Abstract
Gastroenteritis is a disorder of gastrointestinal tract with symptoms of mainly diarrhea, vomiting and abdominal cramps, which is major cause of child morbidity and mortality, caused by mostly viruses, and bacteria, protozoa, etc. E. coli O157, Salmonella spp. and Shigella spp. play a significant role along with different sociodemographic and epidemiologic risk factors to cause bacterial gastroenteritis (BGE) in children. This study aimed to assess the burden of gasteroenteritis caused by the mentioned three bacteria, and contribution of several risk factors causing the disease in children. Stool specimens from hospitalized children were obtained along with sociodemographic and epidemiologic data. Bacterial pathogens from stools were recovered by using selective media, biochemical and serological tests. We found 15% (17/116) of the clinically suspected gastroenteritis children were infected with Salmonella spp. (29%), Shigella spp. (59%) and E. coli O157 (12%). A chi-square test of all (116) data revealed that sex (p<0.05), dehydration (p=0.05), contact with the diarrheal patient (p<0.05), past episode of diarrheal illness (p<0.05) and vomiting (p<0.02), feeding practices like only breastfeeding (p<0.05), breastfeeding with subsequent feeding (p<0.05), subsequent feeding (p<0.05), weaning status (p<0.001), family diet (p<0.05), types of drinking water (p<0.002), Father’s education (p<0.05), occupation (p=0.05), and family income (p<0.001) were significantly associated with BGE. Determination of these potential risk factors will help to minimize the possibility of getting BGE and to reduce morbidity and mortality and also will aid to effective disease management and prevention of BGE outbreak in future. Asian J. Med. Biol. Res. 2021, 7 (2), 222-229
Highlights
Gastroenteritis is inflammation (“-itis”) of the gastrointestinal tract that involves both the stomach (“gastro”-) and the small intestine (“entero”-)
We obtained 116 watery stool specimens from children under 5 years of age, clinically suspected as gastroenteritis admitted in the hospital, and found 15% (17/116) of the clinically suspected gastroenteritis children were infected with either one of the three targeted bacteria, Salmonella sp. (29%), Shigella spp. (59%) and E. coli O157 (12%)
15% of clinical gastroenteritis cases were caused by the three major bacterial agents which found concordant with the finding of Web and Starr, they showed bacteria are the cause in about 15% of gastroenteritis, with the most common types being E. coli, Salmonella, Shigella, and Campylobacter species (Webb and Starr, 2005)
Summary
Gastroenteritis is inflammation (“-itis”) of the gastrointestinal tract that involves both the stomach (“gastro”-) and the small intestine (“entero”-). Some common symptoms of gastroenteritis are diarrhea, vomiting, and abdominal pain and cramping (Singh and Fleurat, 2010). Gastroenteritis caused 477293 (8%) deaths of children under 5 years in 2016, according to the World Health Organization (WHO). In Bangladesh, the mortality of under 5 years of age children as a result of acute gastroenteritis reduced drastically from 38877 in 2000 to 7062 in 2016 (WHO, 2016). A wide range of bacteria, viruses, and protozoa causes acute gastroenteritis. Most bacterial gastroenteritis are caused by Vibrio spp., enterotoxigenic E. coli, Salmonella spp. and Shigella spp. but species of Aeromonas, Yersinia, Staphylococcus, Clostridium, Bacillus, Listeria, etc. Being the most common cause of bacterial gastroenteritis, shigellosis is endemic throughout the world. Shigella is responsible for 165 million cases annually of which 163 million cases are in developing countries and 1.5
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Free) 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a call
