Enteropathogens associated with acute and persistent diarrhea in Bangladeshi children less than 5 years of age.
A longitudinal study of diarrhea was carried out from May 1988 to April 1989 by household surveillance of 705 children less than 5 years old in rural Bangladesh. Stool samples were examined for enteric pathogens at the beginning of each diarrheal episode. For persistent episodes, stool examination was repeated on days 15-17 of the illness. For each case of persistent diarrhea, stool samples from age-matched acute diarrheal and healthy controls were examined. Compared with healthy controls, cases of diarrhea were associated with Shigella species (P = .07) and rotavirus (P less than .05). Diffusely adherent Escherichia coli (P less than .05) and cryptosporidia (P = .07) were the only enteropathogens associated with persistent diarrhea in comparison with acute diarrhea. No more than 15% of children had the same class of pathogen identified from stool on both days 1-3 and days 15-17, indicating that persistent infection was uncommon. However, a different enteropathogen was frequently found on days 15-17, suggesting that sequential infection may be a cause of persistent diarrhea.
Baqui
A H
AH
Community Health Division, International Centre for Diarrheal Disease Research, Bangladesh, Dhaka.
Sack
R B
RB
Black
R E
RE
Haider
K
K
Hossain
A
A
Alim
A R
AR
Yunus
M
M
Chowdhury
H R
HR
Siddique
A K
AK
D001459:Bangladesh; D002675:Child, Preschool; D003967:Diarrhea / Q000453:epidemiology* / Q000382:microbiology; D004754:Enterobacter / Q000302:isolation & purification; D005243:Feces / Q000382:microbiology; D006801:Humans; D008137:Longitudinal Studies; D012423:Rural Health