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