[Outbreak of diarrhea by rotavirus in Bom Jesus city, Piauí State]. / Surto de diarréia por rotavírus no município de Bom Jesus (PI).

This study focused a diarrhea outbreak caused by rotavirus in a city of Piauí State aiming to identify the etiology, protocol of assistance to cases. A case series was carried out with 22 children assisted for acute diarrhea in 2006 in Health Units of Bom Jesus city. The data were collected by means of interviews utilizing forms that were with the help of the children's parents and analysis of the appointment files was performed. Most of the families (59.1%) had a monthly income inferior to the minimum wage, 59.1% utilized septic cesspool, 77.3% consumed water from the public supply system and 54.5% did not drink filtered water. As to age, 54.5% ranged from one to four years, the majority of them featuring an adequate nutritional condition. Among the 22 samples rectal swab collected for coproculture, the following were isolated: E. coli (69.6%), Klebsiella sp (95.6%), Proteus Mirabilis (47.8%). Regarding the 16 samples of feces in natura for the assessment of rotavirus, 100% were positive for G2 genotype; 93.3% for P4 serotype and 7.2% were not typified. We concluded that a continuous monitoring of circulating genotypes is essential, which implies the need of training health professionals to tackle diarrhea down.

Surto de diarréia por rotavírus no município de Bom Jesus (PI) / Outbreak of diarrhea by rotavirus in Bom Jesus city, Piauí State

O presente estudo trata de um surto de diarréia, por rotavírus, em um município piauiense, objetivando identificar a etiologia, protocolo para atendimento aos casos. Realizou-se um estudo do tipo série de casos, com 22 crianças atendidas com diarréia aguda em 2006, nas Unidades de Saúde do município de Bom Jesus. Os dados foram coletados mediante realização de entrevistas com formulário aplicado aos responsáveis pelas crianças e observações das fichas de atendimento. A maioria das famílias (59,1 por cento) tinha renda inferior a um salário mínimo, 59,1 por cento utilizavam fossa séptica, 77,3 por cento consumiam água da rede de abastecimento pública e 54,5 por cento não bebiam água filtrada. Com relação à idade, 54,5 por cento, tinham entre um a quatro anos e maioria apresentava estado nutricional adequado. Dentre as 22 amostras de swab retal coletadas para coprocultura, isolaram-se E. coli (69,6 por cento), Klebsiella sp. (95,6 por cento), Proteus Mirabilis (47,8 por cento). Em relação às dezesseis amostras de fezes in natura para pesquisa de rotavírus, 100 por cento foram positivas para o genótipo G2; 93,7 por cento, para o sorotipo P4 e 7,2 por cento não foram tipadas. Conclui-se que o monitoramento contínuo dos genótipos circulantes na população é fundamental, o que implica a necessidade de capacitação dos profissionais da área da saúde para o enfrentamento das diarréias.

This study focused a diarrhea outbreak caused by rotavirus in a city of Piauí State aiming to identify the etiology, protocol of assistance to cases. A case series was carried out with 22 children assisted for acute diarrhea in 2006 in Health Units of Bom Jesus city. The data were collected by means of interviews utilizing forms that were with the help of the children's parents and analysis of the appointment files was performed. Most of the families (59.1 percent) had a monthly income inferior to the minimum wage, 59.1 percent utilized septic cesspool, 77.3 percent consumed water from the public supply system and 54.5 percent did not drink filtered water. As to age, 54.5 percent ranged from one to four years, the majority of them featuring an adequate nutritional condition. Among the 22 samples rectal swab collected for coproculture, the following were isolated: E. coli (69.6 percent), Klebsiella sp (95.6 percent), Proteus Mirabilis (47.8 percent). Regarding the 16 samples of feces in natura for the assessment of rotavirus, 100 percent were positive for G2 genotype; 93.3 percent for P4 serotype and 7.2 percent were not typified. We concluded that a continuous monitoring of circulating genotypes is essential, which implies the need of training health professionals to tackle diarrhea down.