» Articles » PMID: 36032447

Diarrhoeagenic Isolated from Children with Acute Diarrhoea at Rakai Hospital, Southern Uganda

Overview
Journal Afr Health Sci
Date 2022 Aug 29
PMID 36032447
Authors
Affiliations
Soon will be listed here.
Abstract

Background: Diarrhoeagenic (DEC) is a leading cause of childhood diarrhoea. This study estimated the prevalence of DEC and DEC pathotypes among children with acute diarrhoea in Southern Uganda.

Methods: A cross-sectional study was conducted on 267 children less than 5 years with acute diarrhoea, admitted to Rakai General Hospital in Southern Uganda. Faecal samples were collected from the children and processed for isolation of . The presence of DEC and the distribution of DEC pathotypes were determined by polymerase chain reaction.

Results: A total of 102 (38.2%, 102/267) children had DEC of various pathotypes - enteroaggregative (EAEC) (14.2%); enteropathogenic E. coli (EPEC) (6.7%); enterotoxigenic (ETEC) (6%); enteroinvasive (EIEC) (7.5%); enterohemorrhagic (EHEC) (3%); and cell-detaching E. coli (CDEC) (0.75%). The difference in the overall prevalence of DEC was not significant regarding HIV but individually, EAEC and CDEC were associated with HIV-positive status while ETEC was associated with HIV-negative status.

Conclusions: DEC is prevalent in children with acute diarrhoea in Southern Uganda and its identification in children should be considered among strategies for combatting childhood diarrhoea in Africa.

Citing Articles

Enteric bacterial agents associated with diarrhea and their antimicrobial sensitivity profiles in children under 5 years from mukuru informal settlement, Nairobi, Kenya.

Kiiru S, Maina J, Mwaniki J, Songoro E, Kariuki S BMC Infect Dis. 2024; 24(1):237.

PMID: 38388369 PMC: 10882725. DOI: 10.1186/s12879-024-09114-5.


Risk factors for diarrheagenic Escherichia coli infection in children aged 6-24 months in peri-urban community, Nairobi, Kenya.

Okumu N, Ngeranwa J, Muloi D, Ochieng L, Moodley A, Mutisya C PLOS Glob Public Health. 2023; 3(11):e0002594.

PMID: 37992040 PMC: 10664883. DOI: 10.1371/journal.pgph.0002594.


Whole Genome Sequencing Reveals High Genetic Diversity, Diverse Repertoire of Virulence-Associated Genes and Limited Antibiotic Resistance Genes among Commensal from Food Animals in Uganda.

Byarugaba D, Wokorach G, Alafi S, Erima B, Najjuka F, Mworozi E Microorganisms. 2023; 11(8).

PMID: 37630428 PMC: 10457813. DOI: 10.3390/microorganisms11081868.


Sexual reproductive health, NCDs and infectious diseases.

Tumwine J Afr Health Sci. 2022; 22(1):i-v.

PMID: 36032436 PMC: 9382524. DOI: 10.4314/ahs.v22i1.1.

References
1.
Garcia C, Chincha O, Leon M, Iglesias D, Barletta F, Mercado E . High frequency of diarrheagenic Escherichia coli in human immunodeficiency virus (HIV) patients with and without diarrhea in Lima, Peru. Am J Trop Med Hyg. 2010; 82(6):1118-20. PMC: 2877421. DOI: 10.4269/ajtmh.2010.09-0460. View

2.
Bryce J, Boschi-Pinto C, Shibuya K, Black R . WHO estimates of the causes of death in children. Lancet. 2005; 365(9465):1147-52. DOI: 10.1016/S0140-6736(05)71877-8. View

3.
Barletta F, Ochoa T, Ecker L, Gil A, Lanata C, Cleary T . Validation of five-colony pool analysis using multiplex real-time PCR for detection of diarrheagenic Escherichia coli. J Clin Microbiol. 2009; 47(6):1915-7. PMC: 2691103. DOI: 10.1128/JCM.00608-09. View

4.
Sang W, Oundo V, Schnabel D . Prevalence and antibiotic resistance of bacterial pathogens isolated from childhood diarrhoea in four provinces of Kenya. J Infect Dev Ctries. 2012; 6(7):572-8. DOI: 10.3855/jidc.2196. View

5.
Lorenz T . Polymerase chain reaction: basic protocol plus troubleshooting and optimization strategies. J Vis Exp. 2012; (63):e3998. PMC: 4846334. DOI: 10.3791/3998. View