Profiles of enteropathogens in asymptomatic children from indigenous communities of Mérida, Venezuela

Introduction: In Latin America, gastrointestinal infections represent one of the main causes of death among indigenous groups, with a mortality rate three times greater than in the general population. In this study, the carrier state of enteropathogens and the epidemiological risk factor in asympto...

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Main Authors: Judith Velasco, Fanny González, Tulia Díaz, Jesús Peña-Guillén, María Araque
Format: Article
Language:English
Published: The Journal of Infection in Developing Countries 2011-03-01
Series:Journal of Infection in Developing Countries
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Online Access:https://jidc.org/index.php/journal/article/view/1162
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author Judith Velasco
Fanny González
Tulia Díaz
Jesús Peña-Guillén
María Araque
author_facet Judith Velasco
Fanny González
Tulia Díaz
Jesús Peña-Guillén
María Araque
author_sort Judith Velasco
collection DOAJ
description Introduction: In Latin America, gastrointestinal infections represent one of the main causes of death among indigenous groups, with a mortality rate three times greater than in the general population. In this study, the carrier state of enteropathogens and the epidemiological risk factor in asymptomatic children from indigenous communities of Mérida, Venezuela, were determined. Methodology: Fifty-eight healthy children, 5 years of age and under, were clinically and epidemiologically evaluated. Fecal samples were tested for a range of classic enteropathogens. Antimicrobial susceptibility tests (AST) were performed by dilution methods. Results: Of the specimens studied, there were 34 (58.6%) positive samples, and a single enteropathogen was detected in 22 (64.6%) of these. Associations of two and three enteropathogens were observed in 10 (29.3%) and two (5.8%) cases, respectively. Blastocystis hominis (16; 47.0%) and Salmonella spp. (15; 43.9%) were the most frequently detected enteropathogens. Carriage of enteropathogens was most frequent in children older than two years. The variety of food in the daily diet was the risk factor strongly associated with the presence of parasites and/or enteric bacteria (p = 0.024 < 0.05 and p = 0.000 < 0.05, respectively). The majority of these bacteria were susceptible to the antibiotics tested in vitro. Conclusion: This study shows a high prevalence of enteropathogen carriage in asymptomatic children aged five and under from indigenous communities; this result is statistically related to the consumption of food. These findings stress the need of continuous epidemiological surveillance in vulnerable populations, as an important step to prevent the morbidity and mortality due to gastrointestinal infections.
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spelling doaj-art-7b843a8f78a1491cacda747cb4f512812025-08-20T02:27:23ZengThe Journal of Infection in Developing CountriesJournal of Infection in Developing Countries1972-26802011-03-0150410.3855/jidc.1162Profiles of enteropathogens in asymptomatic children from indigenous communities of Mérida, VenezuelaJudith Velasco0Fanny González1Tulia Díaz2Jesús Peña-Guillén3María Araque4Laboratorio de Síndromes Gastrointestinales y Urinarios "Lic. Luisa Vizcaya", Departamento de Microbiología y Parasitología. Facultad de Farmacia y Bioanálisis. Universidad de Los Andes, MéridaLaboratorio de Microbiología Molecular, Departamento de Microbiología y Parasitología. Facultad de Farmacia y Bioanálisis. Universidad de Los Andes, MéridaLaboratorio de Síndromes Gastrointestinales y Urinarios "Lic. Luisa Vizcaya", Departamento de Microbiología y Parasitología. Facultad de Farmacia y Bioanálisis. Universidad de Los Andes, MéridaCátedra de Bioestadística. Departamento de Microbiología y Parasitología. Facultad de Farmacia y Bioanálisis. Universidad de Los Andes, MéridaLaboratorio de Microbiología Molecular, Departamento de Microbiología y Parasitología. Facultad de Farmacia y Bioanálisis. Universidad de Los Andes, Mérida Introduction: In Latin America, gastrointestinal infections represent one of the main causes of death among indigenous groups, with a mortality rate three times greater than in the general population. In this study, the carrier state of enteropathogens and the epidemiological risk factor in asymptomatic children from indigenous communities of Mérida, Venezuela, were determined. Methodology: Fifty-eight healthy children, 5 years of age and under, were clinically and epidemiologically evaluated. Fecal samples were tested for a range of classic enteropathogens. Antimicrobial susceptibility tests (AST) were performed by dilution methods. Results: Of the specimens studied, there were 34 (58.6%) positive samples, and a single enteropathogen was detected in 22 (64.6%) of these. Associations of two and three enteropathogens were observed in 10 (29.3%) and two (5.8%) cases, respectively. Blastocystis hominis (16; 47.0%) and Salmonella spp. (15; 43.9%) were the most frequently detected enteropathogens. Carriage of enteropathogens was most frequent in children older than two years. The variety of food in the daily diet was the risk factor strongly associated with the presence of parasites and/or enteric bacteria (p = 0.024 < 0.05 and p = 0.000 < 0.05, respectively). The majority of these bacteria were susceptible to the antibiotics tested in vitro. Conclusion: This study shows a high prevalence of enteropathogen carriage in asymptomatic children aged five and under from indigenous communities; this result is statistically related to the consumption of food. These findings stress the need of continuous epidemiological surveillance in vulnerable populations, as an important step to prevent the morbidity and mortality due to gastrointestinal infections. https://jidc.org/index.php/journal/article/view/1162EnteropathogensAsymptomatic childrenIndigenous communities
spellingShingle Judith Velasco
Fanny González
Tulia Díaz
Jesús Peña-Guillén
María Araque
Profiles of enteropathogens in asymptomatic children from indigenous communities of Mérida, Venezuela
Journal of Infection in Developing Countries
Enteropathogens
Asymptomatic children
Indigenous communities
title Profiles of enteropathogens in asymptomatic children from indigenous communities of Mérida, Venezuela
title_full Profiles of enteropathogens in asymptomatic children from indigenous communities of Mérida, Venezuela
title_fullStr Profiles of enteropathogens in asymptomatic children from indigenous communities of Mérida, Venezuela
title_full_unstemmed Profiles of enteropathogens in asymptomatic children from indigenous communities of Mérida, Venezuela
title_short Profiles of enteropathogens in asymptomatic children from indigenous communities of Mérida, Venezuela
title_sort profiles of enteropathogens in asymptomatic children from indigenous communities of merida venezuela
topic Enteropathogens
Asymptomatic children
Indigenous communities
url https://jidc.org/index.php/journal/article/view/1162
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