RESUMO
Data obtained at a central laboratory for emerging, re-emerging, and other infectious diseases in Mexico from 1995-2000 are presented. An outstanding increase of DEN-3 circulation was identified. Aedes aegypti, the dengue vector, is widely distributed. Leptospirosis has become the most important differential diagnosis for dengue. Identification of rabies virus variants allowed cataloging of new transmitters of rabies. Rotavirus showed a clear seasonal distribution, while different proportions of pathogenic classes of Escherichia coli under endemic and outbreak conditions were seen. Serotypes of several bacteria are reported as well as the sources of isolation and frequency of Shigella, Salmonella, and Vibrio cholerae. Rise and disappearance of cholera could be followed along the past decade. Influenza strains were identified, as were several pathogens causing sexually transmitted infections. Laboratory support was important for surveillance after Hurricane Mitch. Multidrug-resistant strains of Mycobacterium tuberculosis are emerging and primary resistance is very high. It is now mandatory to search for antibodies to Trypanosoma cruzi in blood banks. Triatoma barberi, a peridomestic bug, is the main vector of Chagas disease. Localized cutaneous leishmaniosis increased in regions having a guerrilla element in Chiapas. Modern immunodiagnostic techniques are used for control studies of cysticercosis and similar techniques were recently standardized for Trichinella spiralis detection. Low iodine values in children's urine were found in several Mexican states; therefore, use of iodized salt should be encouraged.
Assuntos
Doenças Transmissíveis/diagnóstico , Doenças Transmissíveis/epidemiologia , Inquéritos Epidemiológicos , Animais , Surtos de Doenças , Humanos , México/epidemiologia , Saúde Pública/métodos , Testes SorológicosRESUMO
Publicación dirigida al personal de salud pública y de salud animal que participa en actividades de diagnóstico y control de la tuberculosis. El libro se divide en los siguientes capítulos: 1. Introducción 2. Generalidades 3. Diagnóstico de laboratorio 4. Muestras 5. Baciloscopía 6. Cultivo 7. Identificación de micobacterias 8. Pruebas de sensibilidad de M. tuberculosis a los medicamentos antituberculosos 9. Otros recursos diagnósticos 10. Funcionamiento de la Red Nacional de Laboratorios de Tuberculosis de la Secretaría de Salud 11. Apéndice 12. Referencias