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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Modifiable diarrhoea risk factors in Egyptian children aged <5 years
Epidemiology and Infection, Volume 141, No. 12, Year 2013
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Description
By conducting a case-control study in two university hospitals, we explored the association between modifiable risk behaviours and diarrhoea. Children aged <5 years attending outpatient clinics for diarrhoea were matched by age and sex with controls. Data were collected on family demographics, socioeconomic indicators, and risk behaviour practices. Two rectal swabs and a stool specimen were collected from cases and controls. Samples were cultured for bacterial pathogens using standard techniques and tested by ELISA to detect rotavirus and Cryptosporidium spp. Four hundred cases and controls were enrolled between 2007 and 2009. The strongest independent risk factors for diarrhoea were: presence of another household member with diarrhoea [matched odds ratio (mOR) 4·9, 95% CI 2·8-8·4] in the week preceding the survey, introduction to a new kind of food (mOR 3, 95% CI 1·7-5·4), and the child being cared for outside home (mOR 2·6, 95% CI 1·3-5·2). While these risk factors are not identifiable, in some age groups more easily modifiable risk factors were identified including: having no soap for handwashing (mOR 6·3, 95% CI 1·2-33·9) for children aged 7-12 months, and pacifier use (mOR 1·9, 95% CI 1·0-3·5) in children aged 0-6 months. In total, the findings of this study suggest that community-based interventions to improve practices related to sanitation and hygiene, handwashing and food could be utilized to reduce the burden of diarrhoea in Egyptian children aged <5 years. Copyright © Cambridge University Press 2013.
Authors & Co-Authors
Mansour, Adel Mahmoud
Egypt, Cairo
U.s. Naval Medical Research Unit No. 3, Egypt
El-Mohammady, Hanan
Egypt, Cairo
U.s. Naval Medical Research Unit No. 3, Egypt
El-Shabrawi, Mortada H.F.
Egypt, Cairo
Cairo University Hospitals
Shabaan, S. Y.
Egypt, Cairo
Ain Shams University Children's Hospital
Zekri, M. Abou
Egypt, Cairo
Cairo University Hospitals
Nassar, M.
Egypt, Cairo
Ain Shams University Children's Hospital
Salem, M. E.
Egypt, Cairo
Cairo University Hospitals
Mostafa, Manal M.
Egypt, Cairo
U.s. Naval Medical Research Unit No. 3, Egypt
Riddle, Mark S.
United States, Silver Spring
Naval Medical Research Center
Klena, John David
Egypt, Cairo
U.s. Naval Medical Research Unit No. 3, Egypt
Messih, I. A.Abdel
Italy, Siena
Novartis Vaccines and Diagnostic S.r.l.
Levin, Samuel Y.
Egypt, Cairo
U.s. Naval Medical Research Unit No. 3, Egypt
Young, Sylvia Y.N.
United States, Washington, D.c.
United States Navy
Statistics
Citations: 19
Authors: 13
Affiliations: 6
Identifiers
Doi:
10.1017/S0950268813000319
ISSN:
09502688
e-ISSN:
14694409
Research Areas
Environmental
Food Security
Infectious Diseases
Maternal And Child Health
Study Design
Cross Sectional Study
Case-Control Study
Study Approach
Quantitative