<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1028-4818</journal-id>
<journal-title><![CDATA[Multimed]]></journal-title>
<abbrev-journal-title><![CDATA[Multimed]]></abbrev-journal-title>
<issn>1028-4818</issn>
<publisher>
<publisher-name><![CDATA[Centro Provincial de Información de Ciencias Médicas]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1028-48182021000100008</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Factores que influyen en la variabilidad de diarreas por parásitos. Policlínico 13 de Marzo. 2018-2019]]></article-title>
<article-title xml:lang="en"><![CDATA[Factors that influence the variability of diarrhea due to parasites. Polyclinic March 13. 2018-2019]]></article-title>
<article-title xml:lang="pt"><![CDATA[Fatores que influenciam a variabilidade da diarreia por parasitas. Policlínica, 13 de março. 2018-2019]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Figueredo González]]></surname>
<given-names><![CDATA[Lilian Inés]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Figueredo González]]></surname>
<given-names><![CDATA[Carmen Rafaela]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Otero Figueredo]]></surname>
<given-names><![CDATA[Manuel de Jesús]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Fonseca González]]></surname>
<given-names><![CDATA[Zulín]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad de Ciencias Médicas de Granma Facultad de Ciencias Médicas ]]></institution>
<addr-line><![CDATA[Bayamo Granma]]></addr-line>
<country>Cuba</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Policlínico Bayamo-Oeste  ]]></institution>
<addr-line><![CDATA[Bayamo Granma]]></addr-line>
<country>Cuba</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Centro Provincial de Higiene y Epidemiología  ]]></institution>
<addr-line><![CDATA[Bayamo Granma]]></addr-line>
<country>Cuba</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>02</month>
<year>2021</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>02</month>
<year>2021</year>
</pub-date>
<volume>25</volume>
<numero>1</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S1028-48182021000100008&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S1028-48182021000100008&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S1028-48182021000100008&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN Se realizó un estudio coproparasitológico a la población que asistió al Centro Provincial de Higiene y Epidemiologia de Bayamo, provincia Granma, con un total de 2725 pacientes en el periodo de mayo 2018 a mayo 2019. Conjuntamente estos estudios fueron tomados de hospitales, de brotes de escuelas y centros de trabajo correspondientes en su mayoría al área de salud de policlínico 13 de Marzo, etc. El objetivo principal de este estudio es identificar el agente bacteriano y parasitario que ocasiona cuadros de disentería, deshidratación y diarrea con sangre, diarrea secretora, diarreas profusas, apareciendo en los resultados un 4 % correspondiente a las diarreas por shigella con 111 casos, el 3,7 % correspondiente a la vibrocholerae para 102 casos. Las diarreas por salmonella ocupan el 3,3% para un total de 91 casos. En el caso de la diarrea secretora y con sangre lo ocupo la E histolítica, la shigella ocasionando un 4% de las diarreas asintomáticas, con síntomas leves lo ocupó coccideas y dentro de ellas el crystoporidium en niños en el hospital infantil y círculos infantiles con edades entre 1 a 5 años para ocupar un 23, 5% de 50 casos aislados de coccideas y un 5 % encontrados de helmintos (oxiuros) en edad escolar. Con el desarrollo de este trabajo arribamos a conclusiones de las cuales se desprenden recomendaciones y sugerencias que se pondrán en práctica para mejorar el diagnóstico en las áreas de salud y así mejorar la salud y calidad de vida de la población.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT A coproparasitological study was carried out on the population that attended the Provincial Hygiene and Epidemiology Center of Bayamo, Granma province, with a total of 2725 patients in the period from May 2018 to May 2019. Together these studies were taken from hospitals, from outbreaks of schools and work centers corresponding mostly to the health area of &#8203;&#8203;polyclinic 13 de Marzo, etc. The main objective of this study is to identify the bacterial and parasitic agent that causes symptoms of dysentery, dehydration and bloody diarrhea, secretory diarrhea, profuse diarrhea, with 4% corresponding to shigella diarrhea with 111 cases, 3, 7% corresponding to vibrocholerae for 102 cases. Salmonella diarrhea occupies 3.3% for a total of 91 cases. In the case of secretory and bloody diarrhea it was occupied by histolytic E, shigella causing 4% of asymptomatic diarrhea, with mild symptoms it was occupied by coccideas and within them the crystoporidium in children in the children's hospital and nursery schools with ages between 1 to 5 years to occupy 23.5% of 50 isolated cases of coccideas and 5% found of helminths (pinworms) in school age. With the development of this work we arrive at conclusions from which recommendations and suggestions emerge that will be put into practice to improve the diagnosis in the health areas and thus improve the health and quality of life of the population.]]></p></abstract>
<abstract abstract-type="short" xml:lang="pt"><p><![CDATA[RESUMO Foi realizado um estudo coproparasitológico na população que frequentou o Centro Provincial de Higiene e Epidemiologia de Bayamo, província de Granma, com um total de 2.725 pacientes no período de maio de 2018 a maio de 2019. Juntos, esses estudos foram retirados de hospitais, a partir de surtos de escolas e centros de trabalho que correspondem maioritariamente à área da saúde da policlínica 13 de Marzo, etc. O objetivo principal deste estudo é identificar o agente bacteriano e parasitário que causa sintomas de disenteria, desidratação e diarreia sanguinolenta, diarreia secretora, diarreia profusa, sendo 4% correspondendo a diarreia shigella com 111 casos, 3 , 7% correspondendo a vibrocoleras para 102 casos. A diarreia por Salmonella ocupa 3,3% num total de 91 casos. No caso da diarreia secretora e sanguinolenta era ocupada pelo histolítico E, shigella causando 4% das diarreias assintomáticas, com sintomas leves era ocupada por coccideas e dentro delas o cristoporidium em crianças do hospital infantil e creches com idades entre 1 a 5 anos para ocupar 23,5% dos 50 casos isolados de coccídeas e 5% encontrados de helmintos (oxiúros) em idade escolar. Com o desenvolvimento deste trabalho chegamos a conclusões das quais emergem recomendações e sugestões que serão colocadas em prática para melhorar o diagnóstico nas áreas da saúde e, assim, melhorar a saúde e a qualidade de vida da população.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Diarreas]]></kwd>
<kwd lng="es"><![CDATA[Parásitos]]></kwd>
<kwd lng="en"><![CDATA[Diarrhea]]></kwd>
<kwd lng="en"><![CDATA[Parasites]]></kwd>
<kwd lng="pt"><![CDATA[Diarréia]]></kwd>
<kwd lng="pt"><![CDATA[Parasitas]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<label>1</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Keusch]]></surname>
<given-names><![CDATA[GT]]></given-names>
</name>
<name>
<surname><![CDATA[Walker]]></surname>
<given-names><![CDATA[CF]]></given-names>
</name>
<name>
<surname><![CDATA[Das]]></surname>
<given-names><![CDATA[JK]]></given-names>
</name>
<name>
<surname><![CDATA[Horton]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Habte]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Diarrehal Diseases. Chapte9]]></article-title>
<person-group person-group-type="editor">
<name>
<surname><![CDATA[Black]]></surname>
<given-names><![CDATA[RE]]></given-names>
</name>
<name>
<surname><![CDATA[Laxminarayan]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Temmerman]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Walker]]></surname>
<given-names><![CDATA[N]]></given-names>
</name>
</person-group>
<source><![CDATA[Disease Control Priorities]]></source>
<year>2016</year>
<volume>2</volume>
<edition>3ra</edition>
<publisher-loc><![CDATA[Washington (DC) ]]></publisher-loc>
<publisher-name><![CDATA[The International Bank for Reconstructionand Development/The World Bank]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B2">
<label>2</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Pearson]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Toxocariasis]]></article-title>
<source><![CDATA[ManualMerck.com]]></source>
<year>2019</year>
</nlm-citation>
</ref>
<ref id="B3">
<label>3</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Liu]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Platts-Mills]]></surname>
<given-names><![CDATA[JA]]></given-names>
</name>
<name>
<surname><![CDATA[Juma]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Kabir]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
<name>
<surname><![CDATA[Nkeze]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Okoi]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Use of quantitative molecular diagnostic methods to identify causes of diarrhoea in children: a reanalysis of the GEMS case-control study]]></article-title>
<source><![CDATA[Lancet]]></source>
<year>2016</year>
<volume>388</volume>
<numero>10051</numero>
<issue>10051</issue>
<page-range>1291-301</page-range></nlm-citation>
</ref>
<ref id="B4">
<label>4</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Gordon]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Akobeng]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Racecadotril for acute diarrhoea in children: systematic review and meta-analyses]]></article-title>
<source><![CDATA[Arch Dis Child]]></source>
<year>2016</year>
<volume>101</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>234-40</page-range></nlm-citation>
</ref>
<ref id="B5">
<label>5</label><nlm-citation citation-type="journal">
<collab>Mayo Clinic Staff</collab>
<article-title xml:lang=""><![CDATA[Toxoplasmosis]]></article-title>
<source><![CDATA[Mayo Clinic]]></source>
<year>2020</year>
</nlm-citation>
</ref>
<ref id="B6">
<label>6</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Arévalo Barea]]></surname>
<given-names><![CDATA[AR]]></given-names>
</name>
<name>
<surname><![CDATA[Arévalo Salazar]]></surname>
<given-names><![CDATA[DE]]></given-names>
</name>
<name>
<surname><![CDATA[Villarroel Subieta]]></surname>
<given-names><![CDATA[CJ]]></given-names>
</name>
<name>
<surname><![CDATA[Fernández Hoyos]]></surname>
<given-names><![CDATA[I]]></given-names>
</name>
<name>
<surname><![CDATA[Espinoza Mercado]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Enfermedad Intestinal Infecciosa (diarrea)]]></article-title>
<source><![CDATA[Rev Med La Paz]]></source>
<year>2019</year>
<volume>25</volume>
<numero>1</numero>
<issue>1</issue>
</nlm-citation>
</ref>
<ref id="B7">
<label>7</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Herrera Benavente]]></surname>
<given-names><![CDATA[IF]]></given-names>
</name>
<name>
<surname><![CDATA[Comas García]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Mascareñas de los Santos]]></surname>
<given-names><![CDATA[AH]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Impacto de las enfermedades diarreicas agudas en América Latina. Justificación del Establecimiento de un Comité de Enfermedades Diarréicas en SLIPE]]></article-title>
<source><![CDATA[Rev Latin Infect Pediatr]]></source>
<year>2018</year>
<volume>31</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>8-16</page-range></nlm-citation>
</ref>
<ref id="B8">
<label>8</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Kang]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
<name>
<surname><![CDATA[Thuppal]]></surname>
<given-names><![CDATA[SV]]></given-names>
</name>
<name>
<surname><![CDATA[Srinivasan]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Sarkar]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Subashini]]></surname>
<given-names><![CDATA[B]]></given-names>
</name>
<name>
<surname><![CDATA[Venugopal]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Racecadotril in the management of rotavirus and non-rotavirus diarrhea in under-? ve children: two randomized, double-blind, placebo-controlled trials]]></article-title>
<source><![CDATA[Indian Pediatr]]></source>
<year>2016</year>
<volume>53</volume>
<numero>7</numero>
<issue>7</issue>
<page-range>595-600</page-range></nlm-citation>
</ref>
<ref id="B9">
<label>9</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Acuña]]></surname>
<given-names><![CDATA[MR]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Diarrea aguda]]></article-title>
<source><![CDATA[Rev Méd Clín Condes]]></source>
<year>2015</year>
<volume>26</volume>
<numero>5</numero>
<issue>5</issue>
<page-range>676-86</page-range></nlm-citation>
</ref>
<ref id="B10">
<label>10</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Pérez Gaxiola]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
<name>
<surname><![CDATA[Cuello García]]></surname>
<given-names><![CDATA[CA]]></given-names>
</name>
<name>
<surname><![CDATA[Florez]]></surname>
<given-names><![CDATA[ID]]></given-names>
</name>
<name>
<surname><![CDATA[Pérez Pico]]></surname>
<given-names><![CDATA[VM]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Smectite for acute infectious diarrhoea in children]]></article-title>
<source><![CDATA[Cochrane Database Syst Rev]]></source>
<year>2018</year>
<volume>4</volume>
<numero>4</numero>
<issue>4</issue>
</nlm-citation>
</ref>
<ref id="B11">
<label>11</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Smieja]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Goldfarb]]></surname>
<given-names><![CDATA[DM]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Molecular detection of diarrheal pathogens]]></article-title>
<source><![CDATA[Clin Microbiol Newslett]]></source>
<year>2016</year>
<volume>38</volume>
<numero>17</numero>
<issue>17</issue>
<page-range>137-45</page-range></nlm-citation>
</ref>
<ref id="B12">
<label>12</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Black]]></surname>
<given-names><![CDATA[RE]]></given-names>
</name>
<name>
<surname><![CDATA[Laxminarayan]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Temmerman]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Walker]]></surname>
<given-names><![CDATA[N]]></given-names>
</name>
</person-group>
<source><![CDATA[Reproductive, Maternal, Newborn and Child Health]]></source>
<year>2016</year>
<publisher-loc><![CDATA[Washington (DC) ]]></publisher-loc>
<publisher-name><![CDATA[The International Bank for Reconstructionand Development/The World Bank]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B13">
<label>13</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Ruxin]]></surname>
<given-names><![CDATA[JN]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Magic bullet: the history of oral rehydrationtherapy]]></article-title>
<source><![CDATA[Med Hist]]></source>
<year>2016</year>
<volume>38</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>363-97</page-range></nlm-citation>
</ref>
<ref id="B14">
<label>14</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Tickell]]></surname>
<given-names><![CDATA[KD]]></given-names>
</name>
<name>
<surname><![CDATA[Walson]]></surname>
<given-names><![CDATA[JL]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Nutritional enteric failure: neglected tropical diseases and childhood stunting]]></article-title>
<source><![CDATA[PLoS Negl Trop Dis]]></source>
<year>2016</year>
<volume>10</volume>
<numero>4</numero>
<issue>4</issue>
</nlm-citation>
</ref>
<ref id="B15">
<label>15</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Lazzerini]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Wanzira]]></surname>
<given-names><![CDATA[H]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Oral zinc for treating diarrhoeain children]]></article-title>
<source><![CDATA[Cochrane Database Syst Rev]]></source>
<year>2012</year>
<numero>6</numero>
<issue>6</issue>
</nlm-citation>
</ref>
</ref-list>
</back>
</article>
