[Disease prevention when traveling in tropical countries].
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Biomedical subjects
Publications and source records attributed to W Höfler.
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The rate of colonization by group B streptococci among Nigerian neonates in Abeokuta was found to be 19% (38 of 200 newborns). The recently described serotype IV was the commonest (35.1%) among the strains isolated. Three methods for the rapid detection of heavy colonization by group B streptococci in neonates were compared: Gram stain of the pharyngeal aspirate collected immediately post-partum; direct application of latex agglutination to the first post-partum pharyngeal aspirate; and application of latex agglutination to selective Todd Hewitt broth, inoculated with pharyngeal aspirate and body swabs, after five hours of incubation. It seems that both latex agglutination methods can rapidly detect a considerable proportion of neonates heavily contaminated with group B streptococci intra-partum; therefore both methods deserve further evaluation.
Topical treatment of cutaneous larva migrans with thiabendazole and cambendazole is briefly described. AIDS has focused attention on the coccidial parasites Cryptosporidium spp. and Isospora belli because they can be responsible for severe chronic enteritis in immunodeficient patients. The species formerly known as Isospora hominis--after detection of its life cycle--has now been correctly named Sarcocystis bovihominis and S. suihominis, respectively. In future, patients harbouring commensal strains of Entamoeba histolytica can be left untreated, since pathogenic strains can now be identified by polymerase chain reaction (PCR). The geographic distribution of malaria risk and drug resistance, side effects of antimalarials and recommendations for prophylaxis are discussed more extensively.
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