Prospecção de moluscos bivalves no estudo da poluição dos rios Cachoeira e Santana em Ilhéus, Bahia, Brasil / Bivalve molluscs prospection in pollution study from Cachoeira and Santana rivers in Ilheus, Bahia, Brazil

Um levantamento sobre o nível de poluição dos Rios Cachoeira e Santana (Ilhéus, Bahia, Brasil) foi realizado durante um trimestre, por meio da avaliação da qualidade microbiológica da água e de frutos do mar (Crassostrea rhizophorae – ostra-do-mangue e Tagelus plebeius - moapem) extraídos desses rios. Tradicionais indicadores de poluição como coliformes totais (Ct) e coliformes termotolerantes (CT), além de contagem padrão de microrganismos, com isolamento e identificação das enterobactérias, foram determinados nas amostras dos rios, os quais exibiram diferentes níveis de poluição fecal. Foram isolados 68 microrganismos, distribuídos em dez espécies, dentre elas, Salmonella typhi, Escherichia coli e Shigella sp., alertando para o risco do consumo in natura desses moluscos, mesmo quando em conformidade com a legislação estabelecida para CT. A prospecção de moluscos para o acompanhamento dos índices de poluição não se mostrou efetiva considerando a pesquisa de CT em ostras e moapens. Verificou-se também o maior grau de contaminação no Rio Cachoeira, o qual serve de base para distribuição de água na região e como fonte de subsistência, por meio da atividade extrativista, para a população ribeirinha.

A survey about the pollution level of the Cachoeira and Santana Rivers (Ilheus, Bahia, Brazil) was performed for a quarter, through the assessment of the microbiological quality of water and seafood (Crassostrea rhizophorae - oyster and Tagelus plebeius – razor clam) extracted from these rivers. Traditional indicators of pollution such as total coliforms (Ct) and thermtolerant coliforms (CT), and total count of micro-organisms, with isolation and identification of Enterobacteriaceae were determined in rivers samples, which exhibited different levels of faecal pollution. An amount of 68 micro-organisms was isolated, distributed in ten species, among them, Salmonella typhi, Escherichia coli and Shigella sp., warning about the risk of consuming these shellfish in nature, even when there is accordance with the laws established for CT. The bivalve prospection to monitor pollution levels was not effective considering CT detection in oysters and moapens. There was also the highest contamination degree in the Cachoeira River, which is used for water distribution in the region and as livelihood source through extractive activities for the riverside population.

[Frequency of yeasts in vaginal fluid of women with and without clinical suspicion of vulvovaginal candidiasis]. / Frequência de leveduras em fluido vaginal de mulheres com e sem suspeita clínica de candidíase vulvovaginal.

PURPOSE: to study vulvovaginal candidiasis from the vaginal fluid of women with and without clinical suspicion, identifying the frequency of Candida spp., and associating it with intrinsic and extrinsic risk factors. METHODS: a total of 286 samples from patients attended in private practices and public health units from August 2005 to August 2007 were collected, being 121 women under clinical suspicion and 165, without. The samples were collected with sterile swabs, taken to the laboratory in 0.85% physiological solution, and then seeded in CHROMagar Candida and in 4% agar Sabourad with chloramphenicol. Classical identification procedures were carried out: macro and micromorphology, zymogram and auxanogram. Data obtained were analyzed by frequency tests and contingency tables (chi2). RESULTS: a total of 47.9% of the women under clinical suspicion got confirmation of candidiasis by the laboratorial tests. Among the patients without clinical suspicion (Control Group), 78.2% were vulvovaginal candidiasis negative according to the laboratorial tests. Candida albicans was the prevalent strain in 74.5% of the cases. There were significant differences among the positive cases, according to the patients from the two cities evaluated (p<0.05). Clothing was one differential aspect found among the two populations studied. CONCLUSIONS: the presence of predisposing factors does not necessarily define vulvovaginal candidiasis. Geographical localization has shown to be a relevant factor in the distribution of events. The type of clothing may be one of the reasons for it. Culture of samples from the vaginal contents, followed by microorganisms' identification, can be important.

Frequência de leveduras em fluido vaginal de mulheres com e sem suspeita clínica de candidíase vulvovaginal / Frequency of yeasts in vaginal fluid of women with and without clinical suspicion of vulvovaginal candidiasis

OBJETIVO: estudar a candidíase vulvovaginal em mulheres com e sem suspeita clínica a partir de fluido vaginal, identificando frequência de Candida spp. e associando a fatores de risco intrínsecos e extrínsecos. MÉTODOS: foram coletadas 286 amostras de pacientes atendidas em clínicas e postos de saúde entre Agosto de 2005 e Agosto de 2007. Foram 121 mulheres com suspeita e 165 sem suspeita clínica. Com zaragatoas estéreis, as amostras foram coletadas, transportadas ao laboratório em solução fisiológica 0,85 por cento, semeadas em CHROMagar Candida e em meio ágar Sabouraud 4 por cento com cloranfenicol. Foram realizados os procedimentos clássicos para identificação: macro e micromorfologia, zimograma e auxanograma. Os dados obtidos foram analisados através de testes de frequência e tabelas de contingência (χ2). RESULTADOS: Um total de 47,9 por cento das mulheres com suspeita clínica obteve confirmação de candidíase pelos exames laboratoriais. Das pacientes sem suspeita clínica (Grupo Controle), 78,2 por cento foram negativas para candidíase vulvovaginal pelos testes laboratoriais. Candida albicans foi a espécie prevalente com 74,5 por cento dos casos. Foram encontradas diferenças significativas para os casos positivos, de acordo com as pacientes das duas cidades avaliadas (p<0,05). O vestuário foi um aspecto diferencial encontrado entre as duas populações estudadas. CONCLUSÕES: a presença de fatores predisponentes não define, seguramente, a candidíase vulvovaginal. A localização geográfica tem mostrado ser um fator relevante na distribuição dos eventos. O tipo de vestuário pode ser uma das razões. O cultivo de amostras do conteúdo vaginal, seguida de identificação do micro-organismo, é importante.

PURPOSE: to study vulvovaginal candidiasis from the vaginal fluid of women with and without clinical suspicion, identifying the frequency of Candida spp., and associating it with intrinsic and extrinsic risk factors. METHODS: a total of 286 samples from patients attended in private practices and public health units from August 2005 to August 2007 were collected, being 121 women under clinical suspicion and 165, without. The samples were collected with sterile swabs, taken to the laboratory in 0.85 percent physiological solution, and then seeded in CHROMagar Candida and in 4 percent agar Sabourad with chloramphenicol. Classical identification procedures were carried out: macro and micromorphology, zymogram and auxanogram. Data obtained were analyzed by frequency tests and contingency tables (χ2). RESULTS: a total of 47.9 percent of the women under clinical suspicion got confirmation of candidiasis by the laboratorial tests. Among the patients without clinical suspicion (Control Group), 78.2 percent were vulvovaginal candidiasis negative according to the laboratorial tests. Candida albicans was the prevalent strain in 74.5 percent of the cases. There were significant differences among the positive cases, according to the patients from the two cities evaluated (p<0.05). Clothing was one differential aspect found among the two populations studied. CONCLUSIONS: the presence of predisposing factors does not necessarily define vulvovaginal candidiasis. Geographical localization has shown to be a relevant factor in the distribution of events. The type of clothing may be one of the reasons for it. Culture of samples from the vaginal contents, followed by microorganisms' identification, can be important.