generating a knowledge base on aging drawn from Brazil rather than borrowed from the American or European context; the problems of visibility, legitimacy, and financial support for the new gerontology center; the competition of aging programs with other government priorities. The article concludes by citing some benefits that might accrue to the field of gerontology by underwriting the development of such centers on aging in the developing countries.

Aged↗
PubMed2005

Dengue and dengue hemorrhagic fever, Brazil, 1981-2002.

In the last 5 years, Brazil has accounted for approximately 70% of reported dengue fever cases in the Americas. We analyzed trends of dengue and dengue hemorrhagic fever (DHF) from the early 1980s to 2002 by using surveillance data from the Brazilian Ministry of Health. Two distinct epidemiologic patterns for dengue were observed: localized epidemics (1986-1993), and endemic and epidemic virus circulation countrywide (1994-2002). Currently, serotypes 1, 2, and 3 cocirculate in 22 of 27 states. Dengue and DHF affected mainly adults; however, an increase in occurrence of DHF among children has been recently detected in northern Brazil, which suggests a shift in the occurrence of severe disease to younger age groups. In 2002, hospitalizations increased, which points out the change in disease severity compared to that seen in the 1990s. We describe the epidemiology of dengue in Brazil, characterizing the changing patterns of it and DHF during the last 20 years.

Adolescent↗
PubMed1997

Impression on observing psychic surgery and healing in Brazil which appear to incorporate (+) qi gong energy & the use of acupuncture points.

In December, 1995, the author had the opportunity to observe an elderly psychic healer of East European origin in Sao Paulo, Brazil. This man specialized in cancer treatment by pointing with the fingers of his right hand at his patients, without actually touching them, spending an average of 30 to 40 minutes with each one. The author considered this to be Qi Gong treatment. In March, 1997 the author also observed 2 leading psychic healers in Brazil. One of them, named Rubens Farias, Jr. is a 43 year-old former engineer and computer programmer if European descent, who is commonly known as "Dr. Fritz III" because he is believed to be the spirit of Dr. Adolf Fritz, a German physician who died during World War I, operates through him. The other is "Dr." Hirota, a 53 year old former farmer of Japanese decent who lives near Campinas. About 120 kilometers outside of Sao Paulo and treats large numbers of people daily using indirect and/or hand-on healing techniques. On March 6, 1997, when the author visited "Dr. Fritz III"'s clinic in Sao Paulo with a group of Brazilian physicians, he was informed the about 1,400 patients had come that day. "Dr Fritz III" examined and treated the majority of the patients in less than one minute each, often asking very quick questions and then immediately beginning treatment. Most patients received injections of a dark-brown solution, which, some of the visiting doctors speculated, may be an iodine solution mixed with either alcohol or a local anesthetic. In many patients, he injected this solution near the pathological area or at an acupuncture point near the pathological area. When the needle of the syringe was in the acupuncture pint, he twirled it with his fingers several times and the withdrew it. Minor surgery was performed in about 1/5th of the patients with whom the author observed. Most of the surgical incisions were made on the midline of the tissue over the spine near the pathological area. The clamping of the blood vessels and the closings of the surgical wounds were performed by licensed surgeons or licensed nurses. Major surgery were done by "Dr. Fritz III" who used a rather primitive and unorthodox cutting technique. Except for major surgery, assistance was performed by volunteer nurses, including his wife. After the surgical wounds were closed, gauze band-aids were applied. When the surface of the gauze facing the wound was examined, it showed strong (+) Qi Gong energy according to the Bi-Digital O-Ring Test. Essentially, "Dr. Fritz III"'s treatment consists of acupuncture, injection of iodine with other substances near the pathological area, and (+) Qi Gong energy stored gauze which is applied to the acupuncture point, pathological area, or the site of surgery. "Dr." Hirota is another famous psychic healer whom the author was able to meet and observe in practice while in Brazil. "Dr." Hirota has been practicing for over 20 years. He usually sees patients who come to his clinic in the mornings and he claims to treat 1,000 to 2,000 patients daily between 9 AM and 12 noon. His main treatment also appears to be the application of external Qi Gong energy through the fingers of his right-hand, in combination with Shiatsu Massage and a manual procedure resembling chiropractic manipulation.

Acupuncture Points↗
PubMed1993

Selectivity of human T lymphotropic virus type-1 (HTLV-1) and HTLV-2 infection among different populations in Brazil.

A seroprevalence study for human T lymphotropic virus type-1 (HTLV-1) and HTLV-2 was conducted in Sao Paulo, Brazil among 2,312 individuals that included following groups: 1,148 volunteer blood donors, 37 patients with tropical spastic paraparesis (TSP), 53 with lymphoproliferative disorders, 171 with a history of multiple blood transfusions, 268 human immunodeficiency virus type-1 (HIV-1) seropositive subjects, and 635 Amazonian Indians. Antibodies to HTLV-1/2 were screened by enzyme-linked immunosorbent assay (ELISA) and confirmed by Western blot and/or radioimmunoprecipitation. The differentiation of HTLV-1 and HTLV-2 was achieved using a synthetic recombinant peptide (rgp46) ELISA. We confirmed the presence of HTLV-1 infection in Brazil, both in blood donors (0.4%) and in patients exposed to blood transfusions (2.9%), as well as the occurrence of HTLV-1-associated TSP (11 patients, or 30% of all TSP cases) and adult T cell leukemia/lymphoma (two cases, or 3.5% of all hematologic malignancies). The HIV-1 infected individuals were shown to be coinfected (8.9%) with either HTLV-1 or HTLV-2. All HIV-1 and HTLV-2 coinfected individuals were intravenous drug abusers. In addition, we also demonstrated the presence of HTLV-2 (4.7%), and HTLV-1/2 (0.8%) in tribes of Amazonian Indians who lived in the eastern Amazon basin (southeastern State of Para). The selectivity of these retroviral infections in particular groups is emphasized, as well as the need for HTLV-1/2 screening of all blood donors in Brazil as a public health measure.

Adolescent↗
PubMed1996

Potential force of infection of human rabies transmitted by vampire bats in the Amazonian region of Brazil.

Human rabies transmitted by bats has acquired greater epidemiologic relevance in various Latin American countries, just when cases transmitted by dogs have decreased. Concern has been heightened by reports of increased rates of bats biting humans in villages in the Amazonian region of Brazil. The aim of the present work was to estimate the potential force of infection (per capita rate at which susceptible individuals acquire infection) of human rabies transmitted by the common vampire bat if the rabies virus were to be introduced to a colony of bats close to a village with a high rate of human bites. The potential force of infection could be then used to anticipate the size of a rabies outbreak in control programs. We present an estimator of potential incidence, adapted from models for malaria. To obtain some of the parameters for the equation, a cross-sectional survey was conducted in Mina Nova, a village of gold prospectors in the Amazonian region of Brazil with high rates of bates biting humans. Bats were captured near dwellings and sent to The Rabies Diagnostic Laboratory at the Center for Control of Zoonoses (Sao Paulo, Brazil) to be examined. To estimate the force of infection, a hypothetical rabies outbreak among bats was simulated using the actual data obtained in the study area. Of 129 people interviewed, 23.33% had been attacked by a vampire bat during the year prior to the study, with an average of 2.8 bites per attacked person. Males (29.41%) were attacked more often than females (11.36%); also, adults (29.35%) were attacked more often than children (8.33%). None of the 12 bats captured in Mina Nova tested positive for rabies, but the force of infection for a hypothetical outbreak was estimated to be 0.0096 per person per year. This risk represents 0.96 cases per 100 area residents, giving an incidence of 1.54 cases of bat-transmitted human rabies per year in the village of Mina Nova (160 inhabitants). The estimated risk is comparable with what has been observed in similar Brazilian villages.

Adult↗
PubMed1996

Seroepidemiology of Entamoeba histolytica in a slum in northeastern Brazil.

Infection with the human pathogenic parasite Entamoeba histolytica has not been well-characterized in northeastern Brazil. In this study, the prevalence of E. histolytica infection in a slum in northeastern Brazil was assayed using an enzyme-linked immunosorbent assay (ELISA) for antibodies against the galactose/N-acetyl-D-galactosamine (Gal/GalNAc)-inhibitable adherence lectin of E. histolytica. Sera from a total of 335 individuals were examined for anti-Gal/GalNAc lectin antibodies. The overall seropositivity was 24.7%; 29.4% of females and 19.4% of males were positive. Among different age groups there was a peak of 40% positivity in the 6-14-year-old age group. There was also familial clustering of seropositivity. To examine colonization, stool samples from 155 people were examined microscopically for the presence of the parasite. Fourteen of 155 stools (9.0%) were identified as containing E. histolytica or nonpathogenic E. dispar. These 14 positive stools were analyzed with an ELISA that detects Gal/GalNAc lectin antigen and can distinguish between E. histolytica and E. dispar. Four stools (29%) were positive for E. histolytica and the remaining 10 were identified as E. dispar-positive. Although the overall colonization rate by microscopy was only 9%, with a third identified as E. histolytica, up to 40% of older children develop serologic evidence of having experienced pathogenic E. histolytica infection. The results of this study demonstrate that this community in northeastern Brazil is highly endemic for E. histolytica with infection rates similar to other developing nations.

Adolescent↗