Navegando por Assunto "Febre tifóide"

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Febre tifóide: a experiência do Instituto Evandro Chagas
(Universidade Federal do Pará, 2005) RAMOS, Francisco Lúzio de Paula; CORVELO, Tereza Cristina de Oliveira; http://lattes.cnpq.br/7253864056606024
Typhoid fever is an infection disease of world occurrence, but as it is strictly related with low socioeconomic levels it occurs most frequently in developing countries. In this work we present the experience of Instituto Evandro Chagas (IEC) with that disease since 1987 up to 2004, period in which a number of 443 cases was accumulated, all diagnosed by Salmonella Typhi’s isolation from blood or feces, being some of them complemented with Widal serologic reaction. The case were proceeding from Belém and the municipal districts of Pará state conduced to IEC by the respective Units from Health System for etiologic diagnosis of fever syndrome, most of them of persistent course, here designated as “spontaneous” demand, at that time detected during outbreak investigations occurred in the municipal districts. We discussed aspects related to the clinical presentation, with emphasis to the atypical manifestations, the distribution according to sex and age group, the seasoning, the distribution by origin area, identifying the municipal districts of larger prevalence, and the distribution by districts, in relation to the cases coming from Belém. We also discussed aspects related to the laboratorial diagnosis emphasizing the application of the cultivation methods (coproculture and hemoculture) comparing their performance concerning the time of disease and the relationship of those tests with Widal reaction, by measuring the value of these as auxiliary or complementary method in the diagnosis of the disease. Clinical, epidemiological and laboratorial analyses were made, using Bio Estat version 3.0 program by applying qui-square and G test and the statistic significance was accepted at 95% level. The results allowed us to have the following conclusions: 1) in situations of epidemic normality the typhoid fever affects more the young adult group, while, in the epidemic situations, the affected age group is the infantile; 2) there is homogeneity among the samples from cases of outbreaks and the spontaneous demand according to the gender distribution, but males are more exposed to typhoid fever; 3) in municipal districts of the State the disease was shown to be more frequent in the areas where it concentrates larger number of populations who live near rivers and, in relation to the capital, it showed larger prevalence in jurunas district; 4) the illness has a seasonal profile, which shows the largest occurrence in the second half of the year, probably favored by geo-climatic and cultural factors; 5) the typhoid fever constitutes serious problem of public health en the State do Pará, confirming its narrow relationship with the high poverty levels; 6) the leukocytic formula revealed normal pattern or leucocytosis compared to leucopenia; 7) in the laboratorial approach it should not dispense the assays that seek to the isolation in detriment of the serological test, and the coproculture and the hemoculture should be requested in all the cases without considering the time of evolution of the clinical situation; 8) in our area, where there is not availability of cultivation tests, Widal reaction can be an alternative of value diagnosis; 9) it is illness of persistent clinical course and with atypical clinical manifestations (pneumonias and cholestatic hepatitis) whose sings/symptoms, when presented, should raise the suspicion by the investigator; 10) in the areas high endemicity, the typhoid fever can cause a negative impact in the economy not only for the costs generated with laboratorial exams, treatment, hospitalizations and eventual surgical interventions, but also because it can let the worker to be away from work for a prolonged period of time.
Acesso aberto (Open Access)
Sistemas de liberação controlada de quitosana contendo antigeno capsular Vi de Salmonella Typhi
(Universidade Federal do Pará, 2012-08-31) SILVA, Raimundo Lopes da; TEIXEIRA, Francisco Martins; http://lattes.cnpq.br/7648303522085382; COSTA, Roseane Maria Ribeiro; http://lattes.cnpq.br/0537372052713559
The use of the Vi antigen in vaccines is very promising because this provides a high level of immunity in parenteral vaccines. The need for the search for alternatives for administration of vaccines has led to the application of technology controlled release of drugs in the field of immunization. In such controlled delivery systems, the doses are decreased, but the period of immunity increases, extending the amount of antigen released over time. This study aimed to develop and characterize a controlled delivery system containing Vi antigen, using as disseminator polymer chitosan. The techniques of H-1 NMR and infrared spectroscopy showed that the method of extracting the Vi antigen used was qualitatively satisfactory. The characterization of chitosan and nanoparticles by tests thermal analysis showed greater stability of the particles in relation to chitosan, besides increasing the degradation temperature of the nanoparticles increases as the concentration of chitosan. Regarding the zeta potential nanoparticles were all positive charges at pH7.2, while the particles were smaller size as they increased the amount of chitosan in the system. In transmission electron microscopy showed the particles are morphologically homogeneous and spherical. In the adsorption kinetics of antigen contained in solution, suffered a 55% adsorption of the particles of chitosan. With this, we observed that it is possible to create a controlled delivery system involving nanoparticles of chitosan and Vi antigen of Salmonella enterica serotype Typhi.
Acesso aberto (Open Access)
Variabilidade genética de amostras de Salmonella Typhi isoladas de surto e de casos esporádicos ocorridos em Belém, Brasil
(2008-08) BASTOS, Flávia Corrêa; LIMA, Karla Valéria Batista; SÁ, Lena Líllian Canto de; SOUZA, Cintya de Oliveira; LOPES, Maria Luíza; RAMOS, Francisco Lúzio de Paula
BACKGROUND: Salmonella Typhi is the causative agent of typhoid fever, illness characterized by fever, migraine, myalgia, arthralgia, diarrhea or constipation, which may have complications and cause death. In Brazil, the typhoid fever is endemic in the Northern and Northeastern regions, with outbreaks occurring in scorching months. OBJECTIVE: To analyse and compare the genetic variability of S. Typhi strains isolated from outbreaks and sporadic cases of typhoid fever occurred in the city of Belém (PA) between December 2005 and March 2006. MATERIAL AND METHODS: Twenty samples of S. Typhi were analyzed: 10 of them were isolated from an outbreak occurred in Guamá neighborhood in Belém, between December 2005 and March 2006, and the other 10 were isolated from sporadic cases in different neighborhoods of the same city in the same outbreak period. The genetic characterization was performed by macrorestriction analysis of genomic DNA with XbaI enzyme defined by pulsed-field gel electrophoresis (PFGE). RESULTS: The Xbal-PFGE analysis of the studied samples revealed a genetic similarity of 83% to 100%. CONCLUSION: This study demonstrated the clonal relation between the S. Typhi samples from the outbreak and from the sporadic cases of typhoid fever occurred in the city of Belém between December 2005 and March 2006.