Epidemiological study of bloody diarrhoea among children in Baghdad, Iraq
Introduction: Diarrhoeais an easily preventable and treatable disease; however it is still a major public health problem particularly in developing world.Bloody diarrhoea in young children is usually a sign of invasive enteric infection that carries risk of serious morbidity and death. In Iraq diarrhoea is the second common cause of mortalities among children.
Objective: To determine the prevalence and associated factors of bloody diarrhoea among children less than 10 years old, in Baghdad.
Material and methods: Cross-sectional study was conducted included 1500 children with diarrhoea, ageing < 10 years old. Mothers were interviewed to obtain the necessarily information. Clinical examination and stool laboratory tests were performed for all children.
Results: The prevalence of bloody diarrhoea was 28%. Bloody diarrhoea was significantly higher among children aged 7-9 years old, living in rural areas, with illiterate mother, river water is a household source of water, and on exclusive bottle feeding. Sex of child and working mother were not significant. Entamoeba Histolytica was the main causative agents especially among age group1-3years old. Salmonella and Shigella were common among age group 4-6 years old.
Conclusion: The prevalence of bloody diarrhoea was high. Entamoeba Histolytica was the main costive agent. Poor sanitary condition and low socio-economic status may contribute to bloody diarrhoea among children in Iraq.
Keywords: childhood bloody diarrhea, risk factors, causative pathogens , environmental sanitation, breast feeding
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