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ETIOLOGY OF DIARRHEA IN CHILDREN LESS THAN FIVE YEARS OF AGE IN IFAKARA, TANZANIA
Author(s) -
Martha Vargas,
Jordi Vilà,
Climent CasalsPascual,
HONORATI URASSA,
Joaquı́m Ruiz,
Joaquím Gascón,
David Schellenberg,
E. Kahigwa
Publication year - 2004
Publication title -
american journal of tropical medicine and hygiene
Language(s) - English
Resource type - Journals
eISSN - 1476-1645
pISSN - 0002-9637
DOI - 10.4269/ajtmh.2004.70.536
Subject(s) - rotavirus , wet season , diarrhea , dry season , giardia lamblia , enteroaggregative escherichia coli , veterinary medicine , shigella , tanzania , biology , enterotoxigenic escherichia coli , microbiology and biotechnology , medicine , salmonella , escherichia coli , enterobacteriaceae , bacteria , geography , ecology , biochemistry , genetics , environmental planning , enterotoxin , gene
A total of 451 stool specimens were collected from children less than five years of age with acute diarrhea from Ifakara, Tanzania and processed to detect bacterial enteropathogens, parasites, and rotaviruses. These specimens were divided into 348 from the dry season and 103 from the rainy season. Overall, diarrheogenic Escherichia coli (35.7%) were the predominant enteropathogens, with enterotoxigenic E. coli, enteroaggregative E. coli, and enteropathogenic E. coli being the most prevalent. Moreover, enteroaggregative E. coli (63% versus 35.5%; P < 0.05), Shigella spp. (24% versus 12%; P < 0.05), and rotavirus (23% versus 4%; P < 0.05) were more prevalent in the dry season than in the rainy season and enterotoxigenic E. coli (51.6% versus 20%; P < 0.05) and Giardia lamblia (14% versus 1%; P < 0.05) were more prevalent in the rainy season.

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