Bacterial Diarrheal Diseases by M. H. Merson (auth.), Y. Takeda, T. Miwatani (eds.)

By M. H. Merson (auth.), Y. Takeda, T. Miwatani (eds.)

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REFERENCES 1. 2. 3. 4. 5. Affonso, M. H. , M. R. F. Toledo, and L. R. Trabulsi. 1977. tica da fermentacao de lactose em amostras de Salmonella typhimurium. Rev. Microbiol. 8: 110-116. Almeida, P. , and L. R. Trabulsi. 1974. Caracteristicas culturais, bioquimicas, sorol6gicas e viruH:ncia de amostras de Salmonella typhimurium fermentadora de lactose. Rev. Microbiol. 5: 27-35. Baldacci, E. , J. A. N. Candeias, J. C. Breviglieri, and S. J. E. Grisi. 1979. Etiologia viral e bacteriana de casos de gastroenterite infantil: uma caracterizacao c1inica.

Now I would like to mention some of the more pertinent characteristics of the children that have been most studied in Brazil in regard to diarrheal diseases. They frequently live in over populated slums in the surroundings of large cities, where the hygiene standards are particularly poor. Also, these children are most often undernourished and make use of the generally over-crowded public hospitals where the nursing staff is not sufficiently skilled and the young doctors working without supervision are liable to make abusive use of antibiotics.

0%) LT ( ST LT/ST Total 29 Table 6. Serotypes (O:H) of ETEC isolated from children in Sao Paulo between 1977 and 1978 Enterotoxigenic phenotype of isolates N~ Serotype LT/ST 06:H16 063:H 0139:H28 025:H42, 06~:H - , NT:H4, NT:H , R:H - 7 5 3 5 (one of each) ST 0128ac:H21 0128ac:H12 0128ac:H7 0128ac:H NT LT 0139:H28 060:H2 078:H10 08:H4, o8:H5 L 08:H8, 08:H9, 025:H , 0114:H21 4 3 2 2 4 2 2 2 6 (one of each) NT, negative with 01-0157 sera. Table 7. Phenotype LTC ST LT/ST Distribution of ETEC phenotypes in human feces, food and water Human Diarrhea + + + Food a Water b No diarrhea + + + a From animals.

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