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[The stability of progesterone in feces of different wild animal species kept in a zoological garden].

Methodical investigations were carried out to monitor especially in what respect external factors (dry mass of faeces, time point of freezing, duration of storage of the frozen samples, multiple defrosting of the samples) influence the progesterone concentration of the faeces of several wild animal species (Baringo giraffe, Black rhinoceros, Dama gazelle, Mountain goat) living in a zoological garden. With reference to one animal species the dry mass of the faeces showed only small variations. Therefore, it is possible to estimate comparable progesterone levels in several faecal samples of the same animal species without drying the samples. In all cases the progesterone concentration was increased after 24 and 48 hour storage of the faecal samples at room temperature compared with samples frozen directly (significant differences for giraffes and rhinoceroses). Samples of rhinoceroses and gazelles showed no significant changes of their progesterone concentration after a long time of storage (one and three months) in the freezing state (-20 degrees C). On the other hand, in faeces of giraffes with high progesterone levels a significant decrease of the initial level was pointed out. In comparison of single and multiple defrosting of the faecal samples, the latter caused a decrease of the progesterone concentration of the faeces of all animal species investigated (significant differences for rhinoceroses and gazelles).

Animals↗

[Utility of studying feces for the diagnosis and management of infants and preschool children with acute diarrhea].

OBJECTIVE: To analyze the results of a stool work-up protocol in a series of infants and preschoolers with acute diarrhea. MATERIAL AND METHODS: A cross-sectional descriptive study was conducted between April 1999 and March 2000, among 288 children seen at a pediatric office in Guadalajara, Mexico. The mean age (+/-/SD) was 23.1 +/- 13.9 months; 43% were females. Data were collected on demographic and clinical characteristics. The stool work-up consisted of fresh smear and methylene blue and Kinyoun smears, as well as determination of pH and reducing substances. Stool culture was performed in samples with > or = 3 leukocytes/microscopic field and rotavirus antigen detection only in selected cases. Data were analyzed using descriptive statistics, chi 2, odds ratios, and 95% confidence intervals. RESULTS: Enterophatogens (%) identified were: rotavirus 47.1, Campylobacter jejuni 27.4, Salmonella spp. 5.1, Shigella spp. 4.3, Cryptosporidium parvum 2.8, Giardia lamblia 2.4, Blastocystis hominis 1.4, Entamoeba histolytica 0.7. An OR of 5.7 was obtained for isolation of enteroinvasive bacteria in the presence of fecal leukocytes. Lactose intolerance was detected in 19.1%. The frequencies of rotavirus antigen identification and lactose intolerance were significantly higher in infants; the OR for lactose intolerance in infants with rotavirus was 21. Mucus and blood in the stools were associated to enteroinvasive bacteria and Cryptosporidium parvum. CONCLUSIONS: The current stool work-up protocol allowed the identification of enteropathogenic parasites, rotavirus and lactose intolerance in a short period of time. Leukocytes in stools were associated to the isolation of enteroinvasive bacteria. The frequency of agents associated to diarrheal disease was similar to that from other national studies. This stool work-up protocol could be useful as a tool to limit the unnecessary prescription of drugs and to follow universal recommendations for dietary management of these patients. The English version of this paper is available at: http://www.insp.mx/salud/index.html.

Acute Disease↗

[Coprologic anomaly in mucoviscidosis. Presence of albumin in low concentration in the feces].

With an immunological technique, presence of albumin was searched in the stools of 47 patients with cystic fibrosis and 54 controls. Albumin was found in 93% of cystic fibrosis, at a mean level of 90 mg/100 g of fresh stools. The test was negative in the 54 healthy controls. It was positive in one case of congenita IgA deficiency and in one untreated case of Hirschprung's disease. When found in the stools, albumin may give a useful additional diagnostic element.

Adolescent↗

[Accurate noninvasive diagnosis of Helicobacter pylori infection using antigen determination in the feces in the pediatric population].

BACKGROUND: H. pylori can cause several gastroduodenal diseases. Because H. pylori infection is usually acquired in childhood, accurate diagnosis of the infection in the pediatric population is important. Tests for the diagnosis of H. pylori infection can be divided into invasive and noninvasive. The aim of our study was to compare invasive tests (endoscopy, gastric mucosal biopsy, histology) and the noninvasive, newly developed stool antigen test to diagnose H. pylori infection. METHODS AND RESULTS: 91 children (40 boys, 51 girls, mean age 12.6 +/- 3.5 years) with dyspeptic symptoms were tested for H. pylori infection using endoscopy and gastric biopsy and a new antigen test in stool samples (immunoassay). Thirty-one of the children (34.1%) with dyspepsia were found positive for H. pylori according to histologic examination and rapid urease test. In 28 of the 31 patients, H. pylori stool antigen could be detected (sensitivity 90.3%). Of the 60 patients with negative direct histologic examination and rapid urease test, 60 were H. pylori--negative in stool antigen test (specificity 100%). Positive predictive value of stool antigen test is 100% and negative predictive value is 95.2%. CONCLUSIONS: The stool antigen test is highly sensitive and specific. It will be potentially very helpful in the diagnosis of H. pylori infection and can replace endoscopy for detection of H. pylori infection in children with comparable accuracy and reliability.

Antigens, Bacterial↗

[New pathogenetic aspects of hepatitis B in relation to finding HBAg inhibitor in the intestinal mucosa and human feces].

Hepatitis B antigen (HBAg) positive sera became negative after in vitro incubation with homogenates of human faeces or intestinal mucosa. This was found to occur in all sera tested by various methods. These findings suggest the existence in the human intestine of a substance able to inactivate the HBAg and that it is not an antibody or of the nature of interferon. The presence of an inhibitor could explain why B-type hepatitis is seldom if ever faecally transmitted and also the low oral infectiousness of the B virus.

Antibodies, Viral↗

[Detection of lactoferrin in feces for differential diagnosis in diarrhea].

INTRODUCTION: Routine stool culture is used to evaluate patients with diarrheal illness. However, the results are often delayed, and the tests are very expensive. Therefore a rapid, simple method for screening would be a helpful adjunct in a diagnostic algorithm. Fecal leukocytes are found in diarrhea patients with diffuse colonic inflammation but missing in non-inflammatory cases, and are most commonly identified in infectious diarrheas of bacterial origin. It supports the use of immediate empiric therapy in very young, elderly and immunocompromised individuals. When negative, it may eliminate the need for stool culture in some cases of diarrhea. Recently, a new latex bead assay has been developed for the detection of lactoferrin, an iron binding glycoprotein found in polymorphonuclear leukocytes. AIMS: Evaluate the value of fecal leukocytes and lactoferrin in the workup of patients with diarrhea. METHODS: Fecal samples of 50 consecutive adult patients with acute or chronic diarrhea were tested for fecal leukocytes and lactoferrin. The results were compared with findings from fecal cultures, tests for parasite, Clostridium difficile A toxin latex test, data of the gastrointestinal examination and clinical evaluation. The authors defined two groups of the cases: the inflammatory and non-inflammatory diarrheas. RESULTS: The sensitivity, specificity, positive and negative predictive value of microscopic leukocyte count and the lactoferrin test were 42 and 63%, 87 and 87%, 67 and 75%, 71 and 79% respectively. CONCLUSIONS: In agreement with the literature the results of the present study indicate that fecal lactoferrin appears more sensitive than fecal leukocyte smear, and accurately rules out inflammatory diarrhea.

Adult↗

[The survival ability of salmonella, coccidia oocysts and ascarid eggs in laying hen feces from different housing systems].

The time of survival of Salmonella typhimurium, coccidia oocysts and ascaris eggs in manure of layer was determined in 5 different housing systems and 2 storing places for litter. The experiments were carried out in a stable of experimental station Frankenforst of the university of Bonn with a flock of 2200 hens. The effects of the environment conditions temperature, dry matter content, pH-value and intestinal microflora of the manure have also been studied. The time of survival was different depending on the housing system. A recovery of viable coccidia oocysts was possible after 13-370 days, ascaris eggs 53-347 days and Salmonella typhimurium 2-175 days. The tenacity of the investigated test organism mainly depend on the dry matter content of the manure. The longest period of survival of salmonellas was found in dry environment conditions, were as coccidia oocysts and ascaris eggs have been observed with the shortest period of survival. The possibility of the examined resistant parasite stages to develop was disturbed. Only few of them were able to develop and with a longer development time than those examined in the control suspension. The results of this study indicate that chicken manure, before using it in plant production, should be stored long enough to prevent men or animals from possible infections.

Animals↗