Diagnosis and Management of Dysentery in Children Attending National Hepatology and Tropical Medicine Research Institute

2020 ◽  
Vol EJMM29 (4) ◽  
pp. 83-92
Author(s):  
Azza H. Abbas ◽  
El Shahat A. El Shahat ◽  
Fetouh S. Hassanin ◽  
Heba M. Abdelglil
Keyword(s):  
Risk Factors ◽  
Virus Antigen ◽  
Enteric Pathogens ◽  
Watery Diarrhea ◽  
Rota Virus ◽  
Medicine Research ◽  
Causative Agents ◽  
Laboratory Examinations ◽  
Stool Samples ◽  
Antigen Tests

Background: Dysentery is one of the main causes of morbidity and mortality among children especially in developing countries, several enteric pathogens are responsible. Diagnosis is made by taking personal history, clinical and laboratory examinations. Management is maintained by using rehydration therapy, ant parasitic, antiviral and antimicrobial therapy. Objective: The study was conducted to determine the prevalence of enteric pathogens causing dysentery in children and risk factors. Methodology: Stool samples were collected from children with dysentery, samples were examined by direct smear, formalin ether, modified ZN, copro antigens, culture /sensitivity and Rota virus antigen tests. Results: Pathogens were isolated from 77.8% samples with higher rate of parasites 35.6% than bacteria 21.7% or Rota virus 3.9%. Most common parasite was G. lamblia (22.2%). E.coli was the most frequent bacterial pathogens (42.0%). watery diarrhea was higher in children > 5 years old (20.7%) than children <5 years old (17.4%) specially in parasitic cases (25.7%), hepatomegaly was (7.2% ) in > 5 years old , parasites and Rota virus were higher in boys (40.9%, 5.7%) than in girls (30.4%, 2.2%) while bacterial was higher in girls (28.3%) than in boys (14.9%) respectively. All sociodemographic data was insignificantly different except for insanitary water supply. Conclusion: This study provides update information about the prevalence of the enteric causative agents in children dysentery. We recommended awareness about prevention, improvement hygiene status and proper medications to reduce the disease. More strategies about risk factors are needed to develop recent controlling methods.

Multiple Outbreaks of Gastroenteritis That Were Associated with 16 Funerals and a Unique Caterer and Spanned 6 Days, 2011, Québec, Canada

2013 ◽  
Vol 76 (9) ◽  
pp. 1582-1589 ◽  
Author(s):  
COLETTE GAULIN ◽  
SOULYVANE NGUON ◽  
MARIE-ANDREE LEBLANC ◽  
DANIELLE RAMSAY ◽  
SOPHIE ROY
Keyword(s):  
Public Health ◽  
Food Samples ◽  
Viral Gastroenteritis ◽  
Epidemiological Investigation ◽  
Food Handlers ◽  
Duration Of Symptoms ◽  
Causative Agents ◽  
Stool Samples ◽  
The Mean ◽  
Over Time

In January 2011, multiple acute gastroenteritis outbreaks that spanned many days and were related to attendance at funerals were reported to public health units in Quebec. An epidemiological investigation was initiated to identify the source of the contamination and to explain the extent of the contamination over time. Thirty-one cohorts of individuals attended different funerals held between 14 and 19 January. All attendees were served a cold buffet made by the same caterer. Of these 31 cohorts, 16 (with a total of about 800 people) contained individuals who reported being ill after the funeral. Symptoms were mainly diarrhea (89 to 94% of individuals), vomiting (63 to 90%,) and fever (26 to 39%), with a median incubation period of 29 to 33 h and a median duration of symptoms of 24 to 33 h, suggesting norovirus-like infection. Among the 16 cohorts, 3 were selected for cohort studies. Among those three cohorts, the mean illness rate was 68%. Associations were found between those who fell ill and those who had consumed pasta salad (relative risk [RR] = 2.4; P = 0.0022) and ham sandwiches (RR = 1.8; P = 0.0096). No food handlers reported being sick. No stool samples were provided by individuals who became ill. Environmental and food samples were all negative for causative agents. Although the causative agent was not clearly identified, this investigation raised many concerns about the importance of preventing foodborne transmission of viral gastroenteritis and generated some recommendations for management of similar outbreaks.

scholarly journals Bacterial enteric pathogens and serum interleukin-6 levels in children with acute diarrhea

2016 ◽  
Vol 56 (3) ◽  
pp. 144
Author(s):  
Herlina Herlina ◽  
Jeanette Irene Manoppo ◽  
Adrian Umboh
Keyword(s):  
Acute Diarrhea ◽  
Interleukin 6 ◽  
Acute Phase Proteins ◽  
Cross Sectional Study ◽  
Enteric Pathogens ◽  
Cross Sectional ◽  
Wide Range ◽  
Bacterial Gastroenteritis ◽  
Stool Samples ◽  
Blood Specimens

Background Acute diarrhea is currently one of the major causes of morbidity and mortality in developing countries. A wide range of enteric pathogens, including bacteria, is responsible for the pathogenesis of acute infectious diarrhea. Recent studies have shown an increase in acute phase proteins, such as serum interleukin-6 (IL-6) levels, in patients with acute bacterial gastroenteritis. Thus, IL-6 may be a useful marker to differentiate bacterial from non-bacterial enteric pathogens.Objective To assess for a correlation between bacterial enteric pathogens and serum IL-6 levels in children with acute diarrhea.Methods We conducted a cross-sectional study from November 2013 to March 2014 in two hospitals in Manado. Subjects were children aged 1-5 years with acute diarrhea and good nutritional status. Subjects’ provided stool samples for bacterial culture and microscopic examination, as well as blood specimens for serum IL-6 measurements. Data was analyzed by linear regression and Pearson’s correlation tests for a correlation between bacterial enteric pathogens and serum IL-6 levels.Results In children with acute diarrhea, those with bacterial enteric pathogens had significantly higher mean serum IL-6 than those with non-bacterial enteric pathogens (r = 0.938; P < 0.001).Conclusion Serum IL-6 levels are significantly more elevated in children with acute diarrhea and bacterial enteric pathogens. Therefore, serum IL-6 may be a useful marker for early identification of bacterial gastroenteritis in children aged 1-5 years. [Paediatr Indones. 2016;56:144-8.].

Enteric Microorganisms in Rheumatoid Diseases: Causative Agents and Possible Mechanisms

1985 ◽  
Vol 48 (6) ◽  
pp. 538-545 ◽  
Author(s):  
DOUGLAS L. ARCHER
Keyword(s):  
Immune Response ◽  
Ankylosing Spondylitis ◽  
Molecular Mechanisms ◽  
Enteric Pathogens ◽  
Gastrointestinal Illness ◽  
Hla B27 ◽  
Causative Agents ◽  
Related Individuals ◽  
Rheumatoid Diseases

The role of foodborne enteric pathogens in the development of three seronegative spondarthropathies (ankylosing spondylitis, Reiter's disease and reactive arthritis) is discussed. Although the prevalence of the HLA-B27 antigen in blood-related individuals suggests a genetic predisposition to these diseases, exogenous environmental factors are also indicated. A clinical profile is given to clarify certain relationships of the seronegative arthropathies. Evidence of the involvement of enteric pathogens in the onset of these conditions following gastrointestinal illness is considered along with the interactions of general and molecular mechanisms of the disease processes and the immune response.

scholarly journals Intestinal Parasitic Infections and Associated Risk Factors Among School-going Children of Age 1-5 years in Dharan, Eastern Nepal

2021 ◽  
Vol 5 (01) ◽  
pp. 26-35
Author(s):  
Dhiren Subba Limbu ◽  
Samana Shrestha ◽  
Kamana Bantawa ◽  
Ramesh Majhi ◽  
Milan Kharel
Keyword(s):  
Risk Factors ◽  
Drinking Water ◽  
Rural Areas ◽  
Laboratory Data ◽  
Parasitic Infections ◽  
Plastic Container ◽  
Intestinal Parasitic Infections ◽  
Public Health Burden ◽  
Stool Samples ◽  
Associated Risk Factors

 Intestinal parasitic infections have been a major public health burden of developing countries, especially in children. Higher prevalence has been reported among school children, mostly in rural areas of Nepal where water, toilets, hygiene, and sanitation facilities are insufficient. This cross-sectional study was carried out from April to September 2019 to determine the prevalence of intestinal parasitic infections among school-going children1-5 years of Dharan, Nepal, and to assess the associated risk factors. Stool samples were collected in a clean, dry, screw-capped, and wide-mouthed plastic container, kept in an icebox, and transported to the laboratory. Data relating to different risk factors were collected from the parents of 116 participants using a structured questionnaire. The parasites were identified by using the direct wet mount method and formal-ether concentration method. Pearson’s chi-square test was carried out to establish associations between dependent and independent variables using SPSS version 20, and the test considered a greater than < 0.05% as statistically significant with a 95% confidence level. Out of the 116 stool samples, 9 (7.75%) tested positive for the parasitic infections in which 5 (55.5%) were protozoa and 4 (44.45%) were helminths. The prevalent parasites, were Entamoeba histolytica (23%), Hyamenolepis nana (22%), Giardia lamblia (11%), Hookworm (11%), Entamoeba coli (11%), Ascaris lumbricoides (11%), and Intestinal parasitic infections had a significant association with drinking water, bowel syndrome, bathing habit, toilet facility, and washing hands after toilets (p<0.05). Lack of toilets, poor hygiene, and unsafe drinking water were the main risk factors. Improved hygienic practices, safe drinking water, and the use of latrines could lower the rate of parasitic infections.

scholarly journals Prevalence and Risk Factors of Infection with Soil Transmitted Helminths in Children from Bandjoun, the West Region of Cameroon

2020 ◽  
pp. 34-43
Author(s):  
Vanessa Rosine Nkouayep ◽  
Peter Nejsum ◽  
Dzune Fossouo Dirane Cleopas ◽  
Noumedem Anangmo Christelle Nadia ◽  
Atiokeng Tatang Rostand Joël ◽  
...  
Keyword(s):  
Risk Factors ◽  
Demographic Data ◽  
Public Health Problem ◽  
School Age Children ◽  
National Programme ◽  
Soil Transmitted Helminths ◽  
Ancylostoma Duodenale ◽  
Potential Risk Factors ◽  
Stool Samples ◽  
Associated Risk Factors

Background: Soil-transmitted helminths (STHs) continue to be a public health problem in developing countries. In Bandjoun, annual deworming is usually administered to school-age children through the national programme for the control of schistosomiasis and soil-transmitted helminthiasis in Cameroon. However, official data on the level of STH infections are scarce in this locality. Methods: We investigated the prevalence and associated risk factors of STHs among children in Bandjoun with the intention to help design future intervention plans. We obtained demographic data and potential risk factors through the interview of children using a structured questionnaire. Stool samples from these children were collected and examined for helminth eggs using Willis’ technique. Results: Three STHs were identified with an overall prevalence of 8.7%. These nematodes were Ascaris lumbricoides (8.3%), Trichuris trichiura (0.3%) and hookworms (Ancylostoma duodenale, Necator americanus) (0.7%). Failure to wash hands before meals (AOR: 2.152 [1.056-4.389]) was the main predictor associated with Ascaris infections. Not eating food picked up from the ground (AOR: 0.494 [0.261-0.937]) and not raising pigs at home (AOR: 0.109 [0.045-0.268]) reduced risk of infection. Conclusion: We recommend that STHs control interventions in Bandjoun focus on the good management of domesticated pigs, the avoidance of contact with soil and handwashing from the earliest ages as a part of daily hygiene practice.

scholarly journals Gardnerella Vaginalis in Recurrent Urinary Tract Infection is Associated with Dysbiosis of the Bladder Microbiome

2021 ◽  
Author(s):  
Jeong-Ju Yoo ◽  
Ju Sun Song ◽  
Woong Bin Kim ◽  
Jina Yun ◽  
Hee Bong Shin ◽  
...  
Keyword(s):  
Risk Factors ◽  
Animal Experiments ◽  
Gardnerella Vaginalis ◽  
Antibiotics Resistance ◽  
Control Group ◽  
Dominant Group ◽  
E Coli ◽  
Microbiome Diversity ◽  
Causative Agents ◽  
Novel Method

Abstract Background: Recent studies on the urine microbiome have highlighted the importance of the gut-vagina-bladder axis in recurrent cystitis (RC). In particular, the role of Gardnerella as a covert pathogen that activates E. coli in animal experiments has been reported. Herein, we conducted a human bladder microbiome study to investigate the effect of Gardnerella on RC. Methods: Urine 16S ribosomal RNA gene sequencing via transurethral catheterization was conducted in the normal control group (NC) (n=18) and RC group (n=78). Results: The positive detection rate of Gardnerella species did not differ between the NC and RC groups (22.2% vs. 18.0%, p = 0.677). In addition, the Gardnerella-positive NC and Gardnerella-positive RC groups showed similar levels of microbiome diversity. The Gardnerella-positive group was categorized into three subgroups: Escherichia-dominant group, Gardnerella-dominant group, and Lactobacillus-dominant group, respectively. All of the Escherichia-dominant groups were associated with RC. Gardnerella-dominant or Lactobacillus-dominant groups expressed RC with symptoms when risk factors such as degree of Gardnerella proliferation or causative agents of bacterial vaginosis were present.Conclusion: Gardnerella can act as a covert pathogen of RC depending on other risk factors, and Gardnerella infection should be considered in patients with RC. New guideline recommendations regarding antibiotics selection based on a novel method to detect the cause of RC may be required to reduce antibiotics resistance.

scholarly journals Prevalence of diarrhoea, and associated risk factors, in children aged 0-5 years, at two hospitals in Umuahia, Abia, Nigeria

2017 ◽  
Vol 9 (1) ◽  
pp. 7-14
Author(s):  
Adanma Florence Nwaoha ◽  
Camelita Chima Ohaeri ◽  
Ebube Charles Amaechi
Keyword(s):  
Risk Factors ◽  
Health Workers ◽  
Age Groups ◽  
Medical Centers ◽  
Faecal Samples ◽  
Potential Risk Factors ◽  
Stool Samples ◽  
The Government ◽  
Associated Risk Factors ◽  
And Control

Diarrhoea is the second leading cause of infectious mor­bidity and mortality in children under five years of age. This study aimed at identifying the most common parasites and potential risk factors for diarrhoea among children 0-5 years attending Abia State Specialist hospital and Federal Medical Centre, Umuahia, in south east­ern Nigeria. We used 400 faecal samples from children with diarrhoea –and 200 without– in combination with hospital-based case control and a questionnaire Stool samples were processed with direct normal saline and formal-ether sedimentation method for parasitological stud­ies. More males than females were infected in nearly all age groups in both diarrhoeal and control groups (X2=23.04, df=1, P<0.05: X2=11.52, df=1, P<0.05 respectively). Amachara had more infections (X2=0.15, df=1, P< 0.05). January had the highest rate of infection (22.5%). Main clinical features were watery depositions over 3 times a day, diarrhoea lasting for days, fever, vomiting, and dehydration. Mothers learned about the problem through health workers, television and in medical centers. Risk correlated with mother’s education, occupation, latrine type, waste water disposal, hand washing, kitchen cleaning; sources and storage of water; and bottle milk (P< 0.05).Ignorance greatly con­tributed to the spread of parasitic disease in the area: the government should improve education and other strategies to alleviate the spread of the disease..

scholarly journals Incidence, clinical characteristics and prognostic factor of patients with COVID-19: a systematic review and meta-analysis

2020 ◽  
Author(s):  
Chaoqun Ma ◽  
Jiawei Gu ◽  
Pan Hou ◽  
Liang Zhang ◽  
Yuan Bai ◽  
...  
Keyword(s):  
Risk Factors ◽  
Disease Severity ◽  
Old Age ◽  
Clinical Characteristics ◽  
Early Stage ◽  
Meta Analysis ◽  
Blood Platelet ◽  
Clinical Feature ◽  
Chronic Obstructive ◽  
Medicine Research

AbstractBackgroundRecently, Coronavirus Disease 2019 (COVID-19) outbreak started in Wuhan, China. Although the clinical features of COVID-19 have been reported previously, data regarding the risk factors associated with the clinical outcomes are lacking.ObjectivesTo summary and analyze the clinical characteristics and identify the predictors of disease severity and mortality.MethodsThe PubMed, Web of Science Core Collection, Embase, Cochrane and MedRxiv databases were searched through February 25, 2020. Meta-analysis of Observational Studies in Epidemiology (MOOSE) recommendations were followed. We extracted and pooled data using random-e□ects meta-analysis to summary the clinical feature of the confirmed COVID-19 patients, and further identify risk factors for disease severity and death. Heterogeneity was evaluated using the I2 method and explained with subgroup analysis and meta-regression.ResultsA total of 30 studies including 53000 patients with COVID-19 were included in this study, the mean age was 49.8 years (95% CI, 47.5-52.2 yrs) and 55.5% were male. The pooled incidence of severity and mortality were 20.2% (95% CI, 15.1-25.2%) and 3.1% (95% CI, 1.9-4.2%), respectively. The predictor for disease severity included old age (≥ 50 yrs, odds ratio [OR] = 2.61; 95% CI, 2.29-2.98), male (OR =1.348, 95% CI, 1.195-1.521), smoking (OR =1.734, 95% CI, 1.146-2.626) and any comorbidity (OR = 2.635, 95% CI, 2.098-3.309), especially chronic kidney disease (CKD, OR = 6.017; 95% CI, 2.192-16.514), chronic obstructive pulmonary disease (COPD, OR = 5.323; 95% CI, 2.613-10.847) and cerebrovascular disease (OR = 3.219; 95% CI, 1.486-6.972). In terms of laboratory results, increased lactate dehydrogenase (LDH), C-reactive protein (CRP) and D-dimer and decreased blood platelet and lymphocytes count were highly associated with severe COVID-19 (all for P < 0.001). Meanwhile, old age (≥ 60 yrs, RR = 9.45; 95% CI, 8.09-11.04), followed by cardiovascular disease (RR = 6.75; 95% CI, 5.40-8.43) hypertension (RR = 4.48; 95% CI, 3.69-5.45) and diabetes (RR = 4.43; 95% CI, 3.49-5.61) were found to be independent prognostic factors for the COVID-19 related death.ConclusionsTo our knowledge, this is the first evidence-based medicine research to explore the risk factors of prognosis in patients with COVID-19, which is helpful to identify early-stage patients with poor prognosis and adapt effective treatment.

Epidemiology and Risk Factors for Bacteremia in Pediatric and Adolescent Patients

2019 ◽  
pp. 089719001986805 ◽  
Author(s):  
Kayla R. Stover ◽  
Austin Morrison ◽  
Tia Collier ◽  
Elisabeth Schneider ◽  
Jamie L. Wagner ◽  
...  
Keyword(s):  
Risk Factors ◽  
Methicillin Resistance ◽  
Control Strategies ◽  
Positive Culture ◽  
Secondary Outcome ◽  
Tertiary Referral Center ◽  
Adolescent Patients ◽  
Causative Agents ◽  
Patients At Risk ◽  
Associated Risk Factors

Background: Epidemiology and risk factors for bacteremia in pediatric and adolescent patients have not been fully elucidated. Objective: The purpose of this study was to identify primary causative agents of bacteremia in pediatric and adolescent patients and associated risk factors. We hypothesized that these would be different than those seen in adults. Patients and Methods: This retrospective cohort, epidemiologic evaluation included patients admitted to a tertiary referral center from January 01, 2013, to December 31, 2015. Patients <18 years old with a confirmed positive blood culture were included; the first positive culture per organism per patient was analyzed. The primary outcome was to determine the most frequent causative organisms of bacteremia; the secondary outcome was an evaluation of risk factors for acquiring staphylococcal bacteremia. Results: A total of 913 isolates were evaluated, including 92 unique organisms. The most frequently identified were Staphylococcus epidermidis (238/913, 26.1%), followed by Staphylococcus aureus (136/913, 14.9%). Methicillin resistance was observed in 60.3% of S aureus. Two hundred thirty-six patients were included in the risk factor analysis. Prematurity, previous antibiotics, and intubation/ventilation were more likely associated with S epidermidis ( P < .001, P < .001, and P = .032, respectively). Patients with a recent or previous hospitalization and those with dermatitis/eczema were statistically more likely to grow S aureus ( P < .001, P = .029, respectively). Conclusions: Although epidemiology of organisms associated with pediatric and adolescent bacteremia was similar to adults, risk factors were different than seen in that population. Further understanding of these risk factors may be helpful in developing preemptive infection control strategies in patients at risk.

scholarly journals Colonisation with pathogenic drug-resistant bacteria and Clostridioides difficile among residents of residential care facilities in Cape Town, South Africa: a cross-sectional prevalence study

2019 ◽  
Vol 8 (1) ◽  
Author(s):  
Jason September ◽  
Leon Geffen ◽  
Kathryn Manning ◽  
Preneshni Naicker ◽  
Cheryl Faro ◽  
...  
Keyword(s):  
Risk Factors ◽  
South Africa ◽  
Residential Care ◽  
Cape Town ◽  
Resistant Bacteria ◽  
Antibiotic Prescribing ◽  
Cross Sectional ◽  
Residential Care Facilities ◽  
Care Facilities ◽  
Stool Samples

Abstract Background Residential care facilities (RCFs) act as reservoirs for multidrug-resistant organisms (MDRO). There are scarce data on colonisation with MDROs in Africa. We aimed to determine the prevalence of MDROs and C. difficile and risk factors for carriage amongst residents of RCFs in Cape Town, South Africa. Methods We performed a cross-sectional surveillance study at three RCFs. Chromogenic agar was used to screen skin swabs for methicillin-resistant S. aureus (MRSA) and stool samples for extended-spectrum beta-lactamase-producing Enterobacteriaceae (ESBL-E). Antigen testing and PCR was used to detect Clostridiodes difficile. Risk factors for colonisation were determined with logistic regression. Results One hundred fifty-four residents were enrolled, providing 119 stool samples and 152 sets of skin swabs. Twenty-seven (22.7%) stool samples were positive for ESBL-E, and 13 (8.6%) residents had at least one skin swab positive for MRSA. Two (1.6%) stool samples tested positive for C. difficile. Poor functional status (OR 1.3 (95% CI, 1.0–1.6)) and incontinence (OR 2.9 (95% CI, 1.2–6.9)) were significant predictors for ESBL-E colonisation. MRSA colonization appeared higher in frail care areas (8/58 v 5/94, p = 0.07). Conclusions There was a relatively high prevalence of colonisation with MDROs, particularly ESBL-E, but low C. difficile carriage, with implications for antibiotic prescribing and infection control practice.

Sign in / Sign up

Export Citation Format

Share Document