Risk factors associated with presisten diarrhea in children under 5 years, in hospital niño Jesús. Barranquilla, January of 2012-April of 2013
Keywords:
Risk factors, Diarrhea, Nutritional statusAbstract
Objective: Determine the risk factors associated with persistent diarrhea in children under 5 years in Hospital Niño Jesus of Barranquilla (Colombia), 2012-2013. Materials and Methods: Case-control study conducted in 50 patients under 5 years old diagnosed with persistent diarrhea admitted in the pediatric inpatient ward of Hospital Niño Jesus, during January 2012-April 2013. Controls were patients from the pediatric outpatient clinic with a diagnosis of acute diarrhea. The processing of data was based on the Epi-Info 3.5.1 program. Results: About low socioeconomic status was found: OR = 2.77, CI = 1.04 - 7.33, p = 0.03; low education had OR = 4.95, CI = 1.50 - 16.1, p = 0.005; data obtained for anemia were: OR = 3.28, CI = 1.12 - 9.61 and = 0.02, low weight: OR = 6.09, CI = 1.62 - 22.8, p = 0.003; exclusive breastfeeding showed ≤ 3 months: OR = 7.21, CI = 2.72 - 19.8, Value of p <0.00001 and in 4-5 months: OR = 1.30, CI = 10.7 - 88.4, p = 0.007; recent acute diarrhea resulted in: OR = 8.24, CI = 30.4 - 112.2, p <0.00001. Conclusion: Risk factors for persistent diarrhea in this study were low socioeconomic status families, low edu- cational level (high school or less), anemia, low weight, non-exclusive breastfeeding up to three months and the episode recent acute diarrhea.
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2.Lanata CF, Black RE, Gilman RH, Lazo F, Del Aguila R. Epidemiologic, clinical and labo- ratory characteristics of acute or persistent diarrhoea in peri-urban Lima, Peru. J Pediatr Gastroenterol Nutr. 1991; 4:13-21.
3.Black RE, Morris SS, Bryce J. Where and why are 10 million children dying every year? Lancet. 2003; 28:361.
4.Snyder JD, Merson MH. The magnitude of the global problem of acute diarrheal disea- se: a review of active surveillance data. Bull World Heath Organ. 1982; 60(4):605-13.
5.Yusufzai M, Bhutta ZA. Global burden of chil- dhood diarrhea; in Bhutta ZA (ed). Contem- porary Issues in Childhood Diarrhea and Mal- nutrition. Karachi: Oxford University Press; 2000.
6.Bern C, Martines J, de Zoysa I. The magnitude of the global problem of diarrhoeal disease. A ten-year update. Bull World Health Organ. 1992; 70:705-14.
7.Kosek M, Bern C, Guerrant RL. The global bur- den of diarrheal disease as estimated from studies published between 1990 and 2000. Bull World Health Organ. 2003; 81(3):197- 204.
8.Anonymous: Persistent diarrhoea in children in developing countries: memorandum from a WHO Meeting. Bull World Health Organ; 1988.
9.Anonymous: Evaluation of an algorithm for the treatment of persistent diarrhoea: a mul- ticentre study. International Working Group on Persistent Diarrhoea. Bull World Health Organ; 1996.
10.Schorling JB, Wanke CA, Schorling SK, McAu- liffe JF, De Souza MA. A prospective study of persistent diarrhea among children in an urban Brazilian slum: patterns of occurrence and etiologic agents. Am J Epidemiol. 1990; 132:144-56.
11.Fauveau V, Henry FJ, Briend A, et al. Persis- tent diarrhea as a cause of childhood morta- lity in rural Bangladesh. Acta Paediatr Suppl 1992; 381:12-14.
12.Victora CG. Internacional differences in clini- cal patterns of diarrhoeal deaths: a compari- son of children from Brazil, Senegal, Bangla- desh and India. J Diarrhoeal Dis Res. 1993; 11(1):25-9.
13.Bhan MK, Bhandari N, Sazawal S, Clemens J, Raj P, Levine M. M. Descriptive epidemio- logy of persistent diarrhoea among young children in rural northern India. Bull World Health Organ. 1989; 67:281-8.
14.Black RE. Persistent diarrhea in children of developing countries. Pediatr Infect Dis J. 1993; 12:751-61.
15.Lima A, Guerrart R. Persistent diarrhoea in children: epidemiology, risk factors, patho- physiology, nutritional impact and manage- ment. Epidemiol Rev. 1992; 14:222-42.
16.Moy RJ, Booth IW, Choto RG, McNeish AS. Recurrent and persistent diarrhoea in a rural Zimbabwean community: a prospective stu- dy. J Trop Pediatr 1991; 37:293-9.
17.WHO. Persistent diarrhoea in children in de- veloping countries. Report of a WHO mee- ting diarrhoeal diseases control program. Genova: WHO; 1988.
18.Badruddin SH. Dietary risk factors associa- ted with acute and persistent diarrhoea in children in Karachi, Pakistan. Am J Clin Nutr. 1991; 54(4):745-9.
19.Díaz FL, Mendoza SM, Izquierdo EA, León GE. Diarrea persistente: algunos factores de ries- go. Rev Cubana Pediatr. 1999; 71(1):23-7.
20.Sagaró E, Diarrea persistente. Colomb Med 2007; 38(Supl 1):66-70.
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