{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,2]],"date-time":"2026-11-02T18:02:13Z","timestamp":1793642533659,"version":"4.5.1"},"reference-count":29,"publisher":"American Society for Microbiology","issue":"6","license":[{"start":{"date-parts":[[2001,6,1]],"date-time":"2001-06-01T00:00:00Z","timestamp":991353600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.asm.org\/non-commercial-tdm-license"}],"content-domain":{"domain":["journals.asm.org"],"crossmark-restriction":true},"short-container-title":["J Clin Microbiol"],"published-print":{"date-parts":[[2001,6]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n          <jats:p>\n            We studied microorganisms associated with infant diarrhea in a group of 256 children admitted to a public pediatric hospital in Montevideo, Uruguay. Diagnostic procedures were updated to optimize detection of potential pathogens, which were found in 63.8% of cases, and to be able to define their characteristics down to molecular or antigenic type. Coinfection with two or more agents was detected in more than one-third of positive studies.\n            <jats:italic>Escherichia coli<\/jats:italic>\n            enteric virotypes, especially enteropathogenic\n            <jats:italic>E. coli<\/jats:italic>\n            (EPEC), were shown to be prevalent. Rotavirus,\n            <jats:italic>Cryptosporidium<\/jats:italic>\n            ,\n            <jats:italic>Campylobacter<\/jats:italic>\n            (mainly\n            <jats:italic>Campylobacter jejuni<\/jats:italic>\n            ), and\n            <jats:italic>Shigella flexneri<\/jats:italic>\n            were also often identified. Enterotoxigenic\n            <jats:italic>E. coli,<\/jats:italic>\n            <jats:italic>Salmonella,<\/jats:italic>\n            and\n            <jats:italic>Giardia lamblia<\/jats:italic>\n            were sporadically recognized. Unusual findings included two enteroinvasive\n            <jats:italic>E. coli<\/jats:italic>\n            strains, one\n            <jats:italic>Shigella dysenteriae<\/jats:italic>\n            2 isolate, and a non-O:1\n            <jats:italic>Vibrio cholerae<\/jats:italic>\n            culture. EPEC bacteria and\n            <jats:italic>S. flexneri<\/jats:italic>\n            (but not\n            <jats:italic>Salmonella<\/jats:italic>\n            ) showed unusually frequent antimicrobial resistance, especially towards beta-lactam antibiotics, which is the subject of ongoing work.\n          <\/jats:p>","DOI":"10.1128\/jcm.39.6.2134-2139.2001","type":"journal-article","created":{"date-parts":[[2002,7,27]],"date-time":"2002-07-27T10:03:40Z","timestamp":1027764220000},"page":"2134-2139","update-policy":"https:\/\/doi.org\/10.1128\/asmj-crossmark-policy-page","source":"Crossref","is-referenced-by-count":53,"title":["Etiology of Children's Diarrhea in Montevideo, Uruguay: Associated Pathogens and Unusual Isolates"],"prefix":"10.1128","volume":"39","author":[{"given":"M. E.","family":"Torres","sequence":"first","affiliation":[{"name":"<!--label omitted: 1-->Bacteriology and Virology Department, Institute of Hygiene,1"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M. C.","family":"P\u0131\u0301rez","sequence":"additional","affiliation":[{"name":"<!--label omitted: 1-->Bacteriology and Virology Department, Institute of Hygiene,1"},{"name":"<!--label omitted: 2-->Pediatric Clinic \u201cA,\u201d Children's Hospital \u201cPereira Rossell,\u201d2and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"F.","family":"Schelotto","sequence":"additional","affiliation":[{"name":"<!--label omitted: 1-->Bacteriology and Virology Department, Institute of Hygiene,1"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"G.","family":"Varela","sequence":"additional","affiliation":[{"name":"<!--label omitted: 1-->Bacteriology and Virology Department, Institute of Hygiene,1"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"V.","family":"Parodi","sequence":"additional","affiliation":[{"name":"<!--label omitted: 1-->Bacteriology and Virology Department, Institute of Hygiene,1"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"F.","family":"Allende","sequence":"additional","affiliation":[{"name":"<!--label omitted: 1-->Bacteriology and Virology Department, Institute of Hygiene,1"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"E.","family":"Falconi","sequence":"additional","affiliation":[{"name":"<!--label omitted: 1-->Bacteriology and Virology Department, Institute of Hygiene,1"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"L.","family":"Dell'Acqua","sequence":"additional","affiliation":[{"name":"<!--label omitted: 1-->Bacteriology and Virology Department, Institute of Hygiene,1"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"P.","family":"Gaione","sequence":"additional","affiliation":[{"name":"<!--label omitted: 1-->Bacteriology and Virology Department, Institute of Hygiene,1"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M. V.","family":"Me\u0301ndez","sequence":"additional","affiliation":[{"name":"<!--label omitted: 2-->Pediatric Clinic \u201cA,\u201d Children's Hospital \u201cPereira Rossell,\u201d2and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A. M.","family":"Ferrari","sequence":"additional","affiliation":[{"name":"<!--label omitted: 2-->Pediatric Clinic \u201cA,\u201d Children's Hospital \u201cPereira Rossell,\u201d2and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A.","family":"Montano","sequence":"additional","affiliation":[{"name":"<!--label omitted: 1-->Bacteriology and Virology Department, Institute of Hygiene,1"},{"name":"<!--label omitted: 2-->Pediatric Clinic \u201cA,\u201d Children's Hospital \u201cPereira Rossell,\u201d2and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"E.","family":"Zanetta","sequence":"additional","affiliation":[{"name":"<!--label omitted: 3-->Parasitology Department, Institute of Hygiene,3 School of Medicine, Universidad de la Repu\u0301blica, Montevideo, Uruguay"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A. M.","family":"Acun\u0303a","sequence":"additional","affiliation":[{"name":"<!--label omitted: 3-->Parasitology Department, Institute of Hygiene,3 School of Medicine, Universidad de la Repu\u0301blica, Montevideo, Uruguay"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"H.","family":"Chiparelli","sequence":"additional","affiliation":[{"name":"<!--label omitted: 1-->Bacteriology and Virology Department, Institute of Hygiene,1"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"E.","family":"Ingold","sequence":"additional","affiliation":[{"name":"<!--label omitted: 1-->Bacteriology and Virology Department, Institute of Hygiene,1"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"235","reference":[{"key":"e_1_3_2_2_2","unstructured":"Abella\nM.\nCauses of children's mortality in Uruguay: retrospective study 1894\u20131992. Primary health care no. 19. Ministry of Public Health and UNICEF publication.\n1993\nMinistry of Public Health\nMontevideo Uruguay"},{"key":"e_1_3_2_3_2","first-page":"24","article-title":"Parasitosis intestinales en guarder\u0131\u0301as comunitarias de Montevideo. (Enteroparasites in day care centers of Montevideo)","volume":"15","author":"Acu\u00f1a A. M.","year":"1999","unstructured":"Acu\u00f1a A. M. Da Rosa D. Colombo H. Sa\u00fal S. Alfonso A. Combol A. Castell\u00f3 R. Zanetta E. Parasitosis intestinales en guarder\u0131\u0301as comunitarias de Montevideo. (Enteroparasites in day care centers of Montevideo).Rev. M\u00e9d. Urug.1519992433","journal-title":"Rev. M\u00e9d. Urug."},{"key":"e_1_3_2_4_2","first-page":"210","article-title":"Clinical and bacteriological observations on acute diarrhea of hospitalized infants","volume":"45","author":"Alvarez F.","year":"1974","unstructured":"Alvarez F. Hormaeche C. E. Demarco R. Al\u0131\u0301a C. Schelotto F. 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Ministry of Health award.\n1983\nNational Academy of Medicine\nMontevideo Uruguay"},{"key":"e_1_3_2_19_2","unstructured":"Montano\nA.\nAlgorta\nG.\nMurillo\nN.\nP\u0131\u0301rez\nC.\nSchelotto\nF.\nM\u00e9ndez\nV.\nZanetta\nE.\nFinal report of research. Diarrheal disease (Uruguay). File 3-P-87\u20130323.\n1991Bacteriology and Virology Department Medicine Faculty Uruguay and International Development Research Centre Canada. I.D.R.C. Montevideo Uruguay."},{"key":"e_1_3_2_20_2","doi-asserted-by":"publisher","DOI":"10.1128\/CMR.11.1.142"},{"key":"e_1_3_2_21_2","unstructured":"National Committee for Clinical Laboratory Standards\nPerformance standards for antimicrobial disk susceptibility tests\n4th. ed.\n1990 Approved standard M2\u2013A4. 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