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array:24 [ "pii" => "S0213911107720630" "issn" => "02139111" "doi" => "10.1157/13112237" "estado" => "S300" "fechaPublicacion" => "2007-11-01" "aid" => "72063" "copyright" => "Sociedad Española de Salud Pública y Administración Sanitaria" "copyrightAnyo" => "2007" "documento" => "article" "crossmark" => 0 "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/" "subdocumento" => "fla" "cita" => "Gac Sanit. 2007;21:452-7" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 3645 "formatos" => array:3 [ "EPUB" => 117 "HTML" => 2975 "PDF" => 553 ] ] "itemSiguiente" => array:19 [ "pii" => "S0213911107720642" "issn" => "02139111" "doi" => "10.1157/13112238" "estado" => "S300" "fechaPublicacion" => "2007-11-01" "aid" => "72064" "copyright" => "Sociedad Española de Salud Pública y Administración Sanitaria" "documento" => "article" "crossmark" => 0 "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/" "subdocumento" => "fla" "cita" => "Gac Sanit. 2007;21:458-64" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 3007 "formatos" => array:3 [ "EPUB" => 109 "HTML" => 2315 "PDF" => 583 ] ] "es" => array:11 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Originales</span>" "titulo" => "Consumo de antiinflamatorios no esteroideos en atención primaria en Costa Rica: evolución y variabilidad geográfica" "tienePdf" => "es" "tieneTextoCompleto" => 0 "tieneResumen" => array:2 [ 0 => "es" 1 => "en" ] "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "458" "paginaFinal" => "464" ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Consumption of nonsteroidal anti-inflammatory agents in primary care in Costa Rica: changing patterns and geographical variability" ] ] "contieneResumen" => array:2 [ "es" => true "en" => true ] "contienePdf" => array:1 [ "es" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Melvin Morera Salas, Amada Aparicio Llanos, Yanira Xirinachs Salazar, Patricia Barber Pérez" "autores" => array:4 [ 0 => array:2 [ "nombre" => "Melvin" "apellidos" => "Morera Salas" ] 1 => array:2 [ "nombre" => "Amada" "apellidos" => "Aparicio Llanos" ] 2 => array:2 [ "nombre" => "Yanira" "apellidos" => "Xirinachs Salazar" ] 3 => array:2 [ "nombre" => "Patricia" "apellidos" => "Barber Pérez" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0213911107720642?idApp=WGSE" "url" => "/02139111/0000002100000006/v1_201301241551/S0213911107720642/v1_201301241551/es/main.assets" ] "itemAnterior" => array:19 [ "pii" => "S0213911107720629" "issn" => "02139111" "doi" => "10.1157/13112236" "estado" => "S300" "fechaPublicacion" => "2007-11-01" "aid" => "72062" "copyright" => "Sociedad Española de Salud Pública y Administración Sanitaria" "documento" => "article" "crossmark" => 0 "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/" "subdocumento" => "fla" "cita" => "Gac Sanit. 2007;21:444-51" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 4442 "formatos" => array:3 [ "EPUB" => 134 "HTML" => 3829 "PDF" => 479 ] ] "es" => array:11 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Originales</span>" "titulo" => "Coste del cuidado informal del ictus en una población general no institucionalizada" "tienePdf" => "es" "tieneTextoCompleto" => 0 "tieneResumen" => array:2 [ 0 => "es" 1 => "en" ] "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "444" "paginaFinal" => "451" ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Cost of informal care for stroke victims in a non-institutionalized general population" ] ] "contieneResumen" => array:2 [ "es" => true "en" => true ] "contienePdf" => array:1 [ "es" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Adolfo Hervás, Juan Cabasés, Tarsicio Forcén" "autores" => array:3 [ 0 => array:2 [ "nombre" => "Adolfo" "apellidos" => "Hervás" ] 1 => array:2 [ "nombre" => "Juan" "apellidos" => "Cabasés" ] 2 => array:2 [ "nombre" => "Tarsicio" "apellidos" => "Forcén" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0213911107720629?idApp=WGSE" "url" => "/02139111/0000002100000006/v1_201301241551/S0213911107720629/v1_201301241551/es/main.assets" ] "es" => array:15 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Originales</span>" "titulo" => "Investigación de una toxiinfección alimentaria en un centro penitenciario de alta ocupación" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "452" "paginaFinal" => "457" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "Victoria Hernando, Lou Narot Arranz, Susana Catalán, Pilar Gómez, Cristina Hidalgo, Alicia Barrasa, Dionisio Herrera" "autores" => array:7 [ 0 => array:4 [ "nombre" => "Victoria" "apellidos" => "Hernando" "email" => array:1 [ 0 => "vhernando@isciii.es" ] "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff1" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">¿</span>" "identificador" => "cor1" ] ] ] 1 => array:3 [ "nombre" => "Lou" "apellidos" => "Narot Arranz" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff1" ] ] ] 2 => array:3 [ "nombre" => "Susana" "apellidos" => "Catalán" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff2" ] ] ] 3 => array:3 [ "nombre" => "Pilar" "apellidos" => "Gómez" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff2" ] ] ] 4 => array:3 [ "nombre" => "Cristina" "apellidos" => "Hidalgo" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">c</span>" "identificador" => "aff3" ] ] ] 5 => array:3 [ "nombre" => "Alicia" "apellidos" => "Barrasa" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff1" ] ] ] 6 => array:3 [ "nombre" => "Dionisio" "apellidos" => "Herrera" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff1" ] ] ] ] "afiliaciones" => array:3 [ 0 => array:3 [ "entidad" => "Programa de Epidemiología Aplicada de Campo, Centro Nacional de Epidemiología, Instituto de Salud Carlos III, Madrid, España" "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff1" ] 1 => array:3 [ "entidad" => "Subdirección General de Sanidad Penitenciaria, Dirección General de Instituciones Penitenciarias, Madrid, España" "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff2" ] 2 => array:3 [ "entidad" => "Servicio de Salud Pública del Área V de la Comunidad de Madrid, Madrid, España" "etiqueta" => "<span class="elsevierStyleSup">c</span>" "identificador" => "aff3" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor1" "etiqueta" => "⁎" "correspondencia" => "Correspondencia: Victoria hernando. Instituto de la Salud Carlos III. Sinesio Delgado, 8. Pabellón 3. 28029 Madrid. España." ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Investigation of a foodborne intoxication in a high-density penitentiary center" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2006-04-20" "fechaAceptado" => "2007-05-16" "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec13892" "palabras" => array:5 [ 0 => "Brote" 1 => "Prisión" 2 => "<span class="elsevierStyleItalic">Clostridium perfringens</span>" 3 => "<span class="elsevierStyleItalic">Bacillus cereus</span>" 4 => "Gastroenteritis" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key words" "identificador" => "xpalclavsec13891" "palabras" => array:5 [ 0 => "Outbreak" 1 => "Prison" 2 => "<span class="elsevierStyleItalic">Clostridium perfringens</span>" 3 => "<span class="elsevierStyleItalic">Bacillus cereus</span>" 4 => "Gastroenteritis" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<span class="elsevierStyleSectionTitle">Introducción</span><p class="elsevierStyleSimplePara elsevierViewall">El 25 de septiembre de 2005 más de un centenar de reclusos presentaron síntomas de gastroenteritis, casi un 5% de los 1.800 reclusos de una prisión. El objetivo del estudio fue confirmar la existencia de un brote, identificar los factores de riesgo, implementar medidas de control y establecer recomendaciones.</p> <span class="elsevierStyleSectionTitle">Métodos</span><p class="elsevierStyleSimplePara elsevierViewall">Se realizó un análisis de cohortes de una muestra aleatoria estratificada de todos los internos, un análisis de cohortes de uno de los módulos de la prisión y una investigación medioambiental.</p> <span class="elsevierStyleSectionTitle">Resultados</span><p class="elsevierStyleSimplePara elsevierViewall">Se seleccionaron 221 internos de toda la prisión, de los cuales se entrevistó a 196. Un 28% eran casos, cuya sintomatología principal fue dolor abdominal (85%) y diarrea (71%). Todos los alimentos consumidos presentaron tasas de ataque similares. Se asoció con la enfermedad el hecho de comer toda la ración de salpicón de marisco de la comida (riesgo relativo [RR]<span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>2; intervalo de confianza [IC] del 95%, 1,1-3,8) o toda la ración de gambas rebozadas en la cena (RR<span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>1,8; IC del 95%, 1,1-3,1) del día 24 de septiembre. En el análisis de uno de los módulos de la prisión se obtuvo resultados similares a la muestra aleatoria. En una muestra de salpicón de marisco se aislaron <span class="elsevierStyleItalic">Clostridium perfringens, Bacillus cereus</span> y <span class="elsevierStyleItalic">Escherichia coli</span>.</p> <span class="elsevierStyleSectionTitle">Conclusión</span><p class="elsevierStyleSimplePara elsevierViewall">Se confirmó un brote de gastroenteritis por varios patógenos. Tanto los síntomas como el período de incubación corresponden a los patógenos aislados. La preparación de los alimentos en centros penitenciarios debe cumplir los estándares mínimos de seguridad, que incluya la refrigeración y la educación de los manipuladores.</p>" ] "en" => array:2 [ "titulo" => "Abstract" "resumen" => "<span class="elsevierStyleSectionTitle">Background</span><p class="elsevierStyleSimplePara elsevierViewall">On September 25 2005, more than 100 inmates (almost 5% of the 1,800 prison population) experienced sudden onset gastroenteritis. This outbreak was the largest foodborne outbreak described in a prison population in Spain. Our objective was to confirm the outbreak, identify risk factors, implement control measures, and provide recommendations.</p> <span class="elsevierStyleSectionTitle">Methods</span><p class="elsevierStyleSimplePara elsevierViewall">We conducted a cohort analysis of a stratified random sample of all the inmates, a cohort analysis of the one of the prison blocks, and an environmental investigation.</p> <span class="elsevierStyleSectionTitle">Results</span><p class="elsevierStyleSimplePara elsevierViewall">A total of 221 inmates were selected, of which 196 were interviewed. Twenty-eight percent had gastroenteritis and the main symptoms were abdominal pain (85%) and diarrhea (71%). All foods consumed caused similar attack rates. Factors associated with the risk of illness were eating the entire portion of seafood cocktail at lunch or all of the fried shrimp at dinner on September 24 (RR<span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>2; 95% CI, 1.1-3.8, and RR<span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>1.8; 95% CI, 1.1-3.1). Analysis of one of the prison blocks yielded results similar to those of the random sample. <span class="elsevierStyleItalic">Clostridium perfringens, Bacillus cereus</span> and <span class="elsevierStyleItalic">Escherichia coli</span> were isolated from a sample of the seafood cocktail.</p> <span class="elsevierStyleSectionTitle">Conclusion</span><p class="elsevierStyleSimplePara elsevierViewall">A gastroenteritis outbreak caused by several pathogens was confirmed. Both the reported symptoms and the calculated incubation periods corresponded to the pathogens isolated. Preparation of food in prison facilities should meet minimum safety standards, including refrigeration and training of food handlers.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "Bibliografía" "seccion" => array:1 [ 0 => array:1 [ "bibliografiaReferencia" => array:17 [ 0 => array:3 [ "identificador" => "bib1" "etiqueta" => "1." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Management of serious infections in correctional facilities" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "P.P. Piliero" 1 => "J.P. Curtin" 2 => "S. Szebenyi" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Infect Med" "fecha" => "1998" "volumen" => "15" "paginaInicial" => "179" "paginaFinal" => "183" ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib2" "etiqueta" => "2." 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Navarro" 1 => "R.M. Sala" 2 => "F. Segura" 3 => "C. Arias" 4 => "E. Anton" 5 => "P. Varela" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1086/502536" "Revista" => array:6 [ "tituloSerie" => "Infect Control Hosp Epidemiol" "fecha" => "2005" "volumen" => "26" "paginaInicial" => "259" "paginaFinal" => "262" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/15796277" "web" => "Medline" ] ] ] ] ] ] ] ] 7 => array:3 [ "identificador" => "bib8" "etiqueta" => "8." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Nosocomial diarrhea outbreak due to <span class="elsevierStyleItalic">Clostridium difficile</span> in a vascular surgery department" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "R. Pazos" 1 => "A. Isusi" 2 => "R. Fernández" 3 => "L. Barbeito" 4 => "A. Bravo" 5 => "I. 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