Stools Of Children Research Articles

Carriage of ESBL-producing Klebsiella pneumoniae and Escherichia coli among children in rural Ghana: a cross-sectional study

BackgroundExtended-spectrum beta-lactamase (ESBL)-producing Klebsiella pneumoniae (ESBL-KP) and Escherichia coli (ESBL-EC) present a high burden in both communities and healthcare sectors, leading to difficult-to-treat infections. Data on intestinal carriage of ESBL-KP and ESBL-EC in children is scarce, especially in sub-Saharan African countries. We provide data on faecal carriage, phenotypic resistance patterns, and gene variation of ESBL-EC and ESBL-KP among children in the Agogo region of Ghana.MethodsFrom July to December 2019, fresh stool samples were collected within 24 h from children < 5 years with and without diarrhoea attending the study hospital. The samples were screened for ESBL-EC and ESBL-KP on ESBL agar and confirmed using double-disk synergy testing. Bacterial identification and an antibiotic susceptibility profile were performed using the Vitek 2 compact system (bioMérieux, Inc.). ESBL genes, blaSHV, blaCTX-M, and blaTEM were identified by PCR and further sequencing.ResultsOf the 435 children recruited, stool carriage of ESBL-EC and ESBL-KP was 40.9% (n/N = 178/435) with no significant difference in prevalence between children with diarrhoea and non-diarrhoea. No association between ESBL carriage and the age of the children was found. All isolates were resistant to ampicillin and susceptible to meropenem and imipenem. Both ESBL-EC and ESBL-KP isolates showed over 70% resistance to tetracycline and sulfamethoxazole-trimethoprim. Multidrug resistance was observed in over 70% in both ESBL-EC and ESBL-KP isolates. The blaCTX-M-15 was the most prevalent ESBL gene detected. blaCTX-M-27, blaCTX-M-14, and blaCTX-M-14b were found in non-diarrhoea stools of children, whereas blaCTX-M-28 was found in both the diarrhoea and non-diarrhoea patient groups.ConclusionsThe carriage of ESBL-EC and ESBL-KP among children with and without diarrhoea in the Agogo community with a high prevalence of blaCTX-M-15 is noteworthy, highlighting the importance of both the population as a possible reservoir. This study reports for the first time the ESBL gene blaCTX-M-28 among the studied populations in Ghana.

Pulmonary Tuberculosis in Children: A Forgotten Disease?

Even today, tuberculosis in childhood is a disease that is often undiagnosed and undertreated. In the absence of therapy with antituberculosis drugs, children in the first years of life have a high degree of severe forms and mortality. In these children, symptoms are often not very specific and can easily be confused with other diseases of bacterial, viral or fungal etiology, making diagnosis more difficult. Nevertheless, the introduction of new diagnostic techniques has allowed a more rapid identification of the infection. Indeed, Interferon gamma release assay (IGRA) is preferred to the Mantoux, albeit with obvious limitations in children aged <2 years. While the Xpert Mtb/RIF Ultra test is recommended as an initial diagnostic investigation of the gastric aspirate and/or stools in children with signs and symptoms of pulmonary tuberculosis. The drugs used in the treatment of susceptible and resistant TB are the same as those used in adults but doses and combinations are different in the pediatric age. In children, brief therapy is preferable in both the latent infection and the active disease, as a significant reduction in side effects is obtained.

Molecular Detection of &amp;lt;i&amp;gt;E. coli&amp;lt;/i&amp;gt; O157:H&amp;lt;sub&amp;gt;7&amp;lt;/sub&amp;gt; Isolated from Infants Diarrheal Stools and Its Sensitivity to &amp;lt;i&amp;gt;Mangifera indica&amp;lt;/i&amp;gt; (Mango) and &amp;lt;i&amp;gt;Bosweilia dalzeilii&amp;lt;/i&amp;gt; (Hano) Extracts

<i>M. indica and</i> <i>B. dalzeilii </i>are common medicinal plants grown naturally in most parts of tropical and subtropical regions of Northern Nigeria. They are used traditionally in the treatment of diarrhea in children especially at teething age. This study was conducted to detect, isolate and identify E. coli O157:H₇ from diarrheal stools of children and evaluate antibacterial activities of M<i>. indica</i> and <i>B. dalzielii </i>extracts against the test bacteria. Total number of one hundred (100) samples were collected from Children Clinic of General Hospital Gusau, Zamfara State Nigeria using standard microbiological procedure. <i>E. coli</i> O157:H₇ is an important pathogens of human, implicated as one of the important causative agents of diarrhea in children especially at teething ages. The test organism was detected, isolated and identified using Cultural Growth Characteristics, Gram reactions, Serology, Biochemical tests and Molecular screenings. The sample plants extracts were obtained using Soxhlex Apparatus with Methanol as solvent. Phytochemical screening of the plants extracts revealed the presence of Alkaloids, Flavoids, Tannins and Saponnins. Antibacterial activities of the aqueous methanolic extracts of the test plants against <i>E. coli</i> O157:H₇ was evaluated using Sensitivity Tests, Minimum Inhibitory Concentration (MIC) and Minimum Bactericidal concentration (MBC). The most active phytochemical compounds was obtained by fractionation using Chromatography. Chemical structure of the most active phytochemical was elucidated using Nuclear Magnetic Resonance Spectroscopy. Confirmation of antibacterial activities of the test plants, lend credence to the traditional used of those plants in the treatment of diarrhea in children especially at teething ages. It is therefore recommended that, <i>M. indica </i>and <i>B. dalzeilii</i> can be further purified to yield templates for synthesis of Orthodox drugs for the treatment of diarrhea in children.

Eschershia coli integrons and cfr, procfr genes identified from samples of autistic children's stools

Escherichia coli is a Gram-negative Bacilli belonging to the Enterobacteriaceae family. It has a rod-shaped coliform . A number of neuropsychiatric conditions, likeanxiety, schizophrenia, autism, bipolar disorder, and depressive disorder, Have been reported to be associated with the microbiome. Autism spectrum disorder (ASD), is a neurodevelopmental disturbance. A sample of fifteen E.coli bacteria were isolated E. coliisolates From ASD children's stools.ASD children. The isolates were identified by phenotypic identification using API 20 E. The molecular analysis was processed for Integron I,II,I, cfr, procfr genes.These resultsshowed Integron II less prevalence Than in IntegronIand III. I,III while pro-cfr, more prevalence than cfrgene.Multidrug-resistant in E. coli has widespread.

Detection of Blastocystis Hominis by Method of Cultivation in The Feces of Orphanage Children in Pekanbaru, Riau Province, Indonesia

Background: Blastocystis hominis is an intestinal protozoan that can infect humans and animals. The distribution coverage is very wide and is transmitted through the fecal-oral route. The incidence of blastocystosis due to Blastocystis hominis is higher in developing countries because it is associated with poor hygiene practice, inadequate sanitation, close contact with pets domesticated animals and or contaminated food. Blastocystis hominis infection can cause clinical manifestations, from asymptomatic to chronic diarrhea, depending on the Blastocystis subtype and the patient's immune system. brief background of the topic and significance of the study.Objective: The aim of this study was to detect and determine the incidence of Blastocystis hominis infection in the feces of children at the Pekanbaru Orphanage using the culture method.Methods: The sample is the feces of children from nine orphanages in Pekanbaru. Detection of Blastocystis by the modified Jone's Medium culture method but using sheep's serumResults: A total of 95 children's stool samples were examined from 9 orphanages in Pekanbaru, it was found that 63 children (66.3%) were positive for Blastocystis hominis using the culture method, positive Blastocystis hominis was found more in boys (58.7%%) than girls, and based on age group, 6-12 years were found to be the age group with the most infection (84.1%). Generally, the source of drinking water in orphanages is refilled drinking water and all orphanages have cats as pets, and a few have chickens, birds, and goats as petsConclusion: High incidence of Blastocystis hominis can be detected in the feces of Pekanbaru orphanage children using the culture method.

Nightmare in the ward: difficult Clostridioides infection.

Clostridioides difficile is a Gram-positive, anaerobic, spore-forming bacillus. It is isolated in 80% of the stools of children and infants and in 3% of healthy adults. It causes gastrointestinal tract infections and affects patients who make prolonged use of antibiotics. It causes C. difficile colitis with symptoms ranging from diarrhoea to pseudomembranous colitis to toxic megacolon. The main virulence factors of C. difficile are toxin A, toxin B, and binary toxin. It is one of the most common nosocomial infections but in recent years, however, many infections have also been found at the community level. They are associated not only with a high risk of mortality but also with a prolongation of hospital stay. One of the critical aspects of C. difficile infections is also represented by the high frequency of relapses. Consequently, the economic impact is significant. Specific situations constitute risk factors for infection, such as exposure to antibiotic therapy in the previous months, in particular fluoroquinolones, third-generation cephalosporins, clindamycin, repeated hospitalizations in healthcare facilities, including long-term care, as well as the patient's clinical conditions such as comorbidities, age >65, chemotherapy and immunosuppressive treatments, recent surgery of any type, and pump inhibitor therapy. Treatment protocols will be described in the paper.

Changes in water treatment, hygiene practices, household floors, and child health in times of Covid-19: A longitudinal cross-sectional survey in Surkhet District, Nepal.

Consistent and effective practice of water treatment, sanitation, and hygiene (WASH) behaviour is an indispensable requisite for realizing health improvements among children living in low-income areas with challenging hygienic conditions. Sustainably achieving such a behaviour change is challenging but more likely to be realized during epidemics, when health threats are high and the dissemination of information on preventative measures is intense. Our study conducted cross-sectional surveys in Surkhet District Nepal, before and during the Covid-19 pandemic to assess the impact of water safety interventions and hygiene training implemented before and during the pandemic on WASH conditions and practices and to assess the association of these changes with child health. Information on WASH infrastructure, WASH behaviour, nutrition, and child health, including on parasitic infections, was obtained before and during the Covid-19 pandemic in spring 2018 and spring 2021, from 589 children aged between 6 months and 10 years and their caregivers. Data was collected through quantitative, structured face-to-face interviews, observations, health examinations of children including anthropometric measurements, analysis of children's stool, and water quality analysis. The association of changes in WASH factors with changes in child health was analysed using multivariate generalized estimating equations for repeated measures. Water safety management was significantly improved by the introduction of chlorination to piped water supply systems, which served 40% of households. In addition, the percentage of households using a ceramic water filter increased from 12.2% to 34.8%. Large and significant changes were observed in handwashing behaviour (frequency, use of soap and washing at critical times) and infrastructure: 35% of households constructed a new handwashing station. Kitchen and household hygiene also improved. An additional 22% of households improved the cleanliness of the toilet. The number of houses with a cemented floor increased by 20%. WASH changes were significantly associated with improved child health: the chlorination of piped water supply reduced odds ratios for diarrhoea (OR=0.36, 95% CI=0.15-0.88, p=0.025), respiratory difficulties (OR=0.39, 95% CI=0.16-0.92, p=0.033), fever (OR=0.42, 95% CI=0.26-0.71, p=0.001) and cough (OR=0.58, 95% CI=0.36-0.93, p=0.024), and. The frequency of handwashing with soap was associated with significantly reduced odds ratios for infections with Giardia lamblia (OR=0.68, 95% CI=0.50-0.91, p=0.011), stunting and wasting (OR=0.75, 95% CI=0.66-0.92, p=0.003) and fever (OR=0.85, 95% CI=0.75-0.96, p=0.008),. The presence of a handwashing station at baseline was associated with significantly reduced odds ratios for respiratory difficulties (OR=0.45, 95% CI=0.26-0.78, p=0.004). The construction of a handwashing station between baseline and endline was significantly associated with reduced odds ratios for pale conjunctiva (OR=0.32, 95% CI=0.17-0.60, p<0.001), which is a clinical sign of iron deficiency and anaemia, respiratory difficulties (OR=0.39, 95% CI=0.17-0.89, p=0.026) and cough (OR=0.44, 95% CI=0.26-0.76, p=0.003). Using a clean container for the transport of drinking water was significantly associated with reduced odds ratios for infections with Giardia lamblia (OR=0.39, 95% CI=0.16-0.93, p=0.033) and diarrhoea (OR=0.48, 95% CI=0.24-0.96, p=0.038). Similarly, a cemented floor in the household was significantly associated with reduced odd ratios for diarrhoea (OR=0.38, 95% CI=0.16-0.87, p=0.022) and infections with Giardia lamblia (OR=0.44, 95% CI=0.19-1.02, p=0.056). WASH training and the promotion of preventative measures during the Covid-19 pandemic supported improved water safety management and hygiene behaviour, which resulted in a reduction in infectious diseases among children in the study area.

АНАЛИЗ РАСПРОСТРАНЕННОСТИ ПАРАЗИТАРНЫХ ЗАБОЛЕВАНИЙ И МИКСТИНВАЗИЙ У ДЕТЕЙ В КЫРГЫЗСКОЙ РЕСПУБЛИКЕ

This article presents the results of a study of sanitary epidemiological surveillance (SES) among preschool and school-age children conducted in the pilot districts of Osh, Naryn, Jalal-Abad and Batken regions of the Kyrgyz Republic (KR) in the period from 2015 to 2021 and describes the relevance of combined parasitic diseases, in particular helminthiasis, the problematic issues of epidemiological features of the combination of helminthiasis with a large range of parasitic diseases to assess the true picture of the prevalence of parasitic diseases in children. SES for parasitic diseases is a system for collecting biomaterials (stool) of children using preservatives and taking scrapings from the anus, laboratory analysis to determine the types of parasites and the dissemination of epidemiological information on the prevalence of parasitic diseases and children with mixed infestations, necessary for planning, implementing and monitoring preventive programs. 39398 children of school and preschool age up to 14 years were examined. Preschool children accounted for 36.3 % and schoolchildren below 14 years years old 63.6 % of the total number of surveyed. During the analyzed period, the total infection rate of children below 14 in the republic amounted to 10.9 % of the total number of examined, of which 5.7 % are girls and 5.2 % are boys. Key words: parasites, mixed invasion, intestinal parasitocenosis, mixed invasion, invasion, SES.

Diarrhoeal pathogens in the stools of children living with HIV in Ibadan, Nigeria.

Diarrhoea can be debilitating in young children. Few aetiological investigations in Africans living with human immunodeficiency virus (HIV) have been performed since antiretrovirals became widely available. Stool specimens from children with diarrhoea living with HIV, and HIV-uninfected controls, recruited at two hospitals in Ibadan, Nigeria, were screened for parasites and occult blood, and cultured for bacteria. Following biochemical identification of at least five colonies per specimen, diarrhoeagenic Escherichia coli and Salmonella were confirmed by PCR. Data were line-listed and comparisons were made using Fisher's Exact test. Only 10 children living with HIV could be enrolled during the 25-month study period and 55 HIV-uninfected children with diarrhoea were included for comparison. The most common pathogens overall were enteroaggregative E. coli (18/65, 27.7%), enteroinvasive E. coli (10/65, 15.4%), Cryptosporidium parvum (8/65, 12.3%) and Cyclospora cayetanensis (7/65, 10.8%). At least one pathogen was detected from seven of ten children living with HIV and 27 (49.1%) HIV-uninfected children. Parasite detection was associated with HIV positive status (p=0.03) with C. parvum specifically recovered more commonly from children living with HIV (p=0.01). Bacterial-parasite pathogen combinations were detected in specimens from four of ten children living with HIV but only 3(5.5%) HIV-uninfected children (p=0.009). Stools from five of ten children living with HIV and 7(12.7%) HIV-negative children (p = 0.014) contained occult blood. Even though children living with HIV present infrequently to Ibadan health facilities with diarrhoea, their greater propensity for mixed and potentially invasive infections justifies prioritizing laboratory diagnosis of their stools.

Molecular detection by some virulence genes of Salmonella enterica subsp. enterica isolated from the stool of children with diarrhea

Diarrhea is a real disease in childhood which could cause death. Therefore, this study was conducted to isolate Salmonella from 350 stool samples taken from children under five years in age, suffering from diarrhea during the period from March 2019 to March 2020 in Tikrit city / Iraq. The results showed the possibility to isolate ten isolates of Salmonella enterica subsp. Enterica, an infection rate, represents 2.875% of the total rate of patients who suffer from diarrhea. The virulence genes were investigated for ten isolates of S. enterica subsp. enterica, the result is that all isolates possessed the genes stn, invA, lpfA with an appearance percentage of 100%, while the percentage of appearance of pefA and fimH genes was 80% and 60%, respectively. All these isolates as Iraqi detection have been submitted to NCBI then accepted as ten Iraqi strains were in NCBI. All strains were concordance of 99-100% with the Salmonella enterica subsp. enterica Strains of Taiwan (CP085821.1), the United Kingdom (OU943338.1), China (CP085699.1), South Korea (CP077760.1), Pakistan (OK035700.1) and Hong Kong (CP0823381.1) in addition to four US states.

The True Picture of The Prevalence of Parasitic Diseases Among Children in The Kyrgyz Republic

This article presents the results of a study of sanitary epidemiological surveillance (SES) among preschool and school-age children conducted in the pilot districts of Osh, Naryn, Jalal-Abad and Batken regions of the Kyrgyz Republic (KR) in the period from 2015 to 2021 and describes the relevance of combined parasitic diseases, in particular helminthiasis, the problematic issues of epidemiological features of the combination of helminthiasis with a large range of parasitic diseases to assess the true picture of the infestation of children with parasitic diseases. SES for parasitic diseases is a system for collecting biomaterials (stool) of children using preservatives and taking scrapings from the anus, laboratory analysis to determine the types of parasites and the dissemination of epidemiological information on the prevalence of parasitic diseases and children with mixed infestations, necessary for planning, implementing and monitoring preventive programs. 39398 children of school and preschool age up to 14 years were examined. Preschool children accounted for 36.3% and schoolchildren below 14 years of age 63.6% of the total number of surveyed. During the analyzed period, the total infection rate of children below 14 in the republic amounted to 10.9% of the total number of examined, of which 5.7% are girls and 5.2% are boys.

Differential virome composition and richness between children's diarrheagenic stools kept at ultra-low temperatures for long-term

Diarrhoeal illness is the second cause of morbidity/mortality among children from less-developed regions worldwide. Nonetheless, there is scarce information regarding their gut microbiome. Microbiome characterization, with an emphasis on the virome, of children's stools with diarrhoea, by a commercial microbiome array. Nucleic acids extraction, optimised for viral identification, of stool samples from 20 Mexican children with diarrhoea (10 children < 2 and 10 ≥ 2-years-old), collected 16 years ago and kept at -70 °C, were analysed for the presence of viruses, bacteria, archaea, protozoa, and fungi species sequences. Only viral and bacterial species sequences were identified among children's stools. Most stool samples harboured species belonging to the bacteriophages (95%), anellovirus (60%), diarrhoeagenic viruses (40%), and non-human pathogens viruses (45% avian virus and 40% plant viruses) groups. Among the children's stools, virome inter-individual species composition was observed, even in presence of illness. The < 2-years-old children group has significantly higher viral richness (p = 0.01), conferred mainly by bacteriophages and diarrheagenic-viruses (p = 0.01) species, in comparison with the ≥ 2-years-old group. The virome of stools of children with diarrhoea revealed inter-individual viral species composition. Similarly, to the few virome studies in healthy young children, the bacteriophages group was the most abundant. A significantly higher viral richness, conferred by bacteriophages and diarrheagenic-viral species, was observed among < 2-years-old children in comparison with older children. Stools preserved at -70 °C for long term can successfully be used for microbiome studies.

Hygienic Disposal of Children's Stools Practices Among Women of Children With Diarrhoea in Sub-Saharan Africa.

Diarrhoea stools contain infectious agents and pose a public health threat to children and members of the entire family when exposed to them. Therefore, their hygienic disposal is essential. Empirical data are needed to stir the needed public health interventions to encourage or enforce proper disposal practices to curb associated clinical issues. This study assessed the prevalence and correlates of hygienic stool disposal practices by mothers of children with diarrhoea in sub-Saharan Africa (SSA). The Demographic and Health Surveys (DHS) data of 16 sub-Saharan African countries from 2015 to 2021 involving 22 590 mother-child pairs were analysed. Multilevel binary logistic analysis was conducted to assess the individual- and household-level factors associated with the hygienic disposal of stool practices by mothers of children with diarrhoea. The results were presented using adjusted odds ratios (AOR) and 95% confidence intervals (CI) at a statistical significance of P < .05. The overall prevalence of hygienic disposal of children's stools among women of children with diarrhoea was 49.01% (95% CI: 48.40-49.62) and ranged from 15.70% in Liberia to 86.6% in Rwanda. The practice of hygienic disposal of stools of children with diarrhoea was likely to increase among mothers who are working (AOR: 1.19; 95% CI: 1.09-1.30), those with partners with primary level of education (AOR: 1.18; 95% CI: 1.06-1.31), Muslims (AOR: 1.69; 95% CI: 1.49-1.91) and widowed/divorced (AOR: 8.94, 95% CI: 3.55-22.53). Again, mothers in the richer (AOR: 1.23; 95% CI: 1.08-1.39) wealth index had increased odds of disposing of stools hygienically compared to those in the poorest wealth index. Women who were 20 years and above, to who belonged to Traditional Religions (AOR: 0.57; 95% CI: 0.43-0.74), and those with unimproved sources of water (AOR: 0.89; 95% CI: 0.82-0.98) and toilet facilities (AOR: 0.63; 95% CI: 0.58-0.69) were less likely to dispose of child's diarrhoea stool hygienically than their counterparts. The study reveals that the unhygienic disposal of the stool of children with diarrhoea is prevalent in SSA and requires a concerted effort to curb it. Sanitation practices such as educating mothers about hygienic disposal of children's stool and improving water and sanitation facilities are crucial in lowering the high prevalence of unhygienic disposal of the diarrhoeic stool of children. Additional country-level research is needed to assess children's defecation behaviours and the disposal of diarrhoeic stools using different methodologies.

EXTINCTION THRESHOLD IN A STOCHASTIC EPIDEMIC MODEL FOR ROTAVIRUS DYNAMICS WITH CONTAMINATED ENVIRONMENT

Mathematical models for the transmission dynamics of infectious diseases have aided our understanding of the important factors that drive epidemic patterns. In this paper, we formulate and analyze a stochastic epidemic model, a continuous-time Markov chain, in order to understand rotavirus dynamics with a contaminated environment. The assumptions of the deterministic model are utilized in the formulation of the corresponding stochastic model. We perform both local and global stability analyses of the equilibria of the deterministic model with respect to the basic reproduction number. The extinction threshold for the stochastic model and conditions for either disease extinction or persistence are derived by employing the branching process to the infectious classes only. It is shown that the probability of rotavirus extinction obtained from the branching process is in excellent agreement with the numerically approximated probability. Numerical results indicate that the probability of rotavirus extinction is the highest if the contaminated environment introduces the virus into a totally susceptible population at the beginning of the epidemic process. Thus, a major rotavirus outbreak is likely if the virus emanates from infectious children at the onset of the epidemic. Results of sensitivity analysis showed that shedding of the virus into the environment by infectious children is the most sensitive parameter of the model. Further, it is shown that decreasing the shedding rate leads to an increase in the probability of disease extinction and vice versa. This, therefore, implies that disposal of stool of infectious children should be well managed if efforts to curb further spread of the disease or even eliminating it are to bear desirable fruits.

Molecular Study of Adenovirus Genotypes 40 and 41 in Children with Acute Gastroenteritis.

Adenovirus is a common virus associated with acute gastroenteritis in children. There are certain genotypes that are prevalent in these infections, such as genotypes 40 and 41. The aim of the present study was to investigate the incidence of adenovirus genotypes 40 and 41 in children with acute gastroenteritis by polymerase chain reaction (PCR) and also to determine the possibility of Adenovirus co-infections with Rotavirus. The study was a cross-sectional study that included 100 children with acute gastroenteritis. The children were subjected to full history taking and clinical examination. Stool samples from the patients were subjected to detection of adenovirus and rotavirus antigens by enzyme-linked immunosorbent assay (ELISA) and detection of adenovirus genotypes 40 and 41 by polymerase chain reaction (PCR). The most prevalent virus by the used methods was rotavirus antigen in the stool (35%). Adenovirus antigen detection was positive in 23% of the stool samples, with positive PCR for these samples in 22%. The ADv40 was detected in 13 samples, and ADv41 was detected in 9 samples. One positive sample by adenovirus antigen ELISA was negative by PCR for these genotypes. Mixed rotavirus and adenovirus by ELISA were detected in 7% of the children. In patients with positive adenovirus antigen by ELISA, the most common symptoms were vomiting (54.5%) and abdominal pain (45.5%). An insignificant difference between fever (P=0.94) and abdominal pain (P=0.63) was detected in children infected with adenovirus compared to patients infected with other organisms. The adenovirus was detected in 68.2% of children with acute gastroenteritis ≤ 24 months. Vomiting was significantly increased in children with adenovirus (54.5%) compared to children negative for adenovirus (23.1%-P=0.004, OR 4.0, 95%CI: 1.5-10.8). The study highlights the presence of adenovirus genotypes 40 and 41 in the stool of children with acute gastroenteritis. Combined rotavirus and adenovirus infections were detected in our study.

A brief review on the molecular biology of human adenoviruses

Human adenoviruses infection causes diseases worldwide in all age groups and genders, which is associated with a wide range of diseases affecting the gastrointestinal tract, respiratory tract, urinary tract, and the eye, but they are often isolated from the pharynx and stool of asymptomatic children. However, in developing countries, diarrhea is a major cause of morbidity and mortality; and after rotaviruses, human adenoviruses are considered to be the second most important cause of viral infantile diarrhea. Also, human adenoviruses cause fatal acute respiratory distress syndrome in healthy adults and are especially fatal in infants and immune-compromised individuals. This review summarizes both classical and contemporary discoveries in the study of human adenoviruses at the molecular level, with particular emphasis on viral receptors, capsid proteins, nucleic acid, and genome properties as well as the molecular interactions governing the virion assembly. In this article, we provide insightful information concerning the molecular aspects of human adenoviruses. This would develop an understanding of the virus and serve as a powerful tool in identifying new approaches for the prevention and treatment of adenoviral infection.

The Intake of Antioxidant Capacity of Children Depends on Their Health Status.

The gastrointestinal digestion of food and further gut microbial activity render a myriad of different molecules that could be responsible for the biological activities that are classically assigned to their parent compounds. This has been previously shown for some phytochemicals whose antioxidant capacity was either increased or decreased after being metabolized by gut microbes. Whether a global antioxidant capacity that is extracted from food is determined by the gut microbial community structure is still not well described. In the present study, we in vitro digested and fermented 48 different foods that were submitted to different culinary treatments using the stools of lean children, obese children, celiac children and children with an allergy to cow’s milk proteins. Their antioxidant capacities were assessed with the DPPH and FRAP assays, and the percentage that each food contributed to their daily antioxidant intake as well as their antioxidant capacity by portion size was inferred. Overall, cereals, fruits and vegetables displayed a higher contribution to their daily antioxidant intake, while tubers, fish and meat exhibited a higher antioxidant capacity by serving size. The food that was fermented in the lean children’s and those children that were allergic to cow’s milk protein’s fecal material, showed a higher antioxidant capacity, which could imply that there is a larger role of the gut microbiota in this area.

A 7-year-old Boy with Hematochezia Caused by Thrombosis in Portal Vein, Splenic Vein, and Inferior Mesenteric Vein. A Rare Case Report and Literature Review

&lt;p&gt;Mesenteric vein thrombosis is extremely rare in children, with only a few case reports in the literature. Most mesenteric vein thrombosis cases involve the superior mesenteric vein. Acute mesenteric vascular occlusion is associated with a high mortality rate. Early detection and aggressive management are imperative to prevent thrombus progression, bowel infarction, and death. This report describes a 7-year-old boy who suffered from bloody stool for one week. Upper gastrointestinal endoscopy revealed no abnormalities, while a colonoscopy revealed only nodular lymphoid hyperplasia. A Meckel&amp;rsquo;s diverticulum scan revealed negative findings. Abdominal computerized tomography showed thrombi in the right portal branch, main portal vein, splenic vein, and inferior mesenteric vein. Symptoms were relieved after the patient was treated with rivaroxaban 10 mg orally once a day. This case report characterizes a rare cause of bloody stool in children. If a patient presents with hematochezia with or without abdominal pain, abdominal venous thrombosis should be considered as a differential diagnosis because of its high mortality and morbidity rate. Early diagnosis and proper treatment can save a patient&amp;rsquo;s life.&lt;/p&gt; &lt;p&gt;&amp;nbsp;&lt;/p&gt;

Schistosoma mansoni Epidemiology Among Snails, Rodents and Children: A One Health Approach.

BackgroundSchistosoma is one of the prevalent parasitic infection in humans and animals. Schistosomiasis in children is particularly serious and results in liver and spleen enlargement, anemia, stunting, reduced ability to learn and death. The aim of this study was to measure the prevalence and distribution of schistosomiasis in children, rodents and snail populations in Aleffa and Takusa districts, north-west Ethiopia.MethodsDisease status and exposure were simultaneously measured from December 2020 to December 2021. School children's stool specimens were collected for schistosomiasis examination by Kato Katz and formal-ether techniques. Live rodents and snails were trapped and collected in search of adult schistosoma, eggs, and cercariae, respectively. Multiple logistic regression analytic technique by using SPSS version 20 was conducted.ResultsOf 460 stool specimens examined, 116 (25.22) were found positive for S. mansoni infection. In the present finding, the possible determinants for the occurrence of intestinal schistosomiasis in school children were female sex (AOR = 1.09, 95% CI: 1.37–2.96); working with bare foot (AOR = 1.21, 95% CI: 1.08–1.52); skin cut/abrasion history (AOR = 3.6, 95% CI: 1.08–7.43) and swimming habit (AOR = 1.58, 95% CI: 1.33–1.99). The overall (n = 108) rodent prevalence of S. mansoniwas 23 (21.3%). Only 6 snails were shedding the infective stage of schistosoma cercariae.ConclusionThe study revealed that there is a moderate prevalence of schistosomiasis in different hosts. Thus, multi-host intervention is crucial to achieving the goal of interrupting transmission of schistosomiasis in the study area. Further research to better understand and exploit the broader environmental, ecological context and encompassing dynamic interactions between all hosts over time will be crucial for building predictive models beyond the known fact of having or not having reservoirs/hybridization of schistosoma in our study area.

Molecular Characterization of Probiotics and Their Influence on Children with Autism Spectrum Disorder.

Children with autism spectrum disorder (ASD) are usually unable to express abdominal discomfort properly, and thus gastrointestinal symptoms (GIS) are sometimes shadowed by aggression, which is sometimes misunderstood as a behavioral characteristic of ASD. Several studies have reported interesting correlations between the severity of behavioral and gastrointestinal symptoms in ASD children. The present study aimed to investigate the potential effects of probiotics as an adjuvant therapy to modulate the clinical status of ASD children. This study included 40 children with ASD aged 2-5years. The feeding product was prepared from whey powder (without casein) and some minced cooked yellow vegetables in adequate ratios fortified with the studied probiotic strains (Bifidobacterium spp. and Lactobacillus spp.). Bifidobacterium strains were assessed from stool samples of children with ASD. Bifidobacterium strains were analyzed in the stools of ASD children. Recruited ASD patients received 10g of the nutritional supplement once a day for 3months. Childhood Autism Rating Scale (CARS) and Autism Diagnostic Interview-Revised (ADIR) were reevaluated clinically. Questionnaire on Pediatric Gastrointestinal Symptoms-Rome III Version was used for all children with ASD before and after. There is a significant increase in the colony counts of both Bifidobacterium spp. and Lactobacillus spp., which present in the stool of ASD children after probiotic supplementation for 3months. It was highly significant in the case of Bifidobacterium spp. (p value 0.000) and a significant increase in Lactobacillus spp. (p value 0.015). The present study showed reduced anxiety and observation of deep sleep for children with ASD (80%) after taking the supplementation. This indicates that probiotics may have a potential effect in reducing symptoms and severity of ASD and in correcting dysbiosis.