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Frequency of *** pathotypes in acute diarrhea of children and its related factorsat Beassat hospital,sanandaj

Asian Pacific Journal of Tropical Medicine 2009年第4期2卷 64-66页

作者： Kalantar E Solatni J Khosravi B Salehi A Kurdistan Digestive and Liver Research Center Beasat Hospital Kurdistan University of Medical SciencesSanandajIran Department of Pediatric Beasat HospitalKurdistan University of Medical SciencesSanandajIran Department of Statistic Azad UniversitySanandajIran

Objective:Diarrhea is a leading cause of morbidity and mortality among children in developing *** bacterial pathogen most commonly associated with childhood diarrhea is Escherichia coli.A one-year prospective study was carried out in sanandaj to determine the prevalence and roles of the different *** pathotypes in children less than five years of age with acute ***:Rectal swab were collected prospectively from children with acute diarrhea and transported to the Department of Microbiology,School of Medicine, KUMS,sanandaj during *** study was approved by the institutional ethics ***:During this study period,rectal swabs were investigated from a total of 466 children 1 to 144 months of age(mean, 29.97 months±S.D) with *** the children,191(41%,191/466) were girls,and 275 (59%,275/466) were *** age-specific incidence rates of acute diarrhea among children 13-24 and 1 - 12 months of age were 37.37%(37/99) and 26.26%(26/99),respectively,during the study period.A total of 99 strains of *** were *** 59(59.59%) and EIEC 22(22.22%),were the most commonly found Escherichia coli strains detected in stools from *** diffusion testing showed *** strains resistance to tetracycline(89.89%),chloramphenicol(88.88%),Ampicillin(79.79%),Amoxicillin (75.75%) and Ceficime(75.75%).Among risk factors like age,sex,haemoglubin,fathers and mothers education,food and weight of children only mother's education was significant(P =0.018).Conclusion: In most of the clinical laboratories in Iran,*** does not considered as an etiologic agent responsible for diarrhea. Results in this study revealed that *** should be considered as an etiologic agent causing acute diarrhea among *** therefore,recommend the routine isolation and identification of *** strains in all the clinical laboratories in *** for appropriate use of antibiotics in sanandaj need updating.

关键词： Prevalence of acute diarrhea Children E.coli strains sanandaj

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