ÿþ<HTML><HEAD><TITLE>25º Congresso Brasileiro de Microbiologia </TITLE><link rel=STYLESHEET type=text/css href=css.css></HEAD><BODY aLink=#ff0000 bgColor=#FFFFFF leftMargin=0 link=#000000 text=#000000 topMargin=0 vLink=#000000 marginheight=0 marginwidth=0><table align=center width=700 cellpadding=0 cellspacing=0><tr><td align=left bgcolor=#cccccc valign=top width=550><font face=arial size=2><strong><font face=Verdana, Arial, Helvetica, sans-serif size=3><font size=1>25º Congresso Brasileiro de Microbiologia </font></font></strong><font face=Verdana size=1><b><br></b></font><font face=Verdana, Arial,Helvetica, sans-serif size=1><strong> </strong></font></font></td><td align=right bgcolor=#cccccc valign=top width=150><font face=arial size=2><strong><font face=Verdana, Arial, Helvetica, sans-serif size=1><font size=1>ResumoID:2013-2</font></em></font></strong></font></td></tr><tr><td colspan=2><br><br><table align=center width=700><tr><td>Área: <b>Microbiologia Clinica ( Divisão A )</b><p align=justify><strong><FONT FACE="ARIAL, HELVETICA, SANS-SERIF"><STRONG>PREVALENCE OF DIARRHEAGENIC <EM>ESCHERICHIA COLI</EM> IN CHILDREN FROM NORTHEASTERN BRAZIL</STRONG></FONT></strong></p><p align=justify><b><u>Ila Fernanda Nunes Lima </u></b> (<i>UFC</i>); <b>Josiane da Silva Quetz </b> (<i>UFC</i>); <b>Alexandre Havt </b> (<i>UFC</i>); <b>Lourrany Borges Costa </b> (<i>UFC</i>); <b>Jones Barbosa Lima Neto </b> (<i>UFC</i>); <b>Rosa Maria Salani Mota </b> (<i>UFC</i>); <b>James Nataro </b> (<i>UMMC</i>); <b>Aldo Ângelo Moreira Lima </b> (<i>UFC</i>)<br><br></p><b><font size=2>Resumo</font></b><p align=justify class=tres><font size=2><P class=MsoNormal style="MARGIN: 0cm 0cm 0pt -0.55pt; TEXT-ALIGN: justify"><B><SPAN lang=EN-US style="FONT-SIZE: 10pt; LINE-HEIGHT: 115%; FONT-FAMILY: 'Arial','sans-serif'; mso-bidi-font-family: Calibri; mso-fareast-font-family: 'Times New Roman'">INTRODUCTION:</SPAN></B><SPAN lang=EN-US style="FONT-SIZE: 10pt; LINE-HEIGHT: 115%; FONT-FAMILY: 'Arial','sans-serif'; mso-bidi-font-family: Calibri; mso-fareast-font-family: 'Times New Roman'"> </SPAN><SPAN lang=EN-US style="FONT-SIZE: 10pt; LINE-HEIGHT: 115%; FONT-FAMILY: 'Arial','sans-serif'; mso-fareast-font-family: 'Times New Roman'">Among bacteria, diarrheagenic <I>Escherichia coli</I> (DEC) are some of the most frequently detected intestinal pathogens. We aimed to determine the prevalence of four DEC types in children with and without diarrhea in Fortaleza, Ceara, Brazil. <?xml:namespace prefix = o ns = "urn:schemas-microsoft-com:office:office" /><o:p></o:p></SPAN></P> <P class=MsoNormal style="MARGIN: 0cm 0cm 0pt -0.55pt; TEXT-ALIGN: justify"><B><SPAN lang=EN-US style="FONT-SIZE: 10pt; LINE-HEIGHT: 115%; FONT-FAMILY: 'Arial','sans-serif'; mso-bidi-font-family: Calibri; mso-fareast-font-family: 'Times New Roman'">MATERIAL AND METHODS:</SPAN></B><SPAN lang=EN-US style="FONT-SIZE: 10pt; LINE-HEIGHT: 115%; FONT-FAMILY: 'Arial','sans-serif'; mso-bidi-font-family: Calibri; mso-fareast-font-family: 'Times New Roman'"> A total of 325 fecal samples from children </SPAN><SPAN lang=EN-US style="FONT-SIZE: 10pt; LINE-HEIGHT: 115%; FONT-FAMILY: 'Arial','sans-serif'; mso-fareast-font-family: 'Times New Roman'">(83 with and 242 without diarrhea)</SPAN><SPAN lang=EN-US style="FONT-SIZE: 10pt; LINE-HEIGHT: 115%; FONT-FAMILY: 'Arial','sans-serif'; mso-bidi-font-family: Calibri; mso-fareast-font-family: 'Times New Roman'"> aged 2-36 months from poor-resource urban area in Fortaleza were collected. Of those 242 control samples, 166 were randomly selected and analyzed together with the 83 case samples (n=249). Fecal DNA was obtained by QIAamp DNA Stool Mini Kit (Qiagen, Valencia, CA, USA). Molecular identification of DEC was based on the presence of different chromossomal and/or plasmid-encoded virulence genes of enteroaggregative <I style="mso-bidi-font-style: normal">E. coli</I> (EAEC, <I style="mso-bidi-font-style: normal">aaiC</I> and <I style="mso-bidi-font-style: normal">aatA</I> genes), enteropathogenic <I style="mso-bidi-font-style: normal">E. coli</I> (EPEC, <I style="mso-bidi-font-style: normal">eae</I> and <I style="mso-bidi-font-style: normal">bfpA</I> genes), shiga-toxin producing <I style="mso-bidi-font-style: normal">E. coli</I> (STEC, <I style="mso-bidi-font-style: normal">Stx1</I> and <I style="mso-bidi-font-style: normal">Stx2</I> genes), and enteroinvasive <I style="mso-bidi-font-style: normal">E. coli</I> (EIEC, <I style="mso-bidi-font-style: normal">ipaH</I> gene). Samples were considered positive for DEC when they were positive for at least one of the researched diagnostic gene. <o:p></o:p></SPAN></P> <P class=MsoNormal style="MARGIN: 0cm 0cm 0pt -0.55pt; TEXT-ALIGN: justify"><B><SPAN lang=EN-US style="FONT-SIZE: 10pt; LINE-HEIGHT: 115%; FONT-FAMILY: 'Arial','sans-serif'; mso-fareast-font-family: 'Times New Roman'">RESULTS:</SPAN></B><SPAN lang=EN-US style="FONT-SIZE: 10pt; LINE-HEIGHT: 115%; FONT-FAMILY: 'Arial','sans-serif'; mso-fareast-font-family: 'Times New Roman'"> At least one DEC was detected in 98.8% (82/83) stool samples of the diarrhea group and in 96.4% (160/166) in the control group. EPEC was the pathotype more frequent in the population under study (79.1%, 197/249), followed by STEC (77.5%, 193/249), EAEC (37.3%, 93/249), and EIEC (26,9%, 67/249). EPEC was found significantly more often in children with diarrhea (89.2%, 74/83) than in children without the disease (74.1%, 123/166) (p=0.008). EAEC and EIEC were detected with slightly higher frequencies in children with diarrhea, 41.0% (34/83) and 30.1% (25/83), respectively, when compared to children without diarrhea, 35.5% (59/166) and 25.3% (42/166), respectively, but with no significant difference. The prevalence of STEC was also similar among control children (78.3%, 130/166) and cases (75.9%, 63/83). None of the genes used for DEC diagnosis was exclusively found in children with diarrhea. <o:p></o:p></SPAN></P> <P class=MsoNormal style="MARGIN: 0cm 0cm 0pt -0.55pt; TEXT-ALIGN: justify"><B><SPAN lang=EN-US style="FONT-SIZE: 10pt; LINE-HEIGHT: 115%; FONT-FAMILY: 'Arial','sans-serif'; mso-fareast-font-family: 'Times New Roman'">CONCLUSION: </SPAN></B><SPAN lang=EN-US style="FONT-SIZE: 10pt; LINE-HEIGHT: 115%; FONT-FAMILY: 'Arial','sans-serif'; mso-bidi-font-weight: bold; mso-fareast-font-family: 'Times New Roman'">EPEC c</SPAN><SPAN lang=EN-US style="FONT-SIZE: 10pt; LINE-HEIGHT: 115%; FONT-FAMILY: 'Arial','sans-serif'; mso-fareast-font-family: 'Times New Roman'">ontinues to be an important agent associated with diarrhea in poor-resource children from FortaIeza. High rates of children with and without diarrhea presented at least one DEC pathotype, </SPAN><SPAN lang=EN-US style="FONT-SIZE: 10pt; LINE-HEIGHT: 115%; FONT-FAMILY: 'AdvP7627','sans-serif'; mso-fareast-language: PT-BR; mso-bidi-font-family: AdvP7627; mso-fareast-font-family: 'Times New Roman'; mso-font-kerning: 0pt">indicating a wide spread of these pathotypes in the study population and a high carriage percentage after primary infection. <o:p></o:p></SPAN></P> <P class=MsoNormal style="MARGIN: 0cm 0cm 0pt -0.55pt; TEXT-ALIGN: justify"><B style="mso-bidi-font-weight: normal"><SPAN lang=EN-US style="FONT-SIZE: 10pt; LINE-HEIGHT: 115%; FONT-FAMILY: 'Arial','sans-serif'; mso-fareast-font-family: 'Times New Roman'">FINANCIAL SUPPORT:</SPAN></B><SPAN lang=EN-US style="FONT-SIZE: 10pt; LINE-HEIGHT: 115%; FONT-FAMILY: 'Arial','sans-serif'; mso-fareast-font-family: 'Times New Roman'"> FIC/NIH (USA) and CNPq (Brazil)<o:p></o:p></SPAN></P></font></p><br><b>Palavras-chave: </b>&nbsp;CHILDHOOD DIARRHEA, Escherichia coli, PCR DETECTION</td></tr></table></tr></td></table></body></html>