Polymicrobial infections in children with diarrhoea in a rural area of Jordan

Abstract

Polymicrobial infections associated with diarrhoea are common in developing countries. Stool specimens were collected from 220 patient children and 100 controls. Potential pathogenic agents isolated from 143 (65%) children were identified by molecular and standard microbiological methods. Co-infections with two or more agents were detected in 50 (35%) cases. Escherichia coli, Shigella dysenteriae, Giardia and Entamoeba histolytica were found to be predominant. The etiologic agents could not be determined in 77 (35%) cases. The most significant risk factors were the age, the education level of the mother and the use of non-chlorinated water. The high infection rate of diarrhoeal diseases is a strong indication that these pathogens circulate easily through the population.

Bacterial isolates and antimicrobial susceptibility in children with acute diarrhea at Ibn Sina Medical College, Bangladesh

“…18,19 E coli was the most common cause of bacterial diarrhea similar to many other previous studies. 18,[20][21][22][23] In our study, Salmonella (16.36%) is the second most common cause of diarrhea and Shigella was found in 12.73% cases. In other studies, Shigella was more frequent.…”

The Epidemiology of Rotavirus Diarrhea in Countries in the Eastern Mediterranean Region

“…Both were performed at outpatient clinics in Teheran, but the study with the higher detection rate (25%) included 6 clinics, whereas the study with 3 clinics had a lower detection rate [18,19] . The highest detection rates were reported in 2 studies from Jordan-one in a rural area (41%) and the other in a refugee camp (35%)-and an additional study from Saudi Arabia (38%) [20][21][22].…”

“…The yearly median is marked, and shaded areas indicate peaks 13 months. Data in a are from [32], in b are from [27], in c are from [33], in d are from [30], in e are from [65], in f are from [20], and in g are from [54]. categories, and the age distribution of patients with rotavirus infection.…”

Case–control study of diarrheal disease etiology in individuals over 5 years in southwest China

“…However, co-infection is a common prevalence in diarrhea cases in such communities with poor food hygiene, low sanitation and contaminated water (35.0, 20.1, 13.0%, respectively) [6, 12, 13]. Co-infection, however, are also common in healthy patients (8.0, 5.3, 0.8%, respectively) [6, 12, 13]. Co-infection is of particular human health importance because pathogen species can interact within the host.…”

“…Interactions within the host can have either positive or negative effects on each of the co-infecting enteric pathogen species. Under positive enteric pathogen interactions, diarrheal disease transmission and progression are enhanced [6, 12, 14, 15]. …”