Modifiable diarrhoea risk factors in Egyptian children aged <5 years
By conducting a case-control study in two university hospitals, we explored the association between modifiable risk behaviours and diarrhoea. Children aged
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| Veröffentlicht in: | Epidemiology and infection 2013-12, Vol.141 (12), p.2547-2559 |
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| creator | MANSOUR, A. M. MOHAMMADY, H. EL SHABRAWI, M. EL SHABAAN, S. Y. ZEKRI, M. ABOU NASSAR, M. SALEM, M. E. MOSTAFA, M. RIDDLE, M. S. KLENA, J. D. MESSIH, I. A. ABDEL LEVIN, S. YOUNG, S. Y. N. |
| description | By conducting a case-control study in two university hospitals, we explored the association between modifiable risk behaviours and diarrhoea. Children aged |
| doi_str_mv | 10.1017/S0950268813000319 |
| format | Article |
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M. ; MOHAMMADY, H. EL ; SHABRAWI, M. EL ; SHABAAN, S. Y. ; ZEKRI, M. ABOU ; NASSAR, M. ; SALEM, M. E. ; MOSTAFA, M. ; RIDDLE, M. S. ; KLENA, J. D. ; MESSIH, I. A. ABDEL ; LEVIN, S. ; YOUNG, S. Y. N.</creator><creatorcontrib>MANSOUR, A. M. ; MOHAMMADY, H. EL ; SHABRAWI, M. EL ; SHABAAN, S. Y. ; ZEKRI, M. ABOU ; NASSAR, M. ; SALEM, M. E. ; MOSTAFA, M. ; RIDDLE, M. S. ; KLENA, J. D. ; MESSIH, I. A. ABDEL ; LEVIN, S. ; YOUNG, S. Y. N.</creatorcontrib><description>By conducting a case-control study in two university hospitals, we explored the association between modifiable risk behaviours and diarrhoea. Children aged <5 years attending outpatient clinics for diarrhoea were matched by age and sex with controls. Data were collected on family demographics, socioeconomic indicators, and risk behaviour practices. Two rectal swabs and a stool specimen were collected from cases and controls. Samples were cultured for bacterial pathogens using standard techniques and tested by ELISA to detect rotavirus and Cryptosporidium spp. Four hundred cases and controls were enrolled between 2007 and 2009. The strongest independent risk factors for diarrhoea were: presence of another household member with diarrhoea [matched odds ratio (mOR) 4·9, 95% CI 2·8–8·4] in the week preceding the survey, introduction to a new kind of food (mOR 3, 95% CI 1·7–5·4), and the child being cared for outside home (mOR 2·6, 95% CI 1·3–5·2). While these risk factors are not identifiable, in some age groups more easily modifiable risk factors were identified including: having no soap for handwashing (mOR 6·3, 95% CI 1·2–33·9) for children aged 7–12 months, and pacifier use (mOR 1·9, 95% CI 1·0–3·5) in children aged 0–6 months. In total, the findings of this study suggest that community-based interventions to improve practices related to sanitation and hygiene, handwashing and food could be utilized to reduce the burden of diarrhoea in Egyptian children aged <5 years.</description><identifier>ISSN: 0950-2688</identifier><identifier>EISSN: 1469-4409</identifier><identifier>DOI: 10.1017/S0950268813000319</identifier><identifier>PMID: 23433452</identifier><identifier>CODEN: EPINEU</identifier><language>eng</language><publisher>Cambridge, UK: Cambridge University Press</publisher><subject>Bacteria - isolation & purification ; Biological and medical sciences ; Caregivers ; Case-Control Studies ; Child, Preschool ; Children & youth ; Clinics ; Cryptosporidium ; Cryptosporidium - isolation & purification ; Developing countries ; Diarrhea ; Diarrhea - epidemiology ; Egypt - epidemiology ; Families & family life ; Feces - microbiology ; Feces - parasitology ; Feces - virology ; Female ; Fundamental and applied biological sciences. Psychology ; Gastroenteritis ; Hospitals, University ; Households ; Humans ; Hygiene ; Infant ; Infant, Newborn ; Infection Control - methods ; LDCs ; Male ; Microbiology ; Original Papers ; Outpatient care facilities ; Pathogens ; Questionnaires ; Rectum - microbiology ; Rectum - parasitology ; Rectum - virology ; Reoviridae ; Risk Factors ; Risk-Taking ; Rotavirus - isolation & purification ; Socioeconomic factors ; Standard of living ; Variables</subject><ispartof>Epidemiology and infection, 2013-12, Vol.141 (12), p.2547-2559</ispartof><rights>Copyright © Cambridge University Press 2013</rights><rights>Cambridge University Press 2013</rights><rights>2014 INIST-CNRS</rights><rights>Copyright © Cambridge University Press 2013 This is a work of the U.S. Government and is not subject to copyright protection in the United States.</rights><rights>Cambridge University Press 2013 2013 Cambridge University Press</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c556t-f59778c4077711e20f415ba5a96da1a331a47b4e781992b2213369b236c15973</citedby><cites>FETCH-LOGICAL-c556t-f59778c4077711e20f415ba5a96da1a331a47b4e781992b2213369b236c15973</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.jstor.org/stable/pdf/24475983$$EPDF$$P50$$Gjstor$$H</linktopdf><linktohtml>$$Uhttps://www.jstor.org/stable/24475983$$EHTML$$P50$$Gjstor$$H</linktohtml><link.rule.ids>230,314,723,776,780,799,881,27903,27904,53770,53772,57996,58229</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=27909875$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23433452$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>MANSOUR, A. M.</creatorcontrib><creatorcontrib>MOHAMMADY, H. EL</creatorcontrib><creatorcontrib>SHABRAWI, M. EL</creatorcontrib><creatorcontrib>SHABAAN, S. Y.</creatorcontrib><creatorcontrib>ZEKRI, M. ABOU</creatorcontrib><creatorcontrib>NASSAR, M.</creatorcontrib><creatorcontrib>SALEM, M. E.</creatorcontrib><creatorcontrib>MOSTAFA, M.</creatorcontrib><creatorcontrib>RIDDLE, M. S.</creatorcontrib><creatorcontrib>KLENA, J. D.</creatorcontrib><creatorcontrib>MESSIH, I. A. ABDEL</creatorcontrib><creatorcontrib>LEVIN, S.</creatorcontrib><creatorcontrib>YOUNG, S. Y. N.</creatorcontrib><title>Modifiable diarrhoea risk factors in Egyptian children aged <5 years</title><title>Epidemiology and infection</title><addtitle>Epidemiol. Infect</addtitle><description>By conducting a case-control study in two university hospitals, we explored the association between modifiable risk behaviours and diarrhoea. Children aged <5 years attending outpatient clinics for diarrhoea were matched by age and sex with controls. Data were collected on family demographics, socioeconomic indicators, and risk behaviour practices. Two rectal swabs and a stool specimen were collected from cases and controls. Samples were cultured for bacterial pathogens using standard techniques and tested by ELISA to detect rotavirus and Cryptosporidium spp. Four hundred cases and controls were enrolled between 2007 and 2009. The strongest independent risk factors for diarrhoea were: presence of another household member with diarrhoea [matched odds ratio (mOR) 4·9, 95% CI 2·8–8·4] in the week preceding the survey, introduction to a new kind of food (mOR 3, 95% CI 1·7–5·4), and the child being cared for outside home (mOR 2·6, 95% CI 1·3–5·2). While these risk factors are not identifiable, in some age groups more easily modifiable risk factors were identified including: having no soap for handwashing (mOR 6·3, 95% CI 1·2–33·9) for children aged 7–12 months, and pacifier use (mOR 1·9, 95% CI 1·0–3·5) in children aged 0–6 months. In total, the findings of this study suggest that community-based interventions to improve practices related to sanitation and hygiene, handwashing and food could be utilized to reduce the burden of diarrhoea in Egyptian children aged <5 years.</description><subject>Bacteria - isolation & purification</subject><subject>Biological and medical sciences</subject><subject>Caregivers</subject><subject>Case-Control Studies</subject><subject>Child, Preschool</subject><subject>Children & youth</subject><subject>Clinics</subject><subject>Cryptosporidium</subject><subject>Cryptosporidium - isolation & purification</subject><subject>Developing countries</subject><subject>Diarrhea</subject><subject>Diarrhea - epidemiology</subject><subject>Egypt - epidemiology</subject><subject>Families & family life</subject><subject>Feces - microbiology</subject><subject>Feces - parasitology</subject><subject>Feces - virology</subject><subject>Female</subject><subject>Fundamental and applied biological sciences. Psychology</subject><subject>Gastroenteritis</subject><subject>Hospitals, University</subject><subject>Households</subject><subject>Humans</subject><subject>Hygiene</subject><subject>Infant</subject><subject>Infant, Newborn</subject><subject>Infection Control - methods</subject><subject>LDCs</subject><subject>Male</subject><subject>Microbiology</subject><subject>Original Papers</subject><subject>Outpatient care facilities</subject><subject>Pathogens</subject><subject>Questionnaires</subject><subject>Rectum - microbiology</subject><subject>Rectum - parasitology</subject><subject>Rectum - virology</subject><subject>Reoviridae</subject><subject>Risk Factors</subject><subject>Risk-Taking</subject><subject>Rotavirus - isolation & purification</subject><subject>Socioeconomic factors</subject><subject>Standard of living</subject><subject>Variables</subject><issn>0950-2688</issn><issn>1469-4409</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNqFkV9rFDEUxYModq1-AB-UgVLwZWpu_gekILVqoeKDfQ93MpndrLMzazIr7Ldvll3bqohPeTi_czg3h5CXQM-Agn77jVpJmTIGOKWUg31EZiCUrYWg9jGZ7eR6px-RZzkvC2OZ0U_JEeOCcyHZjHz4Mraxi9j0oWojprQYA1Yp5u9Vh34aU67iUF3Ot-sp4lD5RezbFIYK56Gt3slqGzDl5-RJh30OLw7vMbn5eHlz8bm-_vrp6uL9de2lVFPdSau18YJqrQECo50A2aBEq1oE5BxQ6EYEbcBa1jAGnCvbMK48FCs_Juf72PWmWYXWh2FK2Lt1iitMWzdidL8rQ1y4-fjTWZDAtSoBbw4BafyxCXlyq5h96HscwrjJDoxmRlAJ4v-oEBqoEgoKevIHuhw3aSgf4UAboQxXahcIe8qnMecUurveQN1uTffXmsXz-uHBd45f8xXg9ABg9th3CQcf8z2nLbVGy8K92nPLXCa918sR0hpedH4oh6smxXYeHtzwz3q3S7C9GA</recordid><startdate>20131201</startdate><enddate>20131201</enddate><creator>MANSOUR, A. 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M. ; MOHAMMADY, H. EL ; SHABRAWI, M. EL ; SHABAAN, S. Y. ; ZEKRI, M. ABOU ; NASSAR, M. ; SALEM, M. E. ; MOSTAFA, M. ; RIDDLE, M. S. ; KLENA, J. D. ; MESSIH, I. A. ABDEL ; LEVIN, S. ; YOUNG, S. Y. 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M.</au><au>MOHAMMADY, H. EL</au><au>SHABRAWI, M. EL</au><au>SHABAAN, S. Y.</au><au>ZEKRI, M. ABOU</au><au>NASSAR, M.</au><au>SALEM, M. E.</au><au>MOSTAFA, M.</au><au>RIDDLE, M. S.</au><au>KLENA, J. D.</au><au>MESSIH, I. A. ABDEL</au><au>LEVIN, S.</au><au>YOUNG, S. Y. N.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Modifiable diarrhoea risk factors in Egyptian children aged <5 years</atitle><jtitle>Epidemiology and infection</jtitle><addtitle>Epidemiol. Infect</addtitle><date>2013-12-01</date><risdate>2013</risdate><volume>141</volume><issue>12</issue><spage>2547</spage><epage>2559</epage><pages>2547-2559</pages><issn>0950-2688</issn><eissn>1469-4409</eissn><coden>EPINEU</coden><abstract>By conducting a case-control study in two university hospitals, we explored the association between modifiable risk behaviours and diarrhoea. Children aged <5 years attending outpatient clinics for diarrhoea were matched by age and sex with controls. Data were collected on family demographics, socioeconomic indicators, and risk behaviour practices. Two rectal swabs and a stool specimen were collected from cases and controls. Samples were cultured for bacterial pathogens using standard techniques and tested by ELISA to detect rotavirus and Cryptosporidium spp. Four hundred cases and controls were enrolled between 2007 and 2009. The strongest independent risk factors for diarrhoea were: presence of another household member with diarrhoea [matched odds ratio (mOR) 4·9, 95% CI 2·8–8·4] in the week preceding the survey, introduction to a new kind of food (mOR 3, 95% CI 1·7–5·4), and the child being cared for outside home (mOR 2·6, 95% CI 1·3–5·2). While these risk factors are not identifiable, in some age groups more easily modifiable risk factors were identified including: having no soap for handwashing (mOR 6·3, 95% CI 1·2–33·9) for children aged 7–12 months, and pacifier use (mOR 1·9, 95% CI 1·0–3·5) in children aged 0–6 months. In total, the findings of this study suggest that community-based interventions to improve practices related to sanitation and hygiene, handwashing and food could be utilized to reduce the burden of diarrhoea in Egyptian children aged <5 years.</abstract><cop>Cambridge, UK</cop><pub>Cambridge University Press</pub><pmid>23433452</pmid><doi>10.1017/S0950268813000319</doi><tpages>13</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | Epidemiology and infection, 2013-12, Vol.141 (12), p.2547-2559 |
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| subjects | Bacteria - isolation & purification Biological and medical sciences Caregivers Case-Control Studies Child, Preschool Children & youth Clinics Cryptosporidium Cryptosporidium - isolation & purification Developing countries Diarrhea Diarrhea - epidemiology Egypt - epidemiology Families & family life Feces - microbiology Feces - parasitology Feces - virology Female Fundamental and applied biological sciences. Psychology Gastroenteritis Hospitals, University Households Humans Hygiene Infant Infant, Newborn Infection Control - methods LDCs Male Microbiology Original Papers Outpatient care facilities Pathogens Questionnaires Rectum - microbiology Rectum - parasitology Rectum - virology Reoviridae Risk Factors Risk-Taking Rotavirus - isolation & purification Socioeconomic factors Standard of living Variables |
| title | Modifiable diarrhoea risk factors in Egyptian children aged <5 years |
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