Skip Navigation

Journal of Tropical Pediatrics 1994 40(6):351-354; doi:10.1093/tropej/40.6.351
© 1994 by Oxford University Press
This Article
Right arrow Full Text (PDF)
Right arrow E-letters: Submit a response
Right arrow Alert me when this article is cited
Right arrow Alert me when E-letters are posted
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to My Personal Archive
Right arrow Download to citation manager
Right arrowRequest Permissions
Google Scholar
Right arrow Articles by Hoque, S. S.
Right arrow Articles by Hasnat, A.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Hoque, S. S.
Right arrow Articles by Hasnat, A.
Social Bookmarking
Add to CiteULike   Add to Connotea   Add to Del.icio.us  
What's this?

research-article

Infectious Agents Causing Acute Watery Diarrhoea in Infants and Young Children in Bangladesh and their Public Health Implications

Syed Samiul Hoque, A. S. G. Faruque, D. Mahalanabis and A. Hasnat

International Centre for Diarrhoeal Disease Research Bangladesh GPO Box 128, Dhaka 1000, Bangladesh

Correspondence: Dr D. Mahalanabis, Clinical Sciences Division, ICDDR.B, GPO Box 128, Dhaka 1000, Bangladesh

We studied the age specific distribution of enteropathogens in young children presenting at a large diarrhoeal diseases hospital in urban Bangladesh. A 5 per cent systematic sample was used to examine 1207 rectal swab specimens of children aged 1–35 months with acute watery diarrhoea. Variation in isolation rates of enteropathogens was observed in different age groups. Overall, rotavirus (26 per cent) and Campylobacter (26 per cent) were the most common pathogens followed by enterotoxigenic Escherichia coli (15 per cent), Vibrio cholerae 01 (7 per cent), other Vibrios (9 per cent), Shigella (4 per cent), and Salmonella (<<1 per cent). In early infancy (1–5 months) more rectal swab specimens did not yield any enteropathogen compared to older children of 24–35 months old (44 v. 30 per cent). Rotavirus was most frequently detected (35 per cent) in children between 6 and 11 months old. Attendance of cholera cases at the hospital was alarmingly high in the third year of life (29 per cent). The study provided useful information that, in general, children under 2 years are predominantly infected with agents [rotavirus, Campylobacter, and enterotoxigenic Escherichia coli (ETEC)] for which antibiotic therapy is not usually indicated. These patients can be managed effectively with oral rehydration therapy and proper feeding. Knowledge of pathogens associated with more severe forms of diarrhoea may help in optimizing strategies for vaccination when suitable vaccines are available against enteric infections.


Add to CiteULike CiteULike   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us    What's this?


This article has been cited by other articles:


Home page
 J. Bacteriol.Home page
S. Chibani-Chennoufi, J. Sidoti, A. Bruttin, M.-L. Dillmann, E. Kutter, F. Qadri, S. A. Sarker, and H. Brussow
Isolation of Escherichia coli Bacteriophages from the Stool of Pediatric Diarrhea Patients in Bangladesh
J. Bacteriol., December 15, 2004; 186(24): 8287 - 8294.
[Abstract] [Full Text] [PDF]

Home page
 Clin. Microbiol. Rev.Home page
J. P. Nataro and J. B. Kaper
Diarrheagenic Escherichia coli
Clin. Microbiol. Rev., January 1, 1998; 11(1): 142 - 201.
[Abstract] [Full Text] [PDF]


Disclaimer:
Please note that abstracts for content published before 1996 were created through digital scanning and may therefore not exactly replicate the text of the original print issues. All efforts have been made to ensure accuracy, but the Publisher will not be held responsible for any remaining inaccuracies. If you require any further clarification, please contact our Customer Services Department.