RESUMO
En octubre de 2012 se detectó un brote de gastroenteritis aguda por Shigella sonnei en una escuela del norte de España que afectó a 112 personas: el 63,7% fueron escolares y docentes y el 35,7% convivientes. El origen fue un niño enfermo con antecedente de viaje a país endémico, y el desencadenante, las deficiencias higiénicas existentes en uno de los aseos de la escuela. La aplicación de estrictas medidas de higiene fueron determinantes para el control del brote
In October 2012, an outbreak of acute gastroenteritis caused by Shigella sonnei was detected in a nursery and primary school in the north of Spain affecting 112 people: 63.7% were pupils and teachers and 35.7% their co-habitants. The source was a sick child who had travelled to an endemic country, and the key trigger factor was inadequate hygiene in one of the toilets of the school. The enforcement of strict hygiene measures was essential for controlling the outbreak
Assuntos
Humanos , Masculino , Criança , Feminino , Idoso , Idoso de 80 Anos ou mais , Pré-Escolar , Adolescente , Lactente , Pessoa de Meia-Idade , Adulto Jovem , Shigella sonnei , Surtos de Doenças , Disenteria Bacilar/epidemiologia , Espanha/epidemiologia , Instituições Acadêmicas , Disenteria Bacilar/microbiologia , Disenteria Bacilar/prevenção & controleRESUMO
In October 2012, an outbreak of acute gastroenteritis caused by Shigella sonnei was detected in a nursery and primary school in the north of Spain affecting 112 people: 63.7% were pupils and teachers and 35.7% their co-habitants. The source was a sick child who had travelled to an endemic country, and the key trigger factor was inadequate hygiene in one of the toilets of the school. The enforcement of strict hygiene measures was essential for controlling the outbreak.
Assuntos
Surtos de Doenças , Disenteria Bacilar/epidemiologia , Shigella sonnei , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Criança , Pré-Escolar , Disenteria Bacilar/microbiologia , Disenteria Bacilar/prevenção & controle , Feminino , Humanos , Lactente , Masculino , Pessoa de Meia-Idade , Instituições Acadêmicas , Espanha/epidemiologia , Adulto JovemRESUMO
OBJECTIVES: To describe the characteristics of childhood poisoning leading to consultation to 17 pediatric emergency departments in Spain. METHODS: During a 2-year period (January 2001 to December 2002), accompanying people of 2157 children with acute intoxication who visited consecutively at the emergency room were prospectively surveyed. RESULTS: Childhood poisoning accounted for 0.28% of all emergency visits during the study period. The median (interquartile range, 25th-75th percentile) age was 24 months (22-60 months); 67% of children were younger than 4 years. Drug ingestion was involved in 54.7% of cases (paracetamol was the most frequent drug), domestic products in 28.9%, alcohol in 5.9%, carbon monoxide in 4.5%, and illicit drugs in 1.5%. A total of 61.3% of patients were admitted within 1 hour after exposure to the toxic substance, and 10.3% had been already treated before arrival; 29.1% of patients were referred for clinical manifestations which were mostly neurological symptoms. Laboratory tests and other investigations were performed in 40.7% of cases. Gastrointestinal decontamination was used in 51.7% of patients, with activated charcoal in 32.3%. Treatment varied significantly according to the individual hospitals. A total of 83.3% of patients were treated as outpatients, 15.2% were hospitalized, and 1.5% were admitted to the intensive care unit. One 11-month-old boy with carbon monoxide intoxication died. Six patients had permanent sequelae (esophageal stenosis in 5 and partial blindness in 1). CONCLUSIONS: Young children who accidentally ingested drugs and, less frequently, domestic products accounted for most cases of intoxication who presented at the pediatric emergency department.
