Vol 72: Prevalence and determinants of Campylobacter infection among under five children with acute watery diarrhea in Mwanza, North Tanzania.Reportar como inadecuado



 Vol 72: Prevalence and determinants of Campylobacter infection among under five children with acute watery diarrhea in Mwanza, North Tanzania.


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This article is from Archives of Public Health, volume 72.AbstractBackground: Campylobacteriosis, a zoonotic bacterial disease observed world-wide, is becoming the most commonly recognized cause of bacterial gastroenteritis in humans. This study was done to determine the prevalence and determinants of Campylobacter infection among under-fives with acute watery diarrhea in Mwanza City, Tanzania. Method: This cross-sectional hospital-based study was conducted at Bugando Medical Centre BMC and Sekou Toure Hospital in Mwanza City. All inpatients and outpatients under-fives who met the inclusion criteria from October 2012 to April 2013 were enrolled in the study. Demographic and clinical data were obtained using standardized data collection tools. Stool samples were collected for gram staining and culture for Campylobacter spp. on Preston selective agar media. In addition, blood slides for malaria and HIV tests were done to all patients. Results: A total of 300 children were enrolled with a median age of 12 interquartile range, 8–19 months. Of these, 169 56.5% were from BMC and 131 43.7% from Sekou-Toure hospital. One hundred and seventy 56.7% of the participating children were male. Of 300 under-fives with acute watery diarrhea, 29 patients 9.7% were found to have Campylobacter infection. A significant higher number of children with Campylobacter infection were found in Sekou Toure hospital compared to BMC 16.0% 21-29 versus 4.7% 8-29, p = 0.002. Age above 2 years was independently found to predict campylobacter infection OR: 2.9, 95% CI 1.1-7.7, p = 0.0037. Of 30 patients with a positive blood slide for Plasmodium falciparum, 20.0% were also positive for Campylobacter infection OR: 3.9, 95% CI 1.2-10.1, p = 0.021. Conclusion: Campylobacter infection shows a comparatively low prevalence in under-fives with acute watery diarrhea in Mwanza city and is independently associated with positive slides for malaria and an age above 2 years. Further studies are needed to type the most prevalent Campylobacter species and to determine their antibiotic susceptibility pattern.



Autor: Deogratias, Anna-Pendo; Mushi, Martha F; Paterno, Laurent; Tappe, Dennis; Seni, Jeremiah; Kabymera, Rogatus; Kidenya, Benson R; Mshana, Stephen E

Fuente: https://archive.org/







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