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Detection of Dientamoeba fragilis in Portuguese children with acute gastroenteritis between 2011 and 2013

dc.contributor.authorJúlio, C.
dc.contributor.authorFurtado, Cristina
dc.contributor.authorRocha, R.
dc.contributor.authorEscobar, C.
dc.contributor.authorBrito, M.J.
dc.contributor.authorOleastro, Mónica
dc.date.accessioned2016-02-26T17:54:09Z
dc.date.available2016-04-01T00:30:10Z
dc.date.issued2015-09
dc.description.abstractDientamoeba fragilis is an inhabitant of human gastrointestinal tract with a worldwide distribution. The first description considered this protozoan a rare and harmless commensal, since then it has struggled to gain recognition as a pathogen. Commercial multiplex real-time PCR was used to detect D. fragilis in fecal samples from hospitalized children (⩽18 years) with acute gastrointestinal disease, admitted to two hospitals of Lisbon area, with different demographic characteristics. A total of 176 children were studied, 103 (58·5%) male, 144 (81·8%) children between 0 and 5 years and 32 (18·2%) above 6 years old. The overall protozoa frequency considering the four tested microorganisms were 8·5% (15/176), and the most frequently found protozoan was D. fragilis, 6·3% (11/176). Dientamoeba fragilis frequency was higher among older children (21·9%), than younger children (2·8%), and greater in boys (6·8%) than in girls (5·5%). All positive children presented with diarrhoea associated with vomiting, fever and abdominal pain. Infection was associated with the age of children (P < 0·001), school attendance (P = 0·002) and consumption of certain foods (P = 0·014), e.g. cakes with crème and ham. The frequency of diantamoebiasis found in a cohort of hospitalized Portuguese children, with acute gastrointestinal disease, could be considered a very high value when compared with the protozoan frequency normally associated with this pathology.pt_PT
dc.identifier.citationParasitology. 2015 Sep;142(11):1398-403. doi: 10.1017/S0031182015000906. Epub 2015 Jul 21pt_PT
dc.identifier.doi10.1017/S0031182015000906pt_PT
dc.identifier.issn0031-1820
dc.identifier.urihttp://hdl.handle.net/10400.18/3515
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherCambridge University Press
dc.relation.publisherversionhttp://journals.cambridge.org/action/displayAbstract?fromPage=online&aid=9915506&fileId=S0031182015000906pt_PT
dc.subjectDientamoeba fragilispt_PT
dc.subjectAcute Gastroenteritispt_PT
dc.subjectFrequencypt_PT
dc.subjectHospitalized Childrenpt_PT
dc.subjectPortugalpt_PT
dc.subjectInfecções Gastrointestinaispt_PT
dc.titleDetection of Dientamoeba fragilis in Portuguese children with acute gastroenteritis between 2011 and 2013pt_PT
dc.title.alternativeCambridge University Presspt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.endPage1403pt_PT
oaire.citation.startPage1398pt_PT
oaire.citation.titleParasitologypt_PT
oaire.citation.volume142(11)pt_PT
rcaap.rightsembargoedAccesspt_PT
rcaap.typearticlept_PT

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