Risk factors for persistent diarrhoea
Autor: | Nurur Rahman, Ahmed Nawsher Alam, Nigar S. Shahid, David A. Sack, Mahbubur Rahman |
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Rok vydání: | 1988 |
Předmět: |
Diarrhea
Pediatrics medicine.medical_specialty Population Feces Risk Factors Lower respiratory tract infection medicine Humans Risk factor education Respiratory Tract Infections General Environmental Science Retrospective Studies education.field_of_study Dehydration business.industry Vitamin A Deficiency digestive oral and skin physiology General Engineering Infant Newborn Infant Retrospective cohort study General Medicine medicine.disease Anti-Bacterial Agents Nutrition Disorders Hospitalization Malnutrition Breast Feeding El Niño Child Preschool Acute Disease Chronic Disease General Earth and Planetary Sciences Seasons medicine.symptom business Breast feeding Research Article |
Zdroj: | BMJ (Clinical research ed.). 297(6655) |
ISSN: | 0959-8138 |
Popis: | With a systematically sampled population of children aged under 5 attending this centre for diarrhoeal disease research during 1983-5 a retrospective analysis of persistent diarrhoea (defined as greater than 14 days' duration) was performed to identify the possible risk factors for this syndrome. Of the 4155 children included in the analysis, 410 (10%) gave a history of persistent diarrhoea. A comparison with children with acute diarrhoea matched for age showed that 11 factors were correlated with persistent diarrhoea, and strongly associated factors were stools with blood or mucus, or both, lower respiratory tract infection, malnutrition, vitamin A deficiency, and antibiotic use before presentation. The peak age was 2 years, and there was no sex difference. Deaths occurred more often in the group with persistent diarrhoea. Although Shigella spp, Campylobacter jejuni, and Giardia lamblia were frequently identified, their rates of isolation were not significantly higher among patients with persistent diarrhoea. No seasonal variation was observed in the rates of persistent diarrhoea. Although the introduction of family food to the diet was associated with higher rates, this factor was difficult to separate from the age dependent risks. |
Databáze: | OpenAIRE |
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