Prevalence of diarrheogenic Escherichia coli and rotavirus among children from Botucatu, Säo Paulo State, Brazil

RESUMO

In a one-year prospective study carried out to define the role of rotavirus and Escherichia coli in local childhood diarrhea, we determined the prevalence of both agents in 54 diarrheic children attending a health center in Botucatu. Diarrheogenic E. coli (DEC) strains were characterized by OH serotyping, a search for virulence genetic markers, and assays of adherence to HEp-2 cells. Except for enteroaggregative E. coli (EAEC), no other DEC category was detected in the children's stools. Both EAEC and rotavirus were isolated from 22 of the 54 (41.0 percent) diarrheic children as single agents or in combination with other enteropathogens. However, when considering the presence of a single agent, EAEC was dominant and isolated from 20.4 percent of the patients, whereas rotavirus was detected in 14.8 percent. These results indicate that rotavirus and EAEC play a significant role as agents of childhood diarrhea in the local population