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This study describes the association of household water system contamination with the pathogenic Free-Living Amoeba (FLA) Naegleria fowleri and a case of fatal Primary Amoebic Meningoencephalitis (PAM) in a child from the state of Monagas in Venezuela. Amoebae were initially identified by microscopy from a sample of cerebrospinal fluid (CSF) from the child. Direct DNA extraction and specific PCR/sequencing for N. fowleri was also carried out from the same CSF sample. In order to determine a possible environmental source of infection, water samples from the water tank of the child's home and also water bodies recently visited by the child and his family, were examined for the presence of N. fowleri by culture and PCR/sequencing. The results obtained from the collected water samples revealed that only the water tank of the house was positive for N. fowleri. PCR/sequencing showed that the strains isolated from the patient and the water tanks were 100 % identical. Therefore, the house water tank was confirmed as the source of infection in this case, possibly as a result of the occasional immersion of the child´s head under the water while bathing. This case highlights a novel source of thermally polluted water and another threat of N. fowleri infection.

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En el presente trabajo se estudió el efecto de la administración subcutánea de 250, 500 y 750 μg (10.000, 20.000 y 30.000 UI, respectivamente) de vitamina D3 (calciferol)/día durante 8 días, sobre las concentraciones séricas de vitamina D3 y de 25-hidroxivitamina D3 (25-OH-D3) y sobre las concentraciones séricas y tisulares de Ca, Zn, Cu y Fe en 45 ratas macho Wistar, de 12 semanas de edad y con pesos entre 180 y 200 gramos. El grupo control estuvo integrado por 15 ratas Wistar sanas, con género, edad y peso similares a los animales tratados. La administración del calciferol a dosis altas produjo una hipervitaminosis D que se caracterizo por un aumento en el contenido sérico de la vitamina D3 y de 25-OH-D3, diversos signos clínicos (por ejemplo, anorexia, pérdida marcada de peso, diarreas sanguinolentas, conjuntivitis bilateral y muerte), hipercalcemia, hipocincemia, hipercupremia, hipoferremia y una alteración en la distribución tisular de Ca, Zn, Cu y Fe en comparación con los controles no tratados. La hipercalcemia y la inflamación son un hallazgo prominente en la hipervitaminosis D. La inflamación o la infección inducen cambios sistémicos, conocidos colectivamente como la respuesta de fase aguda. Entre las variadas alteraciones que produce esta respuesta encontramos hipoferremia, hipocincemia e hipercupremia. Es probable que estas respuestas estén mediadas, en parte, por la producción y liberación de citocinas como la interleucina 1, interferones (IFN-alfa), la interleucina 6 (Il-6) y el factor de necrosis tumoral (TNF). El desarrollo de la hipoferremia durante la inflamación requiere de hepcidina, un péptido rico en enlaces disulfuro, regulador del metabolismo del hierro, sintetizado en el hígado en respuesta a la liberación de Il-6 durante la inflamación/infección. En conclusión, nuestros resultados proporcionan evidencias que la administración de altas dosis de vitamina D, a corto plazo, determina diversos signos clínicos, produce un marcado aumento de las concentraciones séricas de la vitamina D3 y de 25-OH-D3 y una marcada alteración en las concentraciones séricas y tisulares de Ca, Zn, Cu y Fe, que dependen de las dosis inyectadas de vitamina D.

In the present work the effect of subcutaneous administration of 250, 500 and 750 ìg (10.000, 20.000 and 30.000 IU, respectively) of vitamin D3 (calciferol) daily for eight days, on serum concentrations of vitamin D3 and 25- hydroxyvitamin D3 (25-OH-D3) and on serum and tissue concentrations of Ca, Zn, Cu and Fe in 45 white male Wistar rats, aged 12 weeks and weighing 180-200 g, have been studied. The group control was integrated by 15 healthy rats with similar characteristics (strain, gender, age and weight) that treated animals. Administration of high doses of calciferol produced a hypervitaminosis D characterized by a significant (p3 and 25-OH-D3, diverse clinical signs (such as, anorexia, marked loss of body weight, bloody diarrhea, bilateral conjunctivitis, and death), hypercalcemia, hypozincaemia, hypercupremia, hypoferraemia and an alteration in the tissue distribution of Ca, Zn, Cu and Fe as compared with untreated controls. Hypercalcemia and inflammation are prominent findings in hypervitaminosis D. Inflammation or infection induce systemic changes, collectively known as the acute phase response. Among the varied alterations that together produce this response are hypoferraemia, hypozincaemia and hypercupremia. It is likely that these responses are mediated, in part, by production and release of cytokines such as interleukin 1, interferons (IFN-alpha), interleukin 6 (Il-6) and tumor necrosis factor (TNF). The development of hypoferraemia during inflammation requires hepcidin, an iron regulatory hormone, a disulfide-rich peptide, produced in the liver in response to the release of Il-6 during inflammation/ infection. In conclusion, our results provide evidence that short-term administration of high doses of vitamin D determined diverse clinical signs and produced a marked increase of serum vitamin D3 and 25-OH-D3 and a marked alteration in the serum and tissue concentrations of Ca, Zn, Cu, and Fe. These changes depend on the doses given of vitamin D.

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In the present work the effect of subcutaneous administration of 250, 500 and 750 microg (10.000, 20.000 and 30.000 IU, respectively) of vitamin D3 (calciferol) daily for eight days, on serum concentrations of vitamin D3 and 25-hydroxyvitamin D3 (25-OH-D3) and on serum and tissue concentrations of Ca, Zn, Cu and Fe in 45 white male Wistar rats, aged 12 weeks and weighing 180-200 g, have been studied. The group control was integrated by 15 healthy rats with similar characteristics (strain, gender, age and weight) that treated animals. Administration of high doses of calciferol produced a hypervitaminosis D characterized by a significant (p < 0.05) increase in serum vitamin D3 and 25-OH-D3, diverse clinical signs (such as, anorexia, marked loss of body weight, bloody diarrhea, bilateral conjunctivitis, and death), hypercalcemia, hypozincaemia, hypercupremia, hypoferraemia and an alteration in the tissue distribution of Ca, Zn, Cu and Fe as compared with untreated controls. Hypercalcemia and inflammation are prominent findings in hypervitaminosis D. Inflammation or infection induce systemic changes, collectively known as the acute phase response. Among the varied alterations that together produce this response are hypoferraemia, hypozincaemia and hypercupremia. It is likely that these responses are mediated, in part, by production and release of cytokines such as interleukin 1, interferons (IFN-alpha), interleukin 6 (11-6) and tumor necrosis factor (TNF). The development of hypoferraemia during inflammation requires hepcidin, an iron regulatory hormone, a disulfide-rich peptide, produced in the liver in response to the release of I1-6 during inflammation/infection. In conclusion, our results provide evidence that short-term administration of high doses of vitamin D determined diverse clinical signs and produced a marked increase of serum vitamin D3 and 25-OH-D3 and a marked alteration in the serum and tissue concentrations of Ca, Zn, Cu, and Fe. These changes depend on the doses given of vitamin D.

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La parálisis facial periférica (PFP) es una patología frecuente que habitualmente es unilateral, que genera deformidad estética facial y alteraciones funcionales. Se describe la anatomía del nervio facial (NF) en sus segmentos supranuclear, nuclear e infranuclear; describiendo con mejor definición surelación en el hueso temporal. Se hace una breve mención de la fisiopatología de PFP y de los grados de lesión: neuropraxia, axonotmesis y neurotmesis. Especial énfasis se da al diagnóstico en la PFP. Se mencionan las pruebas de topodiagnóstico: Test de Shirmer, Test del Reflejo Estapedial y Test de Blatt con Gustometría que brindan la posibilidad de ubicar topográficamente el lugar de la lesión en el NF Asimismo, se describen las pruebas electrodiagnósticas: Prueba de Excitabilidad del Nervio; - Prueba de Excitabilidad Máxima; - Electroneuronografía y - Electromiografía, todas pruebas que brindan un pronóstico en la evolución de la PFP Se hace mención de las principales causas de PFP vinculándolo a los diferentes segmentos del NF Por último, se plantean las opciones terapéuticas en la PFP, tanto el tratamiento médico donde tiene importante presencia la cortico terapia y el tratamiento quirúrgico, que sobre todo en las causales traumáticas tiene su indicación.

Peripheral facial palsy (PFP) is a common disease, that usually presents as an unilateral form, with facial esthetic deformity, and functional changes. The article describes the anatomy of the facial nerve ( FN), the intranuclear, nuclear and supranuclearsegments, and its relation with the temporal bone. A brief mention of the pathophysiology lesions of the PFP and the type od neurological damage : neuropraxya, axonotmesys and neurotmesys. A special emphasize in the diagnosis of PFP is made and the topodiagnosis tests : Shirmer tests, Estapedial Reflex tests, and Blatt tests with tastemeter, that makes possible to locate topographically the injury zone in the facial nerve. A description is made of the electrodiagnosis tests: Nerve excitabillity test - Maximum excitabillity test - Electroneuronography and eletromiography. All these tests can provide a prognostic information of the PFP. Is mention the underlying explanation of the PFP, associated with the different facial nerve segments. At last, is represented the therapeutic options of the PFP, medical treatment where the corticotherapy is important, and the surgical treatment, specially at the traumatic causes is indicated.

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In this work total (Si-tot) and 'soluble' or reactive (Si-sol) concentrations of silicon in natural and tap waters were sequentially determined by electrothermal atomic absorption spectrometry (ETAAS). First, samples were on-line diluted based on the merging-zone principle in order to allow the determination of Si-tot within the 300-1000 mugSil(-1) range. After the dilution process, a sub-sample was collected in the capillary of a sampling arm assembly (SAA). Thereafter, samples were subject to a precipitation/dissolution process in order to allow the determination of Si-sol within the 280-850 mugSil(-1). Si-sol was precipitated with ammonium chloride and collected on the walls of a knotted coil. The precipitate was dissolved with ammonium molybdate in an acidic medium (HNO(3)) and a sub-sample was then collected in the SAA. In both cases, 10 mul volumes of the sub-sample were injected into the atomizer with the previous introduction of 20 ng of Eu as chemical modifier (10 mul) by the spectrometer autosampler. The recovery values obtained with natural waters spiked samples were over 46% and the agreement between observed and certified samples values was good. The proportion of Si-sol in comparison with the Si-tot was high (85-95%) in most natural waters. The precision of the method was 2.4-3.5 and 4.5-6.2% (n=10) for the determination of Si-tot and Si-sol, respectively.

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An on-line flow injection (FI) precipitation-dissolution system with microwave-assisted sample digestion has been developed for the electrothermal atomic absorption spectrometry (ETAAS) determination of trace or ultratrace amounts of molybdenum in human blood serum and whole blood samples. After the exposure of the sample to microwave radiation, the on-line precipitation of molybdenum was achieved by the merging-zone of a 0.5-ml plug of sample with a plug of potassium ferrocyanide, which were carried downstream with a solution of 0.5 mol l(-1) of HNO(3). The interfering effects of iron and copper were minimized by the introduction of a flow of a 5% (w/v) sodium potassium tartrate (for iron) and 2% (w/v) of thiourea (for copper and zinc) in a 5% (v/v) ammonia and 2% (v/v) ammonium chloride solution previous to the precipitation reaction. The reddish-brown precipitate of molybdenyl ferrocyanide was collected on the walls of a knotted reactor. The precipitate was dissolved with the introduction of 1 ml of a 3.0 mol l(-1) NaOH solution and the best performance in terms of detection limit and precision was achieved when a sub-sample of 140 mul was collected in a capillary of a sampling arm assembly, to introduce 20 mul volumes into the atomizer by means of positive displacement with air through a time-based injector. A detection limit (3sigma) of 0.1 mug Mo l(-1) using an aqueous standard solution was obtained. The method is quantitative and is applied over the range 0.2-20.0 mug Mo l(-1). The precision of the method evaluated by ten replicate analyses of aqueous standard solutions containing 0.5 and 1.0 mug Mo l(-1) was 2.8 and 3.1% (relative standard deviation, RSD) (for n=5), respectively. Whereas, the precision evaluated by five replicate analysis of a serum and a whole blood sample were 3.3 and 3.8% RSD. An enrichment factor of ca. 3.5 was achieved with the introduction of 0.5 ml aqueous standard solutions at a sample flow rate of 1.0 ml min(-1). Recoveries of spiked molybdenum in blood serum and whole blood were in the ranges 96-102 and 94-98%, respectively. The results obtained for two human whole blood certified reference materials were in good agreement with the indicative values.

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A new analytical procedure for the speciation of antimony in liver tissues is presented here. For this purpose, a flow injection system has been developed for the treatment of samples and the determination of antimony by hydride generation - atomic absorption spectrometry. The method involves the sequential and the on-line extraction of antimony(III) and antimony(V) from solid lyophilized blood and hamsters liver tissues, with 1.5 mol l(-1) acetic acid and 0.5 mol l(-1) sulfuric acid for Sb(III) and Sb(V), respectively. Reduction of Sb(V) to Sb(III) for stibine generation is effected by the on-line pre-reduction with l-cysteine. The linear ranges were 2.5-20 and 1.0-25 mug l(-1) of Sb(III) and Sb(V), respectively. The detection limits (3sigma) were 1.0 mug l(-1) for Sb(III) and 0.5 mug l(-1) for Sb(V). The relative standard deviation values for fifteen independent measurements were 2.1 and 1.8% for Sb(III) and Sb(V), respectively. The recovery studies performed with samples of cattle liver provided results from 98 to 100% for Sb(III) and from 100 to 103% for Sb(V) for samples spiked with single species. For samples spiked with both Sb(III) and Sb(V), the recovery varied from 97 to 103% for Sb(III) and from 101 to 103% for Sb(V).

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A flow injection (FI) on-line precipitation-dissolution was developed for electrothermal atomic absorption spectrometry (ETAAS) determination of (ultra)trace amounts of beryllium in water samples. Beryllium was precipitated quantitatively with NH(4)OH+NH(4)Cl and collected in a knotted tube of Tygon without using a filter, while the other matrix components flowed downstream to waste. The precipitate was dissolved with nitric acid and a sub-sample was collected in a capillary of a sampling arm assembly, to introduce 10 mul volumes into the graphite tube by means of positive displacement with air through a time-based injector. This sequence was timed to synchronize with the previous introduction of 6 mug of Lu (in 20 mul) by the spectrometer autosampler. The effect of a number of possible cations on the beryllium precipitation process was studied. While, the addition of Ba(2+), Sr(2+), Ca(2+), Mg(2+), Mn(2+), Zn(2+), Co(2+) and Ni(2+) did not produce any perceptible precipitate on the reaction coil walls, the addition of Al(3+), Cr(3+) and Fe(3+) produced large precipitated particles. However, their tolerance limit was well above the levels at which theses species are commonly found in most natural waters. The detection limit (3sigma) of 25 ng l(-1) in the sample solution was obtained. The precision of the method, evaluated by ten replicate analyses of solutions containing 20 and 200 pg of beryllium were 4.8 and 4.0% (n=5), respectively. Enrichment factors from 7.0 to 10.3 and from 10.5 to 13.8 were obtained for precipitation times from 25 to 38 s and from 43 to 50 s for waste and tap waters, respectively. These results indicate that the enrichment factor was limited by the interference of some matrix metals which could precipitate as hydroxides (or related species) and be retained in the reaction coil. The integrated system permits fully automated operation, avoiding time-consuming manual work and enhancing the reproducibility and precision of the determination of beryllium. The results obtained for the determination of beryllium in certified reference materials (trace elements in water), together with the good recovery of spiked analytes, demonstrate the applicability of the procedure to the analysis of natural waters.

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Zn (SZn), Cu (SCu), Fe (SFe), vitamin A (SVA) and vitamin E (SVE) were measured in blood serum samples of 85 healthy pre-school children aged 2-6 yr. from the rural community of Canaguá, Mérida State, Venezuela. The relationship between these biochemical indexes was also investigated. The mean serum concentrations of zinc, copper, iron, vitamin A and vitamin E were 0.74 +/- 0.25, 1.18 +/- 0.30, 0.76 +/- 0.20, 0.30 +/- 0.15 and 5.87 +/- 0.43 mg/L, respectively. There was a tendency for SZn to increase with age, whereas SCu and SVA decreased. There was no significant difference in serum trace elements and fat-soluble vitamin concentration between males and females in the different age groups. SFe tended to be lower than that reported in the literature. However, the age groups studied showed no statistically significant sex- and age-related differences. The present study shows that there is a complex interaction between SZn, SCu, SFe, SVA, SVE and age of the children. Multiple regression analysis showed serum zinc was strongly related to serum copper, and serum iron. Serum vitamin A was strongly related to serum zinc and serum vitamin E, whereas serum vitamin E was strongly related to serum zinc, serum copper, and serum vitamin A. On the other hand, our observations also suggest that more detailed studies of these metals and fat-soluble vitamins should be carried out, and that the study should include nutritional surveys, metabolic balances and associations between SZn, SCu, SFe, SVA and SVE and anthropometric variables (height, weight, body mass index and skinfold thickness).

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An on-line automated flow injection system with microwave-assisted sample digestion for the electrothermal atomic absorption spectrometric determination of bismuth in biological materials is described. After the exposure of the sample to microwave radiation, the analyte was subject to a precipitation/dissolution process. Bismuth was precipitated with the stannite ion in basic medium and collected on the walls of a knotted coil, while the other matrix components flowed downstream to waste. The precipitate was dissolved with nitric acid and a sub-sample was collected in a capillary of a sampling arm assembly, to introduce 20 mul volumes into the graphite tube by means of positive displacement with air through a time-based injector. The analytical figures of merit were first evaluated by filling the sampling arm with a standard solution of bismuth and thereafter injecting aliquots of this solution into the atomizer. The calibration graph was linear from the detection limit (8 pg) to 1.2 ng of bismuth. The sensitivity was of 26.8 mug l(-1) for 0.2 A-s and the characteristic mass (m(o)) was of 11.8 pg/0.0044 A-s. The precision of the method, evaluated by replicate analyses of solutions containing 20 and 200 pg of bismuth, were 5.5 and 3.0% (n=10), respectively. When solutions were introduced in the flow system here described, the calibration graph was linear in the range 0.04-6.0 mug l(-1), which means that a preconcentration factor of 10 was obtained for bismuth. The precision slightly deteriorated, e.g. the replicate analysis of solutions containing 1 and 10 pg of bismuth were 7.1 and 5.3% (n=10), respectively. However, the recoveries values obtained with urine and whole blood bismuth spiked samples were over 96.5% and the agreement between observed and certified values was good.

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The profile of nickel signal using electrothermal atomic absorption spectrometry with deuterium and Zeeman-effect background correction is presented. The Zeeman effect system of background correction offered definitive advantages and therefore was used for the determination of nickel in saliva in the presence of various isomorphous metals. The highest nickel absorbance values corresponded at 200, 300, 300, 300, 600, and 200 ng of Tb, Mg, Sm, Lu, Tm, and Pd, respectively. On the other hand, the addition of Eu, Er, and Ho decreased the nickel signal. The presence on each modifier alone does not eliminate the matrix interference. However, the use of 200 ng of Pd in conjuction with 300 ng of Lu has a higher sensitivity, offers an advantage against interference from the background of saliva matrix and produces good recoveries (98 to 102% from unspiked and spiked saliva samples). The limit of detection was 0.11 micrograms/L for a characteristic mass of 16.6 pg of nickel using Pd-Lu as modifier. The within-batch precision varied between 0.8 and 1.5% relative standard deviations. The analysis of thirty samples of whole saliva gave an average of 0.81 +/- 0.30 of micrograms/L of Ni (range from 0.5 to 2.0 micrograms/L of Ni). The agreement between the observed and certified values obtained from a Seronorm Blood Serum Standard Reference Material was good.

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Antimony(III) and antimony(V) species have been selectively determined in liver tissues by optimizing the acidic conditions for the evolution of stibine using the reduction with sodium borohydride. The results show that a response for Sb(III) of 0.5 to 20 microg l(-1) was selectively obtained from samples in a 1 mol l(-1) acetic acid medium. The best response for total antimony from 1 to 20 microg l(-1) is obtained after sample treatment with a 0.5 mol l(-1) sulfuric acid and 10% w/v potassium iodide. Microwave digestion has been necessary to release quantitatively antimony species from sample slurries. The amount of Sb(V) was calculated from the difference between the value for total antimony and Sb(III) concentrations. A relative standard deviation from 2.9 to 3.1% and a detection limit of 0.15 and 0.10 microg l(-1) for Sb(III) and total Sb has been obtained. The average accuracy exceeded 95% in all cases comparing the results obtained from recovery studies, electrothermal atomic absorption spectrometry and the analysis of certified reference materials.

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The behaviour of five non-ionic surfactants of different chain lengths was studied in relation to the improvement in sensitivity that their use affords as a sample pre-treatment procedure for the determination of calcium, magnesium, copper and zinc in real samples by flow injection flame atomic absorption spectrometry. The results show that the sensitivity changed with surfactant concentration, length of the hydrophobic chain and ultrasonic agitation time. Higher outputs were obtained with Triton X-100, which is the surfactant with the shortest chain length. In this case, the sensitivity of the atomic absorption signal increased 2.2, 2.2, 2.3 and 2.5-fold for aqueous solutions of calcium, magnesium, copper and zinc, respectively. The data also showed that ultrasonic agitation of the sample probe considerably improved the sensitivity, regardless of the element under evaluation. A relative precision between 0.6 and 3.3% was achieved with a smaller sample consumption than by the conventional atomic absorption method. The results obtained from the proposed sample pre-treatment procedure for the analysis of the elements under study were in good agreement with those obtained by microwave-assisted mineralization and flow injection AAS (for zinc and copper) and flame AAS (for calcium and magnesium).

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A study of the morphology of Blastocystis hominis in stool in ninety-four cases humans is described as central body, ameba and granular form were found as previously described. In addition a "Globulose" form as a variation of granular form is first described. The central body form (96.8%) was the most abundant form. Three parasitological methods as direct microscopical examination sample with saline solution 0.85%, lugol, Sudan III, stained with Quensel, Iron hematoxylin and culture are evaluated to detection the Blastocystis hominis forms. Our results show that the direct microscopical examination (saline solution 0.85%, lugol, Sudan III, stained with Quensel) is the most sensitive and specific method than culture. The identification of Blastocystis hominis in stool difficult due to the diversity of shapes and size, which generate confusion with other intestinal protozoa and host cells.

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The lower limb length measurement is an important element for the diagnosis of mechanical or structural lumbar pain. Also it has been used for referral pain associated with hip or knee osteoarthritis or the groin and suprapubic areas. The aims of the present study were: 1) to measure the intra and inter observers variation; 2) to measure the intra-method variation using two different techniques for lower limb length measurement, one called the "apparent measure" (9) and comparing both with the radiological measurement technique. Two medical doctors, training on the techniques for lower limb measurement, performed the measurements. The exclusion criteria were flexion deformity of the hip or an overweight greater than 20% over the mean weight expected according to age and sex. A correlation coefficient and its 95% confidence interval (CI) were estimated, one tail test (Ho: r = 0.75). Seventeen patients fulfilled the inclusion criteria, 15 females and two males. The mean age was 35.8 years +/- 13.0 (SD). The correlation coefficient for the inter-observers variation using the "apparent measure" was 0.99 (CI = 0.985) and for the difference between legs it was 0.88 (CI = 0.10). The inter-observers variation for lower limb length measurement using the technique of "real measure" showed a correlation coefficient of 0.77 (CI = 0.95) and for the difference in length between legs it was 0.99 (CI = 0.85). The intra-observer correlation coefficient was 0.95 (CI = 0.85). The correlation coefficient for the inter-observer using the X-ray pictures was 0.98 (CI = 0.92).(ABSTRACT TRUNCATED AT 250 WORDS)

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The lead content of soil along the roadside in Mérida City was investigated. Where motor vehicle traffic volume was less than 5000 motor vehicles per day, almost no lead accumulation was observed in the surface soil (0-2 cm), but where the motor vehicle traffic volume was greater than 10,000 motor vehicles per day, levels of lead increased by a factor of up to approximately 18. The soil lead content decreased with distance from the edge of the roadside and with depth of sampling.

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Lead content in head hair of 53 gas station workers together with an equal number of normal controls was determined. Samples of hair were washed with ethanol and water and microwave-aided wet digested prior to the determination of lead by flow injection/atomic absorption spectrometry. The lead content in hair of the gas station workers (48.7 +/- 17.5 micrograms/g) was significantly higher than that of the normal controls (17.2 +/- 8.1 micrograms/g). The effects of washing and sample digestion procedures, head sampling site, hair color, age, smoking habits and duration of exposure to the metal are discussed.

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Os autores realizam um estudo prospectivo de 576 pacientes submetidos a operaçäo cesariana, buscando investigar o papel de alguns fatores de risco no desenvolvimento de infecçäo pós-cirúrgica. Os fatores estudados foram: duraçäo do trabalho de parto, número de toques vaginais, tempo operatório, ruptura prematura de membranas, e cor do líquido amniótico. Foi observada correlaçäo positiva com o surgimento de infecçäo para os três primeiros fatores

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