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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
agricultural and biological sciences
Aetiology of diarrhoea in a birth cohort of children aged 0-2 year(s) in rural Mirzapur, Bangladesh
Journal of Health, Population and Nutrition, Volume 24, No. 1, Year 2006
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Description
The incidence of aetiology-specific diarrhoea and the pathogenicity of infectious agents in a birth cohort (n=252) in rural Bangladesh were determined. Stool specimens or rectal swabs were collected from diarrhoeal cases over two years and routinely on a monthly basis. Stool samples from children with diarrhoea were compared with stool samples from children without diarrhoea to calculate rates of isolation and pathogenicity of agents. In total, 1,750 stool specimens from diarrhoea patients and 5,679 stool specimens from children without diarrhoea were tested. An infectious agent was identified in 58% of the stool specimens from diarrhoea patients and 21.6% of the stool specimens from children without diarrhoea. The most commonly-isolated pathogens from all specimens were enterotoxigenic Escherichia coli (ETEC), enteroadherent E. coli, Shigella, Campylobacter jejuni, Giardia, and rotavirus. ETEC (ST and LT-ST toxin), enterotoxigenic Bacteroides fragilis, Shigella, and rotavirus were associated more with disease than with asymptomatic infections. Aetiology-specific infections were associated with acute episodes. The isolated enteropathogens were essentially the same as those found in other tropical rural settings. Enterotoxigenic B. fragilis was also identified as a pathogen. Ongoing vaccine efforts focusing on Shigella, rotavirus, and ETEC would be useful. © 2006 ICDDR,B: Centre for Health and Population Research.
Authors & Co-Authors
Hasan, K. H.Z.
Bangladesh, Dhaka
Icddr, b Centre for Health and Population Research
Pathela, Preeti
United States, Baltimore
Johns Hopkins Bloomberg School of Public Health
Alam, Khorshed
Bangladesh, Dhaka
Icddr, b Centre for Health and Population Research
Podder, Goutam
Bangladesh, Dhaka
Icddr, b Centre for Health and Population Research
Faruque, Shah M.
Bangladesh, Dhaka
Icddr, b Centre for Health and Population Research
Roy, Eliza
Bangladesh, Dhaka
Icddr, b Centre for Health and Population Research
Haque, A. K.M.Fazlul
Bangladesh, Dhaka
Icddr, b Centre for Health and Population Research
Haque, Rashidul
Bangladesh, Dhaka
Icddr, b Centre for Health and Population Research
Albert, Manuel John
Kuwait, Kuwait City
Kuwait University
Siddique, Abul Kasem M.
Bangladesh, Dhaka
Icddr, b Centre for Health and Population Research
Sack, Richard Bradley
United States, Baltimore
Johns Hopkins Bloomberg School of Public Health
Statistics
Citations: 11
Authors: 11
Affiliations: 3
Identifiers
ISSN:
16060997
Research Areas
Infectious Diseases
Maternal And Child Health
Study Design
Cross Sectional Study
Cohort Study