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Foi feito estudo longitudinal de morbidade em creche de Brasília (Brasil) freqüentada por crianças com bom estado nutricional. Foram admitidas na creche durante o ano de 1977 o total de 67 crianças (34 do sexo masculino e 33 do sexo feminino), com idade entre 3 e 21 meses. Infecções de vias aéreas superiores (25,4%), diarréia (23,6%) e febre não esclarecida (18,4%) representaram dois terços dos diagnósticos. A seguir, em ordem de freqüência, apareceram conjuntivite (15,5%), viroses da infância (7,9%), doenças de pele (3,8%), pequenos acidentes (2,6%), hepatite (2,6%) e meningococcemia (0,3%). Houve um total de 343 episódios agudos, dando uma taxa de incidência de 14 enfermidades por criança por ano, independente de sexo e idade. A longitudinal morbidity study was carried out in a day care center in Brasilia (Brazil) on a sample of 67 (34 male and 33 female, 3 to 21 months of age) well-fed children from middle-class families. A pediatrician was on duty daily in the center. The incidence of disease was: upper respiratory, 25.4%; diarrhea, 23.6%; and undetermined fever, 18.4%. These represented 2/3 of the diagnoses. The other diseases found (and here listed in order of frequency) were: conjunctivitis, 15.5%; childhood infections, 7.9%; skin diseases, 3.8%; accidents, 2.6%; hepatitis, 2.6%; and meningitis, 0.3%. There were a total of 343 acute illnesses, giving a mean incidence rate of 14 illnesses per child per year, independent of sex and age. Perhaps the incidence of illnesses would have been lower if the children had not been attending the center, a natural factor in the dissemination of communicable diseases

Morbidade em creche de Brasília: estudo longitudinal de incidência de enfermidades no ano de 1977