Aetiological factors of infantile diarrhoea: a community-based study.

Annals of Tropical Paediatrics
W E LoeningJ van den Ende

Abstract

A community-based study was undertaken to compare the organisms responsible for diarrhoea in children living in formal housing with indoor water supply and sanitation with those from a deprived environment. The role of "home remedies" was also assessed. Among 373 children with diarrhoea, rotavirus was detected in 15% (in 371 symptom-free controls, 9%), and proved to be the single most common causative agent. Bacterial pathogens were found in 20% of patients, with enteropathogenic Escherichia coli (EPEC) being isolated most frequently (9%; controls 3%), followed by Shigella species (4%; controls 1%), Campylobacter jejuni (4%; controls 1%), Salmonella species (2%; controls 1%) and enterotoxigenic E. coli (ETEC) (2%; controls 1%). Giardia lamblia and cryptosporidium were detected in 6% (controls 6%) and 3% (controls 1%) of patients, respectively; 7% (controls 1%) harboured more than one enteropathogen and no pathogens were detected in 58% (controls 78%). The vast majority (greater than 90%) of both patients and controls received some form of "home remedy" which included disinfectants and traditional herbs. The findings of this study therefore confirm the extremely complex nature of diarrhoea in developing communities and indicate ...Continue Reading

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Citations

Oct 19, 2010·Journal of Tropical Pediatrics·Etienne D NelMark F Cotton
Nov 28, 2012·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Khitam Muhsen, Myron M Levine
Nov 28, 2012·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Myron M LevineKhitam Muhsen
Oct 26, 2013·Journal of Tropical Pediatrics·Khitam MuhsenMyron M Levine
Jul 1, 1991·Clinical Microbiology Reviews·W L Current, L S Garcia

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