Identification of Etiology-Specific Diarrhea Associated With Linear Growth Faltering in Bangladeshi Infants

American Journal of Epidemiology
Amanda E SchneeJames A Platts-Mills

Abstract

Childhood diarrhea in low-resource settings has been variably linked to linear growth shortfalls. However, the association between etiology-specific diarrhea and growth has not been comprehensively evaluated. We tested diarrheal stools collected from the Performance of Rotavirus and Oral Polio Vaccines in Developing Countries study from 2011 to 2013 in Dhaka, Bangladesh, by quantitative polymerase chain reaction for a broad range of enteropathogens to characterize diarrhea etiology and examine the association between etiology-specific diarrhea and linear growth and systemic inflammation. Pathogen-specific burdens of diarrhea were determined using attributable fractions. Linear regression was used to examine associations of pathogen-specific diarrhea with length-for-age z scores (LAZ) and serum C-reactive protein. There was no relationship between all-cause diarrhea and length at 12 months (change in 12-month LAZ per episode, -0.01, 95% confidence interval (CI): -0.06, 0.03). However, Cryptosporidium (change in 12-month LAZ per attributable episode, -0.23, 95% CI: -0.50, 0.03), Campylobacter jejuni/coli (change of -0.16, 95% CI: -0.32, -0.01), and Shigella/enteroinvasive Escherichia coli diarrhea (change of -0.12, 95% CI: -0.26,...Continue Reading

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Citations

Feb 13, 2019·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Jennifer L CannonJan Vinjé
Jun 22, 2019·Maternal & Child Nutrition·Emily L DeichselGrace C John-Stewart
Jul 1, 2020·PLoS Neglected Tropical Diseases·Ana E Farfán-GarcíaOscar G Gómez-Duarte
Aug 30, 2020·The American Journal of Clinical Nutrition·Tyler VaivadaZulfiqar A Bhutta
Aug 9, 2020·Frontiers in Cellular and Infection Microbiology·Jessica A GrembiAlfred M Spormann
Oct 1, 2020·Food Science & Nutrition·Md Shariful IslamMd Imran Hasan
Oct 10, 2020·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Timothy L McMurryJames A Platts-Mills
Feb 26, 2021·Clinical Microbiology Reviews·Xin YangYaoyu Feng
Jan 6, 2021·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Jeffrey R DonowitzWilliam A Petri
Sep 18, 2020·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Jhansi L LeslieWilliam A Petri
Jul 16, 2021·Current Opinion in Infectious Diseases·James A Platts-Mills, Elizabeth T Rogawski McQuade
Sep 10, 2021·Tropical Medicine & International Health : TM & IH·Parag PalitTahmeed Ahmed

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