Epidemiological study of bloody diarrhoea among children in Baghdad, Iraq

Authors

  • Waqar Al-Kubaisy Population Health and Preventive Medicine (PHPM) Department, Faculty of Medicine, University Technologi MARA (UiTM), Sungei Buloh, Malaysia
  • Amer Al Badre
  • Redhwan Ahmed Al-Naggar
  • Nik Shamsidah N.I

DOI:

https://doi.org/10.3823/1603

Keywords:

childhood bloody diarrhea, risk factors, causative pathogens, environmental sanitation, breast feeding

Abstract

Abstract.

Introduction: Diarrhoeais an easily preventable and treatable disease; however it is still a major public health problem particularly in developing world.Bloody diarrhoea in young children is usually a sign of invasive enteric infection that carries risk of serious morbidity and death. In Iraq diarrhoea is the second common cause of mortalities among children.

Objective: To determine the prevalence and associated factors of bloody diarrhoea among children less than 10 years old, in Baghdad.

 Material and methods: Cross-sectional study was conducted included 1500 children with diarrhoea, ageing < 10 years old. Mothers were interviewed to obtain the necessarily information. Clinical examination and stool laboratory tests were performed for all children.

Results: The prevalence of bloody diarrhoea was 28%. Bloody diarrhoea was significantly higher among children aged 7-9 years old, living in rural areas, with illiterate mother, river water is a household source of water, and on exclusive bottle feeding. Sex of child and working mother were not significant. Entamoeba Histolytica was the main causative agents especially among age group1-3years old. Salmonella and Shigella were common among age group 4-6 years old.

Conclusion: The prevalence of bloody diarrhoea was high. Entamoeba Histolytica was the main costive agent. Poor sanitary condition and low socio-economic status may contribute to bloody diarrhoea among children in Iraq.

Keywords: childhood  bloody diarrhea, risk factors, causative pathogens , environmental sanitation, breast feeding

References

Bartram J. New water forum will repeat old message. Bulletin of the World Health Organization 2003; 83 (3):158.

WHO. Meeting of the Immunization Strategic Advisory Group of Experts, April 2009, conclusions and recommendations. Wkly Epidemiol Rec World Health Organization 2009;84:220–236.

Boschi PC, Velebit L, Shibuya K. Estimating child mortality due to diarrhoea in developing countries. Bull World Health Organ 2008; 86 (9):710.

The United Nations Children’s Fund (UNICEF)/World Health Organization Diarrhoea: Why children are still dying and what can be done (WHO) 2009.

Onyango DM, Angienda PO. Epidemiology of Waterborne Diarrhoeal Diseases among Children Aged 6-36 Months Old in Busia-Western Kenya. International Journal of Biological and Life Sciences 2010;6:2-5.

AL-Ghadanphary RM. Diarrhoeal problem and factors affecting it among children less than five years of age in Mosul. M.Sc thesis.1990. Mosul University, Iraq.

Dhia H, Al-Ma'eeni A, Mustafa SA. Infectious bloody diarrhoea in children 2 month – 5years,

Descriptive hospital Based Study; Facul Med Baghdad, 2011;53, (2).

WHO/CDD. Programme for the Control of Diarrhoeal Diseases The Management Of Bloody

Diarrhoea In Young Children. World Health Organization 1994.Geneva, Switzerland.

Musher DM, Musher BL. Contagious acute gastrointestinal infections. N Engl J Med 2004 ;351: 2417-2427.

O'Reilly CE, Jaron P, Ochieng B, Nyaguara A, Tate JE, Parsons MB et al. (2012) Risk Factors for Death among Children Less than 5 Years Old Hospitalized with Diarrhea in Rural Western Kenya, 2005–2007: A Cohort Study. PLoS Med 9(7): e1001256. doi:10.1371/journal.pmed.1001256

Barış K, Kadriye Y, Song Sl, Yalçın EÖ. Comparison of acute bloody and watery diarrhoea: a case control study. Turk J Pediatr 2009; 51: 133-140.

Farthing M, Salam M,Lindberg G. et al. Acute diarrhoea in adults and children: a global perspective. World Gastroenterology Organisation Global Guidelines 2012.

WHO. Reading in diarrhoea student manual. 1992.

Bercu TE, Petri WA, Behm JW. Amebic colitis: New insights into pathogenesis and treatment. Curr. Gastroenterol Rep 2007;9 (5):429-33.

Ozmert EN, Örün E, Sengelen M, Yalçin SS, Yurdakök K, Gür D. Sensitivity and specificity of bloody diarrhoea in shigella gastroenteritis. Turk J Pediatr 2010 ;52(5):488-90.

Lever SD. Acute Diarrhoea

http:/www.clevelandclinicalmeded.com/medicalpubs/diseasemanagement

/gastroenterology/acutediarrhea/[2013/12/24].

Mota MI, Gadea MP, González S, González G, Pardo L, Sirok A, et al. Bacterial pathogens associated with bloody diarrhoea in Uruguayan children. Revista Argentina de Microbiología2010; 42:114-117.

Edward SH, AL-Muck J, AL-Ani WA. Epidemiology of bloody diarrhoea. Iraqi J. Comm. Medicine 2000;13(1):6-10.

Milaat WA , Elassouli SM. Epidemiology of diarrhoea in two major cities in Saudi Arabia. J.

Comm.Dis1995, 84-91.

Huilan S, Zhen LG, Mathan MM, Mathew MM, Olarte J, Espejo R et al. Aetiology of acute diarrhoea among children in developing countries: A multicenter study in five countries. Bull World Health Organ. 1991; 69(5):549-55.

Townes JM, Quick R, Gonzales OY, Linares M, Damiani E, Bopp CA, et al. Aetiology of bloody diarrhoea in Bolivian children:Implication for empiric therapy. J Infect Dis 1997.175:1527-1530.

Henry FJ, The epidemiological importance of dysentery in communities. Rev. infect. Dis1991; 13 suppl. 4: S238-44.

Al-Rubaii ES. Clinico-Epidemiological study of bloody diarrhoea in children below 5years. ICMS dissertation, Community Medicine. 2001. University of Al-Mustansiriyah.

Olatunde A, Stephen L, Tahereh M, Koustuv D. Socio-economic determinants in selecting childhood diarrhoea treatment options in Sub-Saharan Africa: A multilevel model. Ital J

Pediatr 2011; 37: 13.

Victoria N, Thorkild T, James KT, James T, Halvor S. Maternal education is associated with

vaccination status of infants less than 6 months in Eastern Uganda: A cohort study. BMC

Pediatric 2010;10:10.

Satenik P. The association of maternal knowledge and management with prevalence and duration of childhood diarrheal disease in Yerevan. Master of Public Health, College of Health Sciences American University of Armenia Yerevan, Armenia. 2009.

Brooks JT, Shapiro RL, Kumar L, Wells JG, Phillips-Howard PA, Shi YP et al. Epidemiology Of Sporadic Bloody Diarrhoea In Rural Western Kenya. Am J Trop Med Hyg 2003, 68; 6: 671-677.

Akitoye OC, Raphael DI, Bolaji NT, Kehinde OA, Larry CO. Human Campylobacteriosis in

Developing Countries Emerging Infectious Diseases, Emerging Infectious Diseases 2002, 8(3) 237–243.

Omran H, Yasin Y. An epidemiological study on bloody diarrhoea among children aged under five years in Qurna City, Iraq. J Comm. Med 2001, 14;1: 1-4.

Nakawesi J S, Eric W, Grace N, Edison A Mworozi, James K Tumwine. Prevalence and factors associated with rotavirus infection among children admitted with acute diarrhoea in Uganda.

BMC Pediatrics 2010, 10:69.

Cruz JR, Gil L, Cano F, Caceres P, Pareja G. Breast milk anti-E. Coli heat labile toxin IgA antibodies protected against toxin induced infantile diarrhoea. Acta Pediatr Scand 1988, 77(5) 658-62.

Lori RH. Neill MA, Philip IT. Acute Bloody Diarrhoea: A Medical Emergency for Patients of All Ages. Gastroenterology 2009;136:1887–1898.

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Published

2015-01-27

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Section

Epidemiology