<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2176-6223</journal-id>
<journal-title><![CDATA[Revista Pan-Amazônica de Saúde]]></journal-title>
<abbrev-journal-title><![CDATA[Rev Pan-Amaz Saude]]></abbrev-journal-title>
<issn>2176-6223</issn>
<publisher>
<publisher-name><![CDATA[Instituto Evandro Chagas. Secretaria de Vigilância em Saúde e Ambiente. Ministério da Saúde]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2176-62232017000400008</article-id>
<article-id pub-id-type="doi">10.5123/s2176-62232017000400008</article-id>
<title-group>
<article-title xml:lang="pt"><![CDATA[Aspectos epidemiológicos das enteroinfecções bacterianas em menores de 5 anos de idade em Rio Branco, estado do Acre, Brasil]]></article-title>
<article-title xml:lang="en"><![CDATA[Epidemiological aspects of bacterial enteric infections in children under 5 years old in Rio Branco, Acre State, Brazil]]></article-title>
<article-title xml:lang="es"><![CDATA[Aspectos epidemiológicos de las enteroinfecciones bacterianas en menores de 5 años de edad en Rio Branco, estado de Acre, Brasil]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Gomes]]></surname>
<given-names><![CDATA[Lourdes Oliveira]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Matos]]></surname>
<given-names><![CDATA[Haroldo José de]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Silva]]></surname>
<given-names><![CDATA[Mônica Cristina de Moraes]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Loureiro]]></surname>
<given-names><![CDATA[Edvaldo Carlos Brito]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Macarenhas]]></surname>
<given-names><![CDATA[Joana D'Arc Pereira]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Gabbay]]></surname>
<given-names><![CDATA[Yvone Benchimol]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rocha]]></surname>
<given-names><![CDATA[Daniela Cristiane da Cruz]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Instituto Evandro Chagas/SVS/MS  ]]></institution>
<addr-line><![CDATA[Ananindeua Pará]]></addr-line>
<country>Brasil</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2017</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2017</year>
</pub-date>
<volume>8</volume>
<numero>4</numero>
<fpage>35</fpage>
<lpage>43</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.iec.gov.br/scielo.php?script=sci_arttext&amp;pid=S2176-62232017000400008&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iec.gov.br/scielo.php?script=sci_abstract&amp;pid=S2176-62232017000400008&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iec.gov.br/scielo.php?script=sci_pdf&amp;pid=S2176-62232017000400008&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="pt"><p><![CDATA[RESUMO  OBJETIVO:  Investigar a ocorrência de enteropatógenos bacterianos na etiologia da doença diarreica aguda (DDA), associando variáveis clínico-epidemiológicas, em menores de 5 anos de idade, atendidos em unidades de saúde do município de Rio Branco, estado do Acre, Brasil, em 2012.  MATERIAIS E MÉTODOS: O estudo envolveu a análise de dados obtidos das fichas clínico-epidemiológicas de 502 crianças, sendo 272 casos de DDA e 230 controles. A frequência de cada enteropatógeno pesquisado e a associação desses agentes com as condições socioeconômicas das crianças foram verificadas por meio dos testes qui-quadrado e teste exato de Fisher, adotando-se um nível de significância de 0,05 (5%) e utilizando-se o programa BioEstat v5.0.  RESULTADOS:  As bactérias mais frequentes em ambos os grupos foram Escherichia coli diarreiogênicas (80,2%), Campylobacter jejuni e Campylobacter coli (9,0%), Shigella spp. (5,6%) e Salmonella spp. (4,0%). Houve associação significativa entre a ocorrência de E. coli e a presença de DDA (p &lt; 0,001). A distribuição temporal das E. coli diarreiogênicas foi maior nos meses de novembro e dezembro (período chuvoso). A associação entre a renda familiar e o grupo clínico foi estatisticamente significativa (p &lt; 0,00051). Quanto às condições de habitação, foi observado maior risco quando a frequência da coleta de lixo era irregular. Constatou-se que o risco da criança desenvolver DDA era maior quando a mãe tinha entre 14 e 19 anos de idade.  CONCLUSÃO:  Verificou-se que os casos de DDA em menores de 5 anos de idade, em Rio Branco, estavam relacionados à circulação de enteropatógenos bacterianos, em especial a E. coli diarreiogênica.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  OBJECTIVE:  To investigate the occurrence of bacterial enteric pathogens in the etiology of acute diarrheal disease (ADD) in association with clinical and epidemiological aspects in children under 5 years old attended in healthcare units in Rio Branco, Acre State, Brazil, in 2012.  MATERIALS AND METHODS:  The study analyzed data obtained from clinical and epidemiological records of 502 children, 272 ADD cases and 230 controls. The frequency of each enteropathogen and the association with the socioeconomic conditions of the children were verified using chi-square test and Fisher&#8217;s exact test, with a significance level of 0.05 (5%), and BioEstat v5.0 software.  RESULTS:  The most frequent bacteria in both groups were diarrheagenic Escherichia coli (80.2%), Campylobacter jejuni and Campylobacter coli (9.0%), Shigella spp. (5.6%), and Salmonella spp. (4.0%). There was a significant correlation between the occurrence of E. coli and ADD (p &lt; 0.001). The temporal distribution of diarrheagenic E. coli was higher in November and December (rainy season). The correlation between family income and the clinical group was statistically significant (p &lt; 0.00051). Regarding housing conditions, a higher risk was observed when the frequency of garbage collection was irregular. The risk of the child developing ADD was greater when mothers were between 14 and 19 years of age.  CONCLUSION:  It was verified that cases of ADD in children under 5 years old in Rio Branco were related to the circulation of bacterial enteric pathogens, especially diarrheagenic E. coli.]]></p></abstract>
<abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  OBJETIVO:  Investigar los episodios de enteropatógenos bacterianos en la etiología de la enfermedad diarreica aguda (EDA), asociando variables clínico-epidemiológicas, en menores de 5 años de edad, atendidos en unidades de salud del municipio de Rio Branco, estado de Acre, Brasil, en 2012.  MATERIALES Y MÉTODOS:  El estudio involucró el análisis de datos obtenidos de las fichas clínico-epidemiológicas de 502 niños, siendo 272 casos de EDA y 230 controles. La frecuencia de cada enteropatógeno investigado y la asociación de esos agentes con las condiciones socioeconómicas de los niños se verificaron con las pruebas de chi-cuadrado y prueba exacta de Fisher, adoptándose un nivel de significación de 0,05 (5%) y utilizando el programa BioEstat v5.0.  RESULTADOS:  Las bacterias más frecuentes en ambos grupos fueron Escherichia coli diarreogénicas (80,2%), Campylobacter jejuni y Campylobacter coli (9,0%), Shigella spp. (5,6%) y Salmonella spp. (4,0%). Hubo una asociación significativa entre el E. coli y la presencia de EDA (p &lt; 0,001). La distribución temporal de las E. coli diarreogénicas fue mayor en los meses de noviembre y diciembre (período lluvioso). La asociación entre la renta familiar y el grupo clínico fue estadísticamente significativa (p &lt; 0,00051). Con relación a las condiciones de habitación, se observó un mayor riesgo cuando la frecuencia de la colecta de basura era irregular. Se constató que el riesgo de que el niño desenvolviera EDA era mayor cuando la madre tenía entre 14 y 19 anos de edad.  CONCLUSIÓN:  Se verificó que los casos de EDA en menores de 5 años de edad, en Rio Branco, estaban relacionados a la circulación de enteropatógenos bacterianos, en especial a E. coli diarreogénica.]]></p></abstract>
<kwd-group>
<kwd lng="pt"><![CDATA[Gastroenterite]]></kwd>
<kwd lng="pt"><![CDATA[Enterobactérias]]></kwd>
<kwd lng="pt"><![CDATA[Crianças]]></kwd>
<kwd lng="en"><![CDATA[Gastroenteritis]]></kwd>
<kwd lng="en"><![CDATA[Enterobacteria]]></kwd>
<kwd lng="en"><![CDATA[Children]]></kwd>
<kwd lng="es"><![CDATA[Gastroenteritis]]></kwd>
<kwd lng="es"><![CDATA[Enterobacterias]]></kwd>
<kwd lng="es"><![CDATA[Niños]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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