Acute bloody diarrhea in children below five years of age in Babylon Province, Iraq
DOI:
https://doi.org/10.22317/imj.v6i1.1164Keywords:
Acute, Diarrhea, Child, IraqAbstract
Objectives: The aim of study is to find the causes, how optimal diagnosis and what is the most causative agents of bloody diarrhea in infants and children.
Methods: One hundred children with bloody diarrhea (three or more loose bowel motion / day with visible blood in stool) from total 1660 of gastroenteritis where studied in Babylon hospital for maternity and children in Hilla from (1st of March to 31 August 2012), all of them were less than five years of age. Those with surgical condition excluded from the study.
Results: Higher percentage with E. histolytica 50 (50%).Their stool culture was showed growth of normal flora. Second microorganism was E. Coli 20 (20%), Third microorganism was Shigella 7 (7%). There is no relationship between types of microorganisms in bloody diarrhea and different age group. More than 50% of the patients with bloody diarrhea was found in those who were below 2 years. There is no significant difference between type of microorganisms and gender of the patient’s. There is significant difference between total number of cases and gender of the patient’s. Male more affected 56 (56%) than female 44 (44%). There is a significant difference between total number of patients and residence of patients. Patient come from rural area were more 60 (60%) than those from urban area 40 (40%).
Conclusion: Entamoeba Histolytica one of the most frequent offending pathogen in-patient with bloody diarrhea in our society. Children below 2 years are the main affected group and male sex affected more than female.
References
Pickering, L.K. and Snyder, J. D.: Gastroenteritis. In: Behrman, R. E.; Kligman, R. M. and Jenson, H. B., (eds). Nelson text book of pediatrics, 18th ed. Pheladelphia, W. B. Saunders Company, 2007, chap. Page 1369.
World Health Organization. Reading on diarrhea. Student manual. WHO/Geneva,1992.
Victora, C. G., Huttly, S. R. A., Fuchs, S. C., et al.: International differences in clinical patterns of diarrheal deaths: a comparison of children from Brazil, Senegal, Bangladesh and India. J. diarrheal Dis. Resources 1993; 11:25-29.
Black, R. E., Brown, K. H., Becker, S., et al.: Longitudinal studies of infectious disease and physical growth of children in rural Bengladesh. Am J Epidemiology. 2000; 115: 315-324.
Ronsmans, C., Bennish, M. L. and Wierzba, T.: Diagnosis and management of dysentery by community health workers. Lancet 1988; 2:552-55.
Briend, A., Hasan, K. Z., Aziz, K. M. et al.: Are diarrhea control programs likely to reduce childhood malnutrition? Observation from rural Bangladesh. Lancet 1989; 2:319.
Henry, F. S.: The epidemiological importance of dysentery in community. Rev. Infectious diseases 2002; 4: 3000-44.
Veinh, H., Wain, J., Chinh, M. T., et al.: Treatment of bacillary dysentery in Vitnamese children trop. Med. Hyy. 2000; 94: 324-326.
DeWitt TG.: Acute diarrhea in children. Pediatr Rev 1989;11:6-13 [Published erratum in Pediatr Rev 1989;11:124].
AAP. 1997 Red Book.: Report of the Committee on Infectious Disease. 24th ed. Elk Grove Village, IL: AAP; 1997.
Edward,S,,almuck,J.and alani,W. :Epidemiology of bloody diarrhea.Iraq.j.COM.MED,2000;13
Vanessa Costa Soares, MD; Acute diarrhea in Infants part 1; published by Medstudents' Homepage 2008.
KHalil_khan;SR .MAZHAR_; Et al.: occurence and susceptibility to antibiotic of shigella species in stoolof hospitalized children with bloody diarrhea in pakistan.AM-J-TROPMED-hyg 1998 58(6)
Henry, F. S.: The epidemiological importance of dysentery in community. Rev. Infectious diseases 2002; 4: 3000-44.
Townes. J. M., Quick, R., Gonzales, O. Y.: et al.: etiology of bloody diarrhea in Bolivian children implication for empiric therapy. J. infectious disease 1997; 175: 1527 – 230.
huilan,S.,zhen,LG.,MATHAN,N.m.,etal.: Etiology of acute diarrheoa among children in developing countries:amulticenter study in five countries. Bull world health organization1991;69;549-55
WALSH,j,A, :problems in recognition and diagnosis of amebiasis.REV.INF,DIS,1986;8:228
Midzi,S-M;Tshimanga,-M;Siziya,-S; et al.: an out break of desentery in arural district of Zimbabwe :the role of personal hygiene at public gatherings.Cent –Afr-J-MED.2000Jun:150-30
Teklemariam,-S;Getaneh-T;Bekele,-F.: Environmental determinant of diarrheal morbidity in under five years children,Keffasheka zone,West Ethiopia_MED_J2000 Jan;38(1):27-34
Stefano Guandalini, MD, Director, University of Chicago.: diarrhea, article published in Apr 25, 2008. www.eMedicine.com
Reid SR, Bonadio WA. :Outpatient rapid intravenous rehydration to correct dehydration and resolve vomiting in children with acute gastroenteritis. Ann Emerg Med 1996;28:318-23.
Bin Saeed A.A.A.; El Bushra, H.E.: Does treatment of bloody diarrhea due to Shigella dysenteriae type 1 with ampicilline precipitate hemolytic uremic syndrome? Gastroenterology J. 1995 Oct – Dec: 1(4): 31-33.
Guandalini S.: Treatment of acute diarrhea in the new millennium. J Pediatr Gastroenterol Nutr. May 2000;30(5):486-9.