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Persistent Diarrhoea in the Community: Characteristics and Risk Factors
Author(s) -
ARAYA M.,
BAIOCCHI N.,
ESPINOZA J.,
BRUNSER O.
Publication year - 1991
Publication title -
acta pædiatrica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.772
H-Index - 115
eISSN - 1651-2227
pISSN - 0803-5253
DOI - 10.1111/j.1651-2227.1991.tb11831.x
Subject(s) - medicine , diarrhea , logistic regression , pediatrics , lactose intolerance , lactose , gastroenterology , chemistry , organic chemistry
. In 58 previously well‐nounshed patients who were fed cow's milk and who later developed persistent diarrhoea (≥ 15 days), data obtained during the first 8 days of acute diarrhoea were compared with those of patients whose episodes lasted ≤8 days. Children with persistent diarrhoea weighed less at birth, passed ≥6 stools/day during the first 48 hours, received early treatment with antibiotics. Their milk feedings were stopped during the first 48 hours, they had past history of digestive diseases and hospitalizations, they were brought in for consultation after 5 days of symptoms and their nutritional status deteriorated more ( p ≤0.003, p ≤0.03, p ≤0.0001, p ≤0.0001, p ≤0.0001, p ≤0.002, p ≤0.0001, and p ≤0.03, respectively). Their mothers were significantly younger ( p <0.0013), had better schooling ( p <0.037), and fewer children ( p <0.044), and were separated from the index child during the day more often ( p <0.056). After persistent diarrhoea was diagnosed, enteropathogens in stools or lactose intolerance or both were demonstrated in 75.9%. Treatment induced remission in all cases. Using logistic regression predictive model was established which enables us to identify, among patients with acute diarrhoea, those at risk of prolonging their illness.