Incidence and etiology of infectious diarrhea from a facility-based surveillance system in Guatemala, 2008–2012
| Autor: | Joe P. Bryan, Nicole Gregoricus, John P. McCracken, Gerry Gomez, Oliver Morgan, Eric D. Mintz, Susan P. Montgomery, Jan Vinjé, Wences Arvelo, Olga L. Henao, Alejandra Estevez, Aron J. Hall, Juan Carlos Moir, Lissette Reyes, Chris Bernart, Maria Renee Lopez, Kim A. Lindblade, Beatriz Lopez, Umesh D. Parashar, Michele B. Parsons |
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| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
Adult
Male medicine.medical_specialty Adolescent 030231 tropical medicine medicine.disease_cause Dysentery 03 medical and health sciences Feces Young Adult 0302 clinical medicine Internal medicine Rotavirus Epidemiology medicine Humans Public Health Surveillance 030212 general & internal medicine Child biology business.industry lcsh:Public aspects of medicine Incidence (epidemiology) Campylobacter Incidence Public Health Environmental and Occupational Health Infant lcsh:RA1-1270 Cryptosporidium Middle Aged biology.organism_classification medicine.disease Guatemala Diarrhea Child Preschool Norovirus Female medicine.symptom business Laboratories Research Article |
| Zdroj: | BMC Public Health BMC Public Health, Vol 19, Iss 1, Pp 1-10 (2019) |
| ISSN: | 1471-2458 |
| Popis: | Background Diarrhea is a major cause of morbidity and mortality, yet incidence and etiology data are limited. We conducted laboratory-based diarrhea surveillance in Guatemala. Methods A diarrhea case was defined as ≥3 loose stools in a 24-h period in a person presenting to the surveillance facilities. Epidemiologic data and stool specimens were collected. Specimens were tested for bacterial, parasitic, and viral pathogens. Yearly incidence was adjusted for healthcare seeking behaviors determined from a household survey conducted in the surveillance catchment area. Results From November 2008 to December 2012, the surveillance system captured 5331 diarrhea cases; among these 1381 (26%) had specimens tested for all enteric pathogens of interest. The adjusted incidence averaged 659 diarrhea cases per 10,000 persons per year, and was highest among children aged Escherichia coli in 94 (17%) cases, Shigella spp. in 31 (6%), Campylobacter spp. in 5 (1%), and Salmonella spp. in 4 (1%) cases. Detection of Giardia and Cryptosporidium was infrequent (73 cases; 5%). Conclusions There was a substantial burden of viral and bacterial diarrheal diseases in Guatemala, highlighting the importance of strengthening laboratory capacity for rapid detection and control and for evaluation of public health interventions. |
| Databáze: | OpenAIRE |
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