Estadísticas

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      "titulo" => "Endocarditis por Staphylococcus lugdunensis. Incidencia hospitalaria"
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      "titulo" => "Rentabilidad diagnóstica de la tinción de Gram de piel pericatéter y conexión en la predicción de bacteriemia relacionada con catéter intravascular"
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    "titulo" => "Investigación de un brote de origen hídrico por Salmonella ohio"
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        "titulo" => "Investigation of an outbreak of water origin due to Salmonella ohio"
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        "resumen" => "<span class="elsevierStyleBold">Fundamento&#58;</span> El g&#233;nero Salmonella es uno de los agentes causales con m&#225;s frecuencia aislados en brotes epid&#233;micos de transmisi&#243;n alimentaria e h&#237;drica en el mundo&#46; Constituye un importante problema de salud p&#250;blica&#44; debido sobre todo al serotipo S&#46; enteritidis&#46; Sin embargo&#44; los brotes ocasionados por S&#46; ohio son escasos&#44; y no se han encontrado referencias de ninguno producido por este serotipo de Salmonella&#44; cuyo origen sea el consumo de agua de fuente&#46; <br/>M&#233;todos&#58; Se realiz&#243; una encuesta epidemiol&#243;gica&#44; mediante un cuestionario que incluy&#243; las caracter&#237;sticas personales de los encuestados&#44; el cuadro cl&#237;nico presentado&#44; as&#237; como los aspectos relacionados con el antecedente de ingesta&#46; Se llev&#243; a cabo un estudio microbiol&#243;gico de las muestras de heces de los afectados y del agua de la fuente&#44; para localizar el origen del brote&#46; Las cepas aisladas se caracterizaron mediante serotipificaci&#243;n&#46; <br/>Resultados&#58; De los 101 expuestos&#44; se encuest&#243; a 87&#44; entre los cuales&#44; 59 resultaron afectados &#40;tasa de ataque&#58; 67&#44;8&#37;&#41; y&#44; de ellos&#44; 56 eran ni&#241;os de 5 a&#241;os y 3 adultos&#46; El cuadro cl&#237;nico fue leve&#44; en general&#44; con una duraci&#243;n media de 2d&#237;as&#46; Se identific&#243; el mismo serotipo de Salmonella &#40;S&#46;ohio&#41; tanto en el agua de la fuente como en 2 de los 13coprocultivos realizados&#46; <br/>Conclusiones&#58; El brote fue ocasionado por consumo del agua de la fuente del pueblo&#44; contaminada por S&#46; ohio&#44; al carecer de un dispositivo de cloraci&#243;n&#46; Es la primera vez que se describe un brote epid&#233;mico ocasionado por S&#46; ohio cuyo veh&#237;culo de transmisi&#243;n es el agua de una fuente natural&#46; Se demuestra el inter&#233;s de mantener un adecuado sistema de informaci&#243;n epidemiol&#243;gica&#44; que permita la pronta detecci&#243;n&#44; investigaci&#243;n y control de los brotes&#44; as&#237; como la futura prevenci&#243;n de los mismos"
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        "resumen" => "<span class="elsevierStyleBold">Background&#58;</span> The genus Salmonella is one of the main causes of foodborne and waterborne illness worldwide&#46; It is a major public health concern almost enterily due to S&#46;enteritidis&#46; However&#44; outbreaks caused by Salmonella ohio are rare&#46; We have not found any reference about salmonellosis by S&#46; ohio whose origin was water of a drinking fountain&#46; <br/>Methods&#58; An epidemiological survey was carried out to investigate the origin of the outbreak&#44; and information was sought on personal details&#44; symptoms&#44; contact with others who had ill as well as a history of eating&#46; Fecal specimens and water samples were cultured for bacterial pathogens including Salmonella&#46; Salmonella isolates obtained were caracterized by serotyping&#46; <br/>Results&#58; A total of 101 persons were exposed&#46; 87 of these were interviewed&#44; but only 59 of these were affected &#40;attack rate&#58; 67&#46;8&#37;&#41;&#44; including 56 children and 3 adults&#46; Syndrome was not severe&#44; in general&#44; persisting for a period of 2 days&#44; in average&#46; S&#46; ohio was isolated from the water and from 2 of the 13 stool specimens analysed&#46; <br/> <span class="elsevierStyleBold">Conclusions&#46;</span>&#58; The outbreak was caused by consumption of water from a drinking fountain which was contaminated by S&#46; ohio&#46; This fountain had not a chlorination system&#46; An outbreak due to S&#46; ohio whose origin is the consumption of water from a drinking fountain is described for the first time in this paper&#46; It can be concluded the importance of keeping a good epidemiological control system to investigate and prevent outbreaks&#46; The control of drinking fountains is also important&#44; to prevent its contamination"
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