posters submitted - SMIBA

226
ABSTRACTS
INFECTOLOGY / INFECTOLOGÍA
P-15-73 | BLASTOCYSTIS HOMINIS AND OTHER INTES-
TINE PARASITES IN AMBULANT FOOD IN CASCAVEL
CITY PARANÁ BRAZIL
Ganassin, Lisiane T.; Tazikawa, María das Graças M. H
Universidade Estadual do Oeste do Paraná- Brasil
Introduction: In the last decades a change in the alimentary habits of the population has been
observed in general, also in Brazil, this having to the great population growth in the great
centers and to theagricultural exodus, what it increases the search for extradomiciliate feeding.
Such fact generates a concern regarding the contamination of foods, therefore beyond
the parasites providing with the water, of infect foods of animal origin, the food manipulators,
mainly the unsymptomatic, and its utensils of preparation also are a source in potential for
its dispersion. Thus, considering the importance of the food manipulators as potential transmitters
of intestine parasites one searched in this study to verify the occurrence of intestine
parasites in ambulant food salesmen in the city of Cascavel - Paraná, Brazil. Material and
Methods: Excrement analyses of 71 people of the ambulant food commerce had been carried
through, with varied ages and of both the sorts. The fecal samples had been collected in
appropriate bottles contend buffer formaline 10% and analyzed by the methods of Lutz/Hoffman,
Pons and Janer and modified Ritchie.
Results: The general occurrence of parasites was of 25 (35,2%), the found protozoan more
was Blastocystis hominis 13 cases (52,0%), being the masculine sort the most assault the
8 (61,5%) and etárias bands of 21a the 30 and 31 40 years more the attacks with 3 (23,1%)
respectively. In 7 (53,9%) of the cases one met as only parasite and in 6 (46,2%) associates
to other protozoans, being more frequent associated with nana Endolimax 5 (20,0%), Giardia
lamblia 3 (12,0%), Entamoeba histolytica/dispar 3 (12,0%), Ancilostomídeos 2 (8,0%), Ascaris
lumbricoides 1 (4,0%), Strongyloides stercoralis 1 (4,0%). Quarrel: The biggest meeting of
protozoan in relation to the helmintes has been demonstrated for some authors and can be
related to the restricted self-medication for the helmintes. The biggest meeting of the protozoan
Blastocystis hominis in some regions, in the coprologic examinations demonstrates the
necessity to elucidate the controversies and indefinitions the respect of this protozoan. The
relation between sort and intestine parasites total is not elucidated, needing several other
studies. The results demonstrate the relevance of fecal-verbal transmission e, therefore it
must be prioritized the measures of control of intestine parasites in this population.
P-15-75 | PREVALENCE OF MULTIDRUG RESISTANT
TUBERCULOSIS IN PERUVIAN ARMY FORCE
Herrera, Raúl; Flores, Neil; Lamilla, Miguel.; Ayllon, Eduardo.; Beltran,
Brady.
Military Hospital, Police Hospital and Air Force Hospital of Peru; Portugal
SUMARY
PURPOSE: The Aim of this study was to investigate the prevalence of drug resistance to tuberculosis
in Peruvian Army Force and evaluated the clinical characteristic of diagnosed patients
of drug resistance.
Methods: : We evaluated patients diagnosed of Multidrug Resistant Tuberculosis whit a positive
culture and test of drug susceptibility showed antituberculosis drug resistance between
patient whose are included at Tuberculosis Program of following Hospitals : Military, Police
and aeronautic. This study include patients since 2000 to now.
RESULTS: : We evaluated 361 patients includes at Tuberculosis Program, where we found 32
patients con of Multidrug Resistantuberculosis, by the way the prevalence Of Multidrug Resistant
Tuberculosis in Peruvian Army Force was de 8.86 %. All patiens were previously treatment
and no were news cases. The resistance a three or more drugs were more frecuent an the
resistance to isoniazid and rifampin were more frecuent too. We observed that 10.53 percent
of patients had a low body mass index and 25,64 percent of patients had a low hematocrito.
71,05 percent of patients were males. he> medium age was 31 years. 84.21 percent of patients
were in close quarters. And 7.89 percent of patients were another diseases as diabetes
and arthritis. Nobody had AIDS.
Conclusion: : The Prevalence of Multidrug Resistant Tuberculosis in Peruvian Army Force was
of 8.86% . All patients were previously treatment with antituberculosis drug in any time in
their lifes. The prevalency of Multidrug Resistant Tuberculosis is relative low in comparision
with the general peruvian population where the prevalence is 12.3 %. In this study no was
found relation between live in close quarters and a higher prevalence of Multidrug Resistant
Tuberculosis.
P-15-74 | USEFULNESS OF RAPID REPLY SYSTEM OF
INFECTION CONSULTATION FACILITATED BY PREVISIT
OF ID FELLOW TO PHYSICIANS WORKING IN INTERNAL
MEDICINE DEPARTMENTS
Jeon, Jae Hyun; Park, Wan Beom; Park, Sang Won; Myuoong, Don Oh;
Choi, Kang Won
Department of Infectious Disease of Internal Medicine, Seoul National
University Hospital, Seoul, South Korea
Introduction: We changed reply system of infection consultation from May. 1. 2007. Consultation
was replied back within 24 hours from the first contact time and all the first reply after
infectious disease (ID) fellow visit was confirmed by ID staff within that time. We surveyed the
satisfaction and usefulness of infection consultation.
MATERIAL AND METHOD: : We made the questionnaire about frequency of contact to infection
specialist , reason of contact , usefulness of reply in diagnosis and treatment of infectious
disease, rapidity of consultation reply, satisfaction rate.
RESULT and DISCUSSION: Reliability rate was diverse ( Reliable : 64.8 % , Not reliable : 10.8% ).
Overall satisfaction rate was high ( so so and Yes : 5.4% and 94.6%). Rapid double confirmation
system was highly satisfactory consultation system to physician. But impact of this system on
mortality and hospital stay of patient must be studied more.
P-15-76 | CENTRAL NERVOUS SYSTEM CRYPTOCOC-
COSIS IN A PATIENT WITH SYSTEMIC ERYTHEMATOUS
LUPUS: A CASE REPORT
Bustabad, Estefania; Lopes, Emilia; Caetano, Olinda.; Alves, Gloria; Cotter,
Jorge.
Hospital de Guimaraes.; Portugal
Introduction: Cryptococcal infection is a rare, yet well recognized complication of systemic
lupus erythematosus (SLE).this case emphasize that the pacients developed this opportunistic
infection as the result of immunosuppressive therapies, whether the intrinsic immunological
defects of sle may be directly responsible for the predisposition to fungical infections.
Case: We report a case of a 41 years old female diagnosed with SLE, arterial hypertension,
thrombosis of porta artery, renal insufficiency due to lupic glomerulonephritis type IV, treated
with corticosteroids and immunosuppressive drugs.
She consulted the emergency of our Hospital for generalized tonic-clonic seizure.The skull
computed tomography scan showed the presence ofintracerebral masses of possible inflammatory
versus neoplasic origin. in the cerebrospinal fluid were detected numerous cryptococci.
She was treated with intravenous liposomal amphotericin B, followed by oral fluconazole with
favourable response.
The clinical symptoms and follow-up images improved.