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Etiology of diarrhea in children younger than 5 years attending the Bengo General Hospital in Angola

2016-02Journal article Restricted access
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dc.contributor.authorGasparinho, Carolina
dc.contributor.authorMirante, Clara
dc.contributor.authorCenteno-Lima, Sónia
dc.contributor.authorIstrate, Claudia
dc.contributor.authorMayer, Carlos
dc.contributor.authorTavira, Luis
dc.contributor.authorNery, Susana Vaz
dc.contributor.authorBrito, Miguel
dc.date.accessioned2016-12-21T17:08:08Z
dc.date.available2016-12-21T17:08:08Z
dc.date.issued2016-02
dc.description.abstractBackground - Diarrheal disease is among the leading causes of death in children younger than 5 years, especially in developing countries. The aim of this study was to investigate the most frequent etiological agents of diarrhea and its associated factors in children younger than 5 years attending the Bengo General Hospital in Angola. Methods - From September 2012 through December 2013, stool samples were collected from 344 children presenting with diarrhea to investigate the presence of viral, bacterial and parasitic agents. Relevant sociodemographic and clinical data were obtained from parents and caregivers. Results - An enteric pathogen was detected in 66.6% of stool samples: Cryptosporidium spp. (30.0%), rotavirus (25.1%), Giardia lamblia (21.6%), diarrheagenic Escherichia coli (6.3%), Ascaris lumbricoides (4.1%), adenovirus (3.8%), Strongyloides stercoralis (3.5%), astrovirus (2.6%), Hymenolepis nana (1.7%), Entamoeba histolytica/dispar (0.9%), Taenia spp. (0.6%), Trichuris trichiura (0.3%) and Entamoeba histolytica (0.3%). Children younger than 12 months were more frequently infected with Cryptosporidium spp. compared with older children (age: 12-59 months), independently of sex, season, lethargy and wasting [odds ratio (OR): 3.5, 95% confidence interval (95% CI): 2.0-6.2]. Age (OR: 5.0, 95% CI: 2.6-9.3), vomiting (OR: 2.7, 95% CI: 1.5-4.8) and type of admission (inpatients, OR: 0.5, 95% CI: 0.3-0.9) were significantly associated with rotavirus infection. Conclusions - This study demonstrates high rates of infection with an enteric pathogen, particularly in children younger than 12 months, emphasizing the need to address diarrheal disease in this age group.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationGasparinho C, Mirante MC, Centeno-Lima S, Istrate C, Mayer AC, Brito M, et al. Etiology of diarrhea in children younger than 5 years attending the Bengo General Hospital in Angola. Pediatr Infect Dis J. 2016;35(2):e28-34.pt_PT
dc.identifier.doi10.1097/INF.0000000000000957pt_PT
dc.identifier.urihttp://hdl.handle.net/10400.21/6649
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherWolters Kluwerpt_PT
dc.relation.publisherversionhttp://journals.lww.com/pidj/Abstract/2016/02000/Etiology_of_Diarrhea_in_Children_Younger_Than_5.11.aspxpt_PT
dc.rights.urihttp://creativecommons.org/licenses/by-nc/4.0/pt_PT
dc.subjectAngolapt_PT
dc.subjectAnimalspt_PT
dc.subjectBacteriapt_PT
dc.subjectChild, Preschoolpt_PT
dc.subjectCross-sectional studypt_PT
dc.subjectDiarrheapt_PT
dc.subjectFecespt_PT
dc.subjectFemalept_PT
dc.subjectHospitals, Generalpt_PT
dc.subjectHumanspt_PT
dc.subjectInfantpt_PT
dc.subjectInfant, Newbornpt_PT
dc.subjectMalept_PT
dc.subjectParasitespt_PT
dc.subjectPrevalencept_PT
dc.subjectVirusespt_PT
dc.titleEtiology of diarrhea in children younger than 5 years attending the Bengo General Hospital in Angolapt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.endPagee34pt_PT
oaire.citation.issue2pt_PT
oaire.citation.startPagee28pt_PT
oaire.citation.titlePediatric Infectious Disease Journalpt_PT
oaire.citation.volume35pt_PT
person.familyNameBrito
person.givenNameMiguel
person.identifier.ciencia-id231F-F341-7E93
person.identifier.orcid0000-0001-6394-658X
person.identifier.ridA-7970-2016
person.identifier.scopus-author-id35224551000
rcaap.rightsrestrictedAccesspt_PT
rcaap.typearticlept_PT
relation.isAuthorOfPublication4252d8e0-800c-4d67-8b13-0b711d860669
relation.isAuthorOfPublication.latestForDiscovery4252d8e0-800c-4d67-8b13-0b711d860669

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