Home » Volumes » Volume 29 November/December 1996 » Giardiose e criptosporidiose em creches no município de Campinas, SP

Giardiose e criptosporidiose em creches no município de Campinas, SP

Regina Maura B. Franco; Nelson da S. Cordeiro

DOI: 10.1590/S0037-86821996000600010


RESUMO

Estudou-se as prevalências de Gíardia duodenalís e Cryptosporidium parvum, conforme sexo e faixa etária. em crianças de 2-60 meses (n = 310), atendidas em 8 creches. Giardiose ocoireu em 42 (13,5%) das crianças e foi mais freqüente na faixa etãria de 19-24 meses, embora crianças nos primeiros seis meses de vida apresentassem amostras fecais positivas. Teste estatístico não revelou associação entre sexo e parasitismo (p > 0,05). C. parvum foi encontrado em 20 crianças (6,4%) com maior frequência no grupo de 7-12 meses. Crianças entre 25-30 meses e acima de 36 meses não apresentaram oocistos nas fezes. Oocistos foram detectados em 4 crianças na faixa etãria de 0-6 meses. Não houve significância estatística entre criptosporidiose e sexo (p = 0,09) e, entre creches (p = 0,068). Ocorreu associação entre idade e a presença do coccídio (p = 0,004). Abordou-se os aspectos epidemiológicos por meio de inquérito familiar, exames parasitolõgicos entre contatos dos casos-índices e dos animais presentes no domicílio. Prevalência de C. parvum foi maior quando pelo menos um dos pais era profissional da Área de Saúde (73,6% positivas), hai:ia relato de doença concomitante (52,6%) positivas) e diairéia era o principal sintoma por ocasião de exame fecal (78,9%) positivas). Exames de fezes dos animais domésticos foram negativos para estes dois parasitos.

Palavras-chaves: Criptosporidiose. Giardiose. Crianças. Creches.


ABSTRACT

The prevalence of the Giardia duodenalis and Cryptosporidium parvum infections were studied in children 2-60 months old (n = 310) grouped to sex and age, enrolled in 8 day-care centers. Giardiosis was found in 42 (13.5%) of the children and, was most frequent in the age group corresponding to 19- 24 months old although children at the first six months of life also presented positive faecal samples. Statistical analysis indicated no association between sex ip > 0,05) and prevalence for Giardia infection. C. parvum was detected in 20 (6.4%) of the children. Children seven to twelve months old showed the greatest prevalence of this parasite. There were not oocysts in the stools from the children 25-30 months and from those older than 36 months. Oocysts were detected in 4 children from the 0-6 months old group. There was no significative difference on sex (p = 0,09) and day-care facility (p = 0,068) for C. parvum infection while age was associated with infection (p = 0,004). Epidemiological aspects were studied by familiar inquiry, by parasitological examinations of stools from the contact- members of each case and from animals present at the residence. Prevalence for C. parvum was higher when at least one of the parents was a professional in the Human Health Centers (73.6% positives), when there was report of concomitant disease (52.6%positives) and when diarrhoea was the main symptom at the collection of the faecal specimens (78.9% positives). Faecal examinations of the domestic animals were negatives for these two parasites.

Keywords: Criptosporidiosis. Giardiosis. Children. Day-care facilities.

 


 

 

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REFERÊNCIAS BIBLIOGRÁFICAS

1. Addiss DG, Davis JP, Roberts JM, Mast EE Epidemiology of Giardiasis in Wisconsin: increasing incidence of reported cases and unexplained seasonal trends. American Journal of Tropical Medicine and Hygiene 47:13-19,1992.         [ Links ]

2. Addiss DG, Stewart JM, Finton RJ, Wahlquirst SR Williams RM, Dickerson JW, Spencer HC, Juranek DD. Giardia lamhlia and Cryptosporidium infections in child day-care centers in Fulton County, Georgia. Pediatric Infectious Diseases Journal 10:907-11,1991.         [ Links ]

3. Alpert G, Bell LM, Kirpatrick CE, Budnick LD, Campos JM, Friedman HM, Plotkin SA. Outbreak of cryptosporidiosis in a day-care center. Pediatrics 77:152-7,1986.         [ Links ]

4. Bartlett AV, Moore M, Gay GW, Starko KM, Erben JJ, Meredith BA Diarrheal illness among infants and toddlers in day-care centers. I. Epidemiology and pathogens. Journal of Pediatric 107: 495-502, 1985.         [ Links ]

5. Baxby D, Hart CA, Taylor C. Human cryptosporidiosis: a possible case of hospital cross infection. British Medical Journal 287:1760- 61, 1983.         [ Links ]

6. Birkhead G, Vogt RL. Epidemiologic surveillance for endemic Giardia lamblia infection in Vermont. American Journal Epidemiology 129: 762-68,1989.         [ Links ]

7. Black RE, DukesAC, Sinclair SRWelis JG. Giardiasis in day-care centers: evidence of person-to-person transmission. Pediatrics 60:486-91,1977.         [ Links ]

8. Blewett DA, Wright SE, Casemore DP, Booth N, Jones C. Infective dose size studies on Cryptosporidium parvum using gnotobiotic lambs. Water Science Technology 27:61-64,1993.         [ Links ]

9. Cardoso G de Sá, Santana AD, Aguiar CP. Prevalência e aspectos epidemiológicos da giardíase em creches no Município de Aracaju, CE, Brasil. Revista da Sociedade Brasileira de Medicina Tropical 28:25-31, 1995.         [ Links ]

10. Casemore DE Epidemiological aspects of human cryptosporidiosis. Epidemiology and Infection 104:1-28,1990.         [ Links ]

11. Casemore DP, Gardner CA, O’Mahony C. Cryptosporidial infection, with special reference to nosocomial transmission of Cryptosporidium parvum: a review. Folia Parasitologica 41: 17-22, 1994.         [ Links ]

12. Coelho KIR, Maeda SA, Marques MEA. Intestinal cryptosporidiosis. Association with Pneumocystis carinii, cytomegalovirus and Candida sp. infections. Revista do Instituto de Medicina tropical de São Paulo 29:323-26,1987.         [ Links ]

13. Cordell RL, Addiss DG. Cryptosporidiosis in child care settings: a review of the literature and recommendations for prevention and control. Pediatric Infectious Diseases Journal 13: 310-17, 1994.         [ Links ]

14. Current WL, Garcia LS. Cryptosporidiosis. Clinical Microbiology Reviews 4: 325-58, 1991.         [ Links ]

15. DuPont HE, Pickering LH. Infections of the gastrointestinal tract. Epidemiology, Microbiology and Clinical Features. Plenum. New York. 1980.         [ Links ]

16. Henriksen A, Polhenz JFL. Staining of Cryptosporidia by a modified Ziehl-Neelsen technique. Acta Veterinaria Scandinavia 22: 594- 96,1981.         [ Links ]

17. Janoff EN, Mead PS, Mead JR, Echeverria F; Bodhidatta L, Bhaiubulaya M, Sterling, CR, Taylor DN. Endemic Cryptosporidium and Giardia lamblia infections in a Thai orphanage. American Journal ofTropical Medicine and Hygiene 43:248- 56,1990.         [ Links ]

18. Koch KJ, Phillips DJ, Aber RC, Current WL. Cryptosporidiosis in hospital personnel: evidence for person-to-person transmission. Annals of Internals Medicine 102: 593-96,1985.         [ Links ]

19. Loureiro ECB, Linhares A da Costa, Mata L. Criptosporidiose em crianças de 1 a 2 anos de idade, com diarréia aguda em Belém, Pará, Brasil. Memórias do Instituto Oswaldo Cruz 84:117-122, 1989.         [ Links ]

20. Mangini ACS, Dias RMD, Grisi SJFE, Escobar AM\f Torres DMAGY Zuba, IPR, Quadros CMS, Chieffi PP. Parasitismo por Cryptosporidium sp. em crianças com diarréia aguda. Revista Instituto de Medicina tropical São Paulo 34: 341-45,1992.         [ Links ]

21. Marwick C, Simmons K. Changing childhood disease pattern linked with day-care boom. Journal American Medicine Association 251: 1245-51,1984.         [ Links ]

22. Mathan MM, Venkatesan S, George R, Mathew M, Mathan VI. Cryptosporidium and diarrhea in Southern Indian children. Lancet 2: 1172-75, 1985.         [ Links ]

23. Novotny TE, Hopkins RS, Shillam F; Janoff EN. Prevalence of Giardia lamblia and risk factors for infection among children attending day-care facilities in Denver. Public Health Reports 105:72- 75, 1990.         [ Links ]

24. Oliveira, A. Protozooses intestinais associadas à diarréia aguda infantil. Tese de Mestrado. Universidade Federal de Pernambuco, Recife, 1991.         [ Links ]

25. Pickering LK, Engelkirk PG. Giardia lamblia. Pediatric Clinics of North America 35: 565-77, 1988.         [ Links ]

26. Pickering LK, Woodward WE. “DuPont HL, Sullivan P. Occurrence of Giardia lamblia in children in day-care centers Journal of Pediatric 104: 522-26, 1984.         [ Links ]

27. Rentdorff RC. The experimental transmission of human intestinal protozoan parasites. II. Giardia lamblia cysts given in capsules.American Journal of Hygiene 59: 209-20,1954.         [ Links ]

28. Ritchie LS. An ether sedimentation technique for routine stool examinations. Bulletin of US Army Medical Departament 8:326,1948.         [ Links ]

29. Sealy DP, Schuman SH. Endemic Giardiasis and Day-care. Pediatrics, 72:1154-58, 1983.         [ Links ]

30. Silva GAP da, Magalhães M, Oliveira AMA, Melo UM. Diarréia aguda do lactente associado ao Cryptosporidium sp. na cidade do Recife. Jornal de Pediatria (Rio) 70:44-47,1994.         [ Links ]

31. Sullivan P Woodward WE, Pickering LK, Du Pont H. Longitudinal study of occurrence of diarrheal disease in day-care centers. American Journal Public Health 74:987-91,1984.         [ Links ]

32. Taylor JP Perdue JN, Dindley D, Gustafson TL, Patterson M, Redd LA. Cryptosporidiosis outbreak in a day-care center. American Journal Diseases of Childhood 139:1023-25,1985.         [ Links ]

33. Thompson SC. Giardia lamblia in children and the child care setting: A review of the literature. Journal Pediatric Child Health 30: 202-9,1994.         [ Links ]

34. Thompson SC. Infectious diarrhoea in children: controlling transmission in the child care setting. Journal Pediatric Child Health 30: 210-19,1994.         [ Links ]

35. Torres DMAGV, Chieffi PP, Costa WAC, Kudzielics E. Giardiase em creches mantidas pela Prefeitura do Município de São Paulo. Revista do Instituto de Medicina Tropical de São Paulo 33: 137-42, 1991.         [ Links ]

36. Waldman E,Tzipori S, Forsyth JRL. Separation of Cryptosporidium species oocysts from feces by using a Percoll discontinuous density gradient. Journal of Clinical Microbiology 23: 199-200, 1986.         [ Links ]

37. Weikel CS, Johnston LI, Souza MA, Guerrant RL. Cryptosporidiosis in northeastern Brazil: association with sporadic diarrhoea. Journal of Infectious Diseases 151:963-5,1985.         [ Links ]

 

 

Recebido para publicação em 23/10/95.

 

 

 Endereço para correspondência:
Dra Regina Maura B. Franco.
Laboratório Protozoologia/IB/UNICAMP
Caixa Postal 6109,13081-970
Campinas, SP
Fax: (019) 239-3124.