Efeitos do etil-cianoacrilato ou do octil-cianoacrilato sobre lesões corneais experimentais em coelhos

The use of ethyl-cyanoacrylate and octyl-cyanoacrylate were clinically and histopathologically compared on the corneas of 36 rabbits after lamellar keratectomy (standardized diameter and depth). The animals were distributed into two groups, one for each type of adhesive. From each group, six subgroups were histopathologically evaluated on the 3rd, 7th, 14th, 21st, 30th, and 60th day post-operative. General (daily) and ophthalmic (days 0, 1, 3, 5, 7, 14, 21, 30, 44, and 60) evaluations clinically indicated that there were significant differences for the variables water intake, attitude, blepharitis, corneal edema, and fluorescein test. The adhesive permanence time for octyl-cyanoacrylate (17.22 days) was greater than that for ethyl-cyanoacrylate (7.66 days). With respect to the histopathological evaluation, corneal epithelization and collagen organization occurred without severe complications. However, treatment with ethyl-cyanoacrylate led to a moderate inflammatory reaction in the initial phases. With octyl-cyanoacrylate, re-epithelization and collagen organization proceeded more slowly with a discrete inflammatory reaction in the initial phases. From clinical and histopathologic points of view, octyl-cyanoacrylate showed advantages over ethyl-cyanoacrylate, whereas wound healing was achieved in both groups without major complications.Comparou-se o uso do etil-cianoacrilato e do octil-cianoacrilato em córneas de 36 coelhos após ceratectomia lamelar (diâmetro e profundidade padronizados). Os animais foram distribuídos em dois grupos, segundo o tipo de adesivo, e redistribuídos em seis subgrupos com três animais cada, para as avaliações histológicas aos 3, 7, 14, 21, 30 e 60 dias de pós-operatório. As avaliações clínicas gerais (diárias) e as oftálmicas (dias 0, 1, 3, 5, 7, 14, 21, 30, 44 e 60), indicaram diferença entre os dois grupos, quanto ao consumo de água, atitude, blefarite, edema da córnea e teste da fluoresceína. O Tempo de permanência, sobre o leito corneal, do adesivo octil-cianoacrilato (17,22 dias), foi maior que o do etil-cianoacrulato (7,66 dias). A histopatologia, para ambos os grupos, mostrou que a re-epitelização e a organização do colágeno ocorreram sem graves intercorrências. O grupo tratado com o etil-cianoacrilato apresentou, nas fases iniciais, reação inflamatória mais evidente que o tratado com octil-cianoacrilato. Neste, a re-epitelização e a organização do colágeno ocorreram mais lentamente e com reação inflamatória discreta. Sob os pontos de vista clínico e de avaliação histológica simples, os resultados mostraram vantagens do octil-cianoacrilato, entretanto, a cicatrização da córnea ocorreu em ambos os grupos

Immunoparasitological Diagnosis Of Strongyloides Stercoralis In Garbage Collectors In Uberlândia, Mg, Brazil

The objective of this study was to determine the presence of Strongyloides stercoralis in urban garbage collectors through the use of immunological and parasitological methods. A total of 92 individuals were evaluated from August, 1997, to June, 1998. For the parasitological diagnosis Baermann and Lutz' methods were applied. The immunological diagnosis involved the indirect fluorescence antibody test (IFAT) and the enzyme-linked immunosorbent assay (ELISA) to detect specific IgG antibodies. Of the 92 workers examined, six (6.5%) were infected with larvae of S. stercoralis. The IFAT detected 19 (16.3%) and the ELISA 17 (18.5%) positive serum samples. The differences between the results of parasitological and immunological methods were statistically significant (p<0.05). These results demonstrate that there is a need to improve the health conditions of this category of city employees.6203/04/15180182CONCHA, R., HARRINGTON, J.R.W., ROGERS, A.L., Intestinal strongyloidiasis: Recognition, management and determinants of outcome (2005) J Clin Gastroenterol, 39, pp. 203-211SIDDIQUI, A.A., BERK, S.L., Diagnosis of Strongyloides stercoralis infection (2001) Clin Infect Dis, 33, pp. 1040-1047FERREIRA, M., Strongyloidiasis and acquired immunodeficiency syndrome (2003) Enf Emerg, 5, pp. 18-26VADLAMUDI, R.S., CHI, D.S., KRISHANASWAMY, G., Intestinal strongyloidiasis and hyperinfection syndrome (2006) Clin Mol Allergy, 4, pp. 1-13BAERMANN G. Eine Einfache methode zur auffindung von Ankylostomum (Nematoden) larven in Erdproben. Mededeel mit h. Geneesk Lab Weltvreden Feestbundel, Batavia, 1917, p. 41-7LUTZ, A.V., Schistosoma mansoni e a schistosomose, Segundo observações feitas no Brasil. (1919) Mem Inst Oswaldo Cruz, 11, pp. 121-125COSTA-CRUZ, J.M., BULLAMAH, C.B., GONÇALVEZ-PIRES, M.R.F., Cryo-microtome sections of coproculture larvae of Strongyloides stercoralis and Strongyloides ratti as antigen sources for the immunodiagnosis of human strongyloidiasis (1997) Rev Inst Med Trop São Paulo, 39, pp. 313-317MACHADO, E.R., UETA, M.T., GONÇALVES-PIRES, M.R.F., Strongyloides venezuelensis alkaline extract for the diagnosis of human strongyloidiasis by enzyme-linked immunosorbent assay (2003) Mem Inst Oswaldo Cruz, 98, pp. 849-853MACHADO, E.R., COSTA-CRUZ, J.M., Strongyloides stercoralis and other enteroparasites in children at Uberlândia City, state of Minas Gerais, Brazil (1998) Mem Inst Oswaldo Cruz, 93, pp. 161-164PAULA, F.M., CASTRO, E., GONÇALVES-PIRES, M.R.F., Parasitological and immunological diagnoses of strongyloidiasis in immunocompromised and nonimmunocompromised children at Uberlândia City, state of Minas Gerais, Brazil (2000) Rev Inst Med Trop São Paulo, 42, pp. 51-55OLIVEIRA, L.C.M., RIBEIRO, C.T., MENDES, D.M., Frequency of Strongyloides stercoralis in alcoholics (2002) Mem Inst Oswaldo Cruz, 97, pp. 119-121LINDO, J.F., CONWAY, D.J., ATKINS, N.S., Prospective evaluation of enzyme-linked immunosorbent assay and immunoblot methods for the diagnosis of endemic Strongyloides stercoralis infection (1994) Am J Trop Med Hyg, 51, pp. 175-179CLARK, C.S., LINNEMANN Jr, C.C., CLARK, J.G., Enteric parasites in workers occupationally exposed to sewage (1984) J Occup Med, 26, pp. 273-275SCHLOSSER, O., RALL, D., LAURECEAU, M.-N., Intestinal parasite carriage in workers exposed to sewage (1999) Eur J Epidemiol, 15, pp. 261-265GOMES, T.C., ALMEIDA, M.F., MUIRA, L.A., Helmintoses intestinais em população de rua da cidade do Rio de Janeiro. (2002) Rev Soc Bras Med Trop, 35, pp. 531-53